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

RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.25.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: DrugUse

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/DrugUse Version: 1.25.0
Active as of 2026-06-25 Computable Name: DrugUse

Drugsgebruik

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Changes since version 1.24.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib DrugUse DrugUse
    Constraints: obs-7, obs-6
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    .... Slices for coding SΣ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:drugUseCode Σ 1..1 Coding DrugUseCode
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    Fixed Value: 228366006
    .... text SΣ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... effective[x] SΣ 0..1 Period Clinically relevant time/time-period for observation
    ... issued SΣ 0..1 instant Date/Time this was made available
    ... value[x] SΣC 1..1 CodeableConcept DrugUseStatus
    Binding: DrugsGebruikStatusCodelijst (extensible): Indication stating whether there was any drug use in the past or present.
    Example Example of DrugsUseStatus: {"coding":[{"system":"http://snomed.info/sct","code":"44870007","display":"Misused drugs in past"}]}
    ... comment S 0..1 string Comment
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code.coding.code
    .... component:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... component:DrugOrMedicationType Σ 0..1 BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... component:RouteOfAdministration Σ 0..* BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... component:Amount Σ 0..* BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.value[x] Base extensible DrugsGebruikStatusCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.component.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:Amount.​code Base example LOINC Codes 📦3.0.2 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Observation 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 Observation 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())
    obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
    obs-7 error Observation If code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

    This structure is derived from Zib DrugUse

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation 0..* Zib DrugUse DrugUse
    ... code S 1..1 CodeableConcept Type of observation (code / type)
    .... coding S 1..* Coding Code defined by a terminology system
    .... text S 0..1 string Plain text representation of the concept
    ... effective[x] S 0..1 Period Clinically relevant time/time-period for observation
    ... issued S 0..1 instant Date/Time this was made available
    ... comment S 0..1 string Comment

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib DrugUse DrugUse
    Constraints: obs-7, obs-6
    ... 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
    ... language 0..1 code Language of the resource content
    Binding: Common Languages (extensible): A human language.
    Additional BindingsPurpose
    All Languages Max Binding
    ... text 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
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional Content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    ... category 0..* CodeableConcept Classification of type of observation
    Binding: Observation Category Codes (preferred): Codes for high level observation categories.
    ... code SΣ 1..1 CodeableConcept Type of observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... 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 SΣ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:drugUseCode Σ 1..1 Coding DrugUseCode
    ...... 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 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    Fixed Value: 228366006
    ...... 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
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 Period Clinically relevant time/time-period for observation
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... start ΣC 0..1 dateTime StartDate
    .... end ΣC 0..1 dateTime StopDate
    ... issued SΣ 0..1 instant Date/Time this was made available
    ... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who is responsible for the observation
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... 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
    ... value[x] SΣC 1..1 CodeableConcept DrugUseStatus
    Binding: DrugsGebruikStatusCodelijst (extensible): Indication stating whether there was any drug use in the past or present.
    Example Example of DrugsUseStatus: {"coding":[{"system":"http://snomed.info/sct","code":"44870007","display":"Misused drugs in past"}]}
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ... comment S 0..1 string Comment
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
    ... method 0..1 CodeableConcept How it was done
    Binding: Observation Methods (example): Methods for simple observations.
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    Constraints: obs-3
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
    .... appliesTo 0..* CodeableConcept Reference range population
    Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... related Σ 0..* BackboneElement Resource related to this observation
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
    Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
    .... target 1..1 Reference(Observation | QuestionnaireResponse | Sequence) Resource that is related to this one
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code.coding.code
    .... component:All Slices Content/Rules for all slices
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ..... value[x] Σ 0..1 Actual component result
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueAttachment Attachment
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:DrugOrMedicationType Σ 0..1 BackboneElement Component results
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ...... 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
    ....... 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: http://snomed.info/sct
    ....... 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: 410942007
    ....... 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 Σ 0..1 string Plain text representation of the concept
    ..... value[x] Σ 0..1 CodeableConcept DrugOrMedicationType
    Binding: DrugsOfGeneesmiddelSoortCodelijst (extensible): Type of drug used by the patient.
    Example Example of TypeofDrugOrMedication: {"coding":[{"system":"http://snomed.info/sct","code":"373464007","display":"Ketamine"}]}
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:RouteOfAdministration Σ 0..* BackboneElement Component results
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ...... 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
    ....... 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: http://snomed.info/sct
    ....... 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: 410675002
    ....... 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 Σ 0..1 string Plain text representation of the concept
    ..... value[x] Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: ToedieningswegCodelijst (extensible): The way the drugs are used.
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"6","display":"NASAAL"}]}
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:Amount Σ 0..* BackboneElement Component results
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ...... 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
    ....... 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: http://snomed.info/sct
    ....... 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: 228390007
    ....... 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 Σ 0..1 string Plain text representation of the concept
    ..... value[x] Σ 0..1 string Amount
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
    Observation.category Base preferred Observation Category Codes 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.value[x] Base extensible DrugsGebruikStatusCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.bodySite Base example SNOMED CT Body Structures 📦3.0.2 FHIR Std.
    Observation.method Base example Observation Methods 📦3.0.2 FHIR Std.
    Observation.referenceRange.​type Base extensible Observation Reference Range Meaning Codes 📦3.0.2 FHIR Std.
    Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦3.0.2 FHIR Std.
    Observation.related.​type Base required ObservationRelationshipType 📦3.0.2 FHIR Std.
    Observation.component.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​value[x] Base extensible DrugsOfGeneesmiddelSoortCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.component:DrugOrMedicationType.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​value[x] Base extensible ToedieningswegCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.component:RouteOfAdministration.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.component:Amount.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:Amount.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component:Amount.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Observation 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 Observation 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 Observation.performer.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
    obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
    obs-7 error Observation If code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

    This structure is derived from Zib DrugUse

    Summary

    Must-Support: 7 elements

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib DrugUse DrugUse
    Constraints: obs-7, obs-6
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    .... Slices for coding SΣ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:drugUseCode Σ 1..1 Coding DrugUseCode
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    Fixed Value: 228366006
    .... text SΣ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... effective[x] SΣ 0..1 Period Clinically relevant time/time-period for observation
    ... issued SΣ 0..1 instant Date/Time this was made available
    ... value[x] SΣC 1..1 CodeableConcept DrugUseStatus
    Binding: DrugsGebruikStatusCodelijst (extensible): Indication stating whether there was any drug use in the past or present.
    Example Example of DrugsUseStatus: {"coding":[{"system":"http://snomed.info/sct","code":"44870007","display":"Misused drugs in past"}]}
    ... comment S 0..1 string Comment
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code.coding.code
    .... component:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... component:DrugOrMedicationType Σ 0..1 BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... component:RouteOfAdministration Σ 0..* BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... component:Amount Σ 0..* BackboneElement Component results
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.value[x] Base extensible DrugsGebruikStatusCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.component.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:Amount.​code Base example LOINC Codes 📦3.0.2 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Observation 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 Observation 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())
    obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
    obs-7 error Observation If code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

    Differential View

    This structure is derived from Zib DrugUse

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation 0..* Zib DrugUse DrugUse
    ... code S 1..1 CodeableConcept Type of observation (code / type)
    .... coding S 1..* Coding Code defined by a terminology system
    .... text S 0..1 string Plain text representation of the concept
    ... effective[x] S 0..1 Period Clinically relevant time/time-period for observation
    ... issued S 0..1 instant Date/Time this was made available
    ... comment S 0..1 string Comment

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* Zib DrugUse DrugUse
    Constraints: obs-7, obs-6
    ... 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
    ... language 0..1 code Language of the resource content
    Binding: Common Languages (extensible): A human language.
    Additional BindingsPurpose
    All Languages Max Binding
    ... text 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
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional Content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    ... category 0..* CodeableConcept Classification of type of observation
    Binding: Observation Category Codes (preferred): Codes for high level observation categories.
    ... code SΣ 1..1 CodeableConcept Type of observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    .... 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 SΣ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system, value:code
    ..... coding:drugUseCode Σ 1..1 Coding DrugUseCode
    ...... 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 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 1..1 code Symbol in syntax defined by the system
    Fixed Value: 228366006
    ...... 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
    ... subject Σ 1..1 Reference(Group | Device | nl-core-location | nl-core-patient) Who and/or what this is about
    ... context 0..1 Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 Period Clinically relevant time/time-period for observation
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... start ΣC 0..1 dateTime StartDate
    .... end ΣC 0..1 dateTime StopDate
    ... issued SΣ 0..1 instant Date/Time this was made available
    ... performer Σ 0..* Reference(nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who is responsible for the observation
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... 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
    ... value[x] SΣC 1..1 CodeableConcept DrugUseStatus
    Binding: DrugsGebruikStatusCodelijst (extensible): Indication stating whether there was any drug use in the past or present.
    Example Example of DrugsUseStatus: {"coding":[{"system":"http://snomed.info/sct","code":"44870007","display":"Misused drugs in past"}]}
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ... comment S 0..1 string Comment
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
    ... method 0..1 CodeableConcept How it was done
    Binding: Observation Methods (example): Methods for simple observations.
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    Constraints: obs-3
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
    .... appliesTo 0..* CodeableConcept Reference range population
    Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... related Σ 0..* BackboneElement Resource related to this observation
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
    Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
    .... target 1..1 Reference(Observation | QuestionnaireResponse | Sequence) Resource that is related to this one
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code.coding.code
    .... component:All Slices Content/Rules for all slices
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ..... value[x] Σ 0..1 Actual component result
    ...... valueQuantity Quantity
    ...... valueCodeableConcept CodeableConcept
    ...... valueString string
    ...... valueRange Range
    ...... valueRatio Ratio
    ...... valueSampledData SampledData
    ...... valueAttachment Attachment
    ...... valueTime time
    ...... valueDateTime dateTime
    ...... valuePeriod Period
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:DrugOrMedicationType Σ 0..1 BackboneElement Component results
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ...... 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
    ....... 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: http://snomed.info/sct
    ....... 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: 410942007
    ....... 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 Σ 0..1 string Plain text representation of the concept
    ..... value[x] Σ 0..1 CodeableConcept DrugOrMedicationType
    Binding: DrugsOfGeneesmiddelSoortCodelijst (extensible): Type of drug used by the patient.
    Example Example of TypeofDrugOrMedication: {"coding":[{"system":"http://snomed.info/sct","code":"373464007","display":"Ketamine"}]}
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:RouteOfAdministration Σ 0..* BackboneElement Component results
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ...... 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
    ....... 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: http://snomed.info/sct
    ....... 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: 410675002
    ....... 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 Σ 0..1 string Plain text representation of the concept
    ..... value[x] Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: ToedieningswegCodelijst (extensible): The way the drugs are used.
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"6","display":"NASAAL"}]}
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... component:Amount Σ 0..* BackboneElement Component results
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    ..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINC Codes (example): Codes identifying names of simple observations.
    ...... 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
    ....... 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: http://snomed.info/sct
    ....... 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: 228390007
    ....... 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 Σ 0..1 string Plain text representation of the concept
    ..... value[x] Σ 0..1 string Amount
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ..... interpretation 0..1 CodeableConcept High, low, normal, etc.
    Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    Observation.status Base required ObservationStatus 📦3.0.2 FHIR Std.
    Observation.category Base preferred Observation Category Codes 📦3.0.2 FHIR Std.
    Observation.code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.value[x] Base extensible DrugsGebruikStatusCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.bodySite Base example SNOMED CT Body Structures 📦3.0.2 FHIR Std.
    Observation.method Base example Observation Methods 📦3.0.2 FHIR Std.
    Observation.referenceRange.​type Base extensible Observation Reference Range Meaning Codes 📦3.0.2 FHIR Std.
    Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦3.0.2 FHIR Std.
    Observation.related.​type Base required ObservationRelationshipType 📦3.0.2 FHIR Std.
    Observation.component.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​value[x] Base extensible DrugsOfGeneesmiddelSoortCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.component:DrugOrMedicationType.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component:DrugOrMedicationType.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​value[x] Base extensible ToedieningswegCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    Observation.component:RouteOfAdministration.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component:RouteOfAdministration.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.
    Observation.component:Amount.​code Base example LOINC Codes 📦3.0.2 FHIR Std.
    Observation.component:Amount.​dataAbsentReason Base extensible Observation Value Absent Reason 📦3.0.2 FHIR Std.
    Observation.component:Amount.​interpretation Base extensible Observation Interpretation Codes 📦3.0.2 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Observation 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 Observation 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 Observation.performer.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
    obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
    obs-7 error Observation If code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

    This structure is derived from Zib DrugUse

    Summary

    Must-Support: 7 elements

     

    Other representations of profile: CSV, Excel, Schematron