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

RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.21.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MedicationUse

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/MedicationStatement Version: 1.21.0
Active as of 2025-10-15 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 Gebruik2

View Definition

ViewDefinition voor MedicationStatement

UI Wireframe

Medicatie Gebruik

>< Bron Start Eind Medicatie Dosering & instructies Toedieningsweg
+ Epic simvastatine 20mg tablet innemen. s Avonds innemen; Bij dit middel GEEN grapefruit(sap) gebruiken Oraal
Registratiedatum
15-3-2018

Kolom Definities

Kolom label FHIR Path FHIR Type Zib element Toelichting of regels
Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Start effectivePeriod.start dateTime Gebruiksperiode::TijdsInterval/startDatumTijd
Eind effectivePeriod.end dateTime Gebruiksperiode::TijdsInterval/eindDatumTijd
Medicatie medication.display string Gebruiksproduct::FarmaceutischProduct
Dosering & instructies dosage.text string Gebruiksinstructie/Omschrijving, Gebruiksinstructie/AanvullendeInstructie N.B. Als text niet beschikbaar dan samenstellen uit discrete informatie en markeren met een icoontje ⓘ
Toedieningsweg dosage.route.text string Gebruiksinstructie/Toedieningsweg
UITKLAPVELD
+Medicatie vorm medication.resolve().form.coding.display string Gebruiksproduct::FarmaceutischProduct/FarmaceutischeVorm
+Registratiedatum dateAsserted dateTime MedicatieGebruikDatumTijd
+Voorschrijver extension('http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber').valueReference.display string Voorschrijver::Zorgverlener

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.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.20.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationStatement C 0..* Zib MedicationUse(2.2.11) MedicationUse
    Constraints: mst-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension Content/Rules for all slices
    .... extension:asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
    Constraints: ext-1
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueBoolean 0..1 boolean Value of extension
    Example Example of asAgreed: true
    .... extension:prescriber S 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7)) Who ordered the initial medication(s)
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
    Constraints: ext-1
    .... extension:author 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7) | nl-core-organization(2.0.6) | nl-core-patient(2.2.5)) Author
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
    Constraints: ext-1
    .... extension:medicationTreatment 0..1 Identifier Medical Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    .... extension:reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
    Constraints: ext-1
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
    Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible): ReasonForChangeOrDiscontinuationOfUseCodeList
    Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... 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
    ...... 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
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 6
    .... text SΣ 0..1 string Plain text representation of the concept
    ... Slices for medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) ProductUsed
    ..... display SΣ 0..1 string Text alternative for the resource
    ... Slices for effectivePeriod Content/Rules for all slices
    .... effectivePeriod:effectivePeriod SΣ 0..1 Period PeriodOfUse
    ..... Slices for extension Content/Rules for all slices
    ...... extension:Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ..... start SΣC 0..1 dateTime StartDate
    ..... end SΣC 0..1 dateTime EndDate
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) 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 Σ 0..1 SimpleQuantity Amount of medication per dose
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationStatement.​extension:reasonForChangeOrDiscontinuationOfUse.​value[x]:valueCodeableConcept Base extensible RedenWijzigenOfStoppenGebruikCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​status Base required MedicationStatementStatus 📦3.0.2 FHIR Std.
    MedicationStatement.​category Base preferred MedicationStatementCategory 📦3.0.2 FHIR Std.
    MedicationStatement.​taken Base required MedicationStatementTaken 📦3.0.2 FHIR Std.
    MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationStatement.extension:asAgreedIndicator, MedicationStatement.extension:prescriber, MedicationStatement.extension:author, MedicationStatement.extension:medicationTreatment, MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse, MedicationStatement.modifierExtension:repeatPeriodCyclicalSchedule, MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration Must have either extensions or value[x], not both extension.exists() != value.exists()
    mst-1 error MedicationStatement Reason not taken is only permitted if Taken is No reasonNotTaken.exists().not() or (taken = 'n')

    This structure is derived from Zib MedicationUse

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationStatement Zib MedicationUse(2.2.11)
    ... Slices for extension Content/Rules for all slices
    .... extension:prescriber S 0..1 Zib MedicationUse Prescriber Who ordered the initial medication(s)
    ... category
    .... text S 0..1 string Plain text representation of the concept
    ​... medicationReference S 1..1 Reference(Medication) ProductUsed
    ​.... display S 0..1 string Text alternative for the resource
    ​.... start S 0..1 dateTime StartDate
    ​.... end S 0..1 dateTime EndDate
    ... dateAsserted S 1..1 dateTime MedicationUseDateTime
    ... dosage
    .... 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 & Constraints    Filter: Filtersdoco
    .. MedicationStatement C 0..* Zib MedicationUse(2.2.11) MedicationUse
    Constraints: mst-1
    ... 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueBoolean 0..1 boolean Value of extension
    Example Example of asAgreed: true
    .... extension:prescriber S 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7)) Who ordered the initial medication(s)
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
    Constraints: ext-1
    .... extension:author 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7) | nl-core-organization(2.0.6) | nl-core-patient(2.2.5)) Author
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
    Constraints: ext-1
    .... extension:medicationTreatment 0..1 Identifier Medical Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    .... extension:reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
    Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible): ReasonForChangeOrDiscontinuationOfUseCodeList
    Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... 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 medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) 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 effectivePeriod Content/Rules for all slices
    .... effectivePeriod:effectivePeriod SΣ 0..1 Period PeriodOfUse
    ..... 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:Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ..... start SΣC 0..1 dateTime StartDate
    ..... end SΣC 0..1 dateTime EndDate
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... informationSource 0..1 Reference(nl-core-patient(2.2.5) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5) | nl-core-organization(2.0.6)) 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 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) 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
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) 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 Σ 0..1 Zib AdministrationSchedule When medication should be administered
    .... Slices for asNeeded[x] Σ 0..1 CodeableConcept Take "as needed" (for x)
    Slice: Unordered, Closed by type:$this
    Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
    ..... asNeeded[x]:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
    Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
    .... site Σ 0..1 CodeableConcept Body site to administer to
    Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
    .... route Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... method Σ 0..1 CodeableConcept Technique for administering medication
    Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
    .... Slices for dose[x] Σ 0..1 Dose
    Slice: Unordered, Closed by type:$this
    ..... doseRange Range
    ..... doseQuantity Quantity(SimpleQuantity)
    ..... dose[x]:doseQuantity Σ 0..1 SimpleQuantity Amount of medication per dose
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... low ΣC 0..1 SimpleQuantity Low limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ...... high ΣC 0..1 SimpleQuantity High limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    .... maxDosePerPeriod Σ 0..1 Ratio MaximumDose
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... numerator Σ 0..1 Quantity Numerator value
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... denominator Σ 0..1 Quantity Denominator value
    .... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
    .... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
    .... rate[x] Σ 0..1 AdministeringSpeed
    ..... rateRatio Ratio
    ..... rateRange Range
    ..... rateQuantity Quantity(SimpleQuantity)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationStatement.​language Base extensible Common Languages 📦3.0.2 FHIR Std.
    MedicationStatement.​extension:reasonForChangeOrDiscontinuationOfUse.​value[x]:valueCodeableConcept Base extensible RedenWijzigenOfStoppenGebruikCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​status Base required MedicationStatementStatus 📦3.0.2 FHIR Std.
    MedicationStatement.​category Base preferred MedicationStatementCategory 📦3.0.2 FHIR Std.
    MedicationStatement.​taken Base required MedicationStatementTaken 📦3.0.2 FHIR Std.
    MedicationStatement.​reasonNotTaken Base example SNOMED CT Drugs not taken/completed Codes 📦3.0.2 FHIR Std.
    MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📦3.0.2 FHIR Std.
    MedicationStatement.​dosage.additionalInstruction Base extensible Aanvullende gebruiksinstructie 📦2016-04-07T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.dose[x]:doseRange.​low Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.dose[x]:doseRange.​high Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.maxDosePerPeriod.​numerator Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationStatement.extension:asAgreedIndicator, MedicationStatement.extension:prescriber, MedicationStatement.extension:author, MedicationStatement.extension:medicationTreatment, MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse, MedicationStatement.modifierExtension:repeatPeriodCyclicalSchedule, MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration, MedicationStatement.informationSource.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    mst-1 error MedicationStatement Reason not taken is only permitted if Taken is No reasonNotTaken.exists().not() or (taken = 'n')

    This structure is derived from Zib MedicationUse

    Summary

    Must-Support: 10 elements

    Structures

    This structure refers to these other structures:

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationStatement C 0..* Zib MedicationUse(2.2.11) MedicationUse
    Constraints: mst-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension Content/Rules for all slices
    .... extension:asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
    Constraints: ext-1
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueBoolean 0..1 boolean Value of extension
    Example Example of asAgreed: true
    .... extension:prescriber S 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7)) Who ordered the initial medication(s)
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
    Constraints: ext-1
    .... extension:author 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7) | nl-core-organization(2.0.6) | nl-core-patient(2.2.5)) Author
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
    Constraints: ext-1
    .... extension:medicationTreatment 0..1 Identifier Medical Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    .... extension:reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
    Constraints: ext-1
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
    Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible): ReasonForChangeOrDiscontinuationOfUseCodeList
    Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... 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
    ...... 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
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 6
    .... text SΣ 0..1 string Plain text representation of the concept
    ... Slices for medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) ProductUsed
    ..... display SΣ 0..1 string Text alternative for the resource
    ... Slices for effectivePeriod Content/Rules for all slices
    .... effectivePeriod:effectivePeriod SΣ 0..1 Period PeriodOfUse
    ..... Slices for extension Content/Rules for all slices
    ...... extension:Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ..... start SΣC 0..1 dateTime StartDate
    ..... end SΣC 0..1 dateTime EndDate
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) 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 Σ 0..1 SimpleQuantity Amount of medication per dose
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationStatement.​extension:reasonForChangeOrDiscontinuationOfUse.​value[x]:valueCodeableConcept Base extensible RedenWijzigenOfStoppenGebruikCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​status Base required MedicationStatementStatus 📦3.0.2 FHIR Std.
    MedicationStatement.​category Base preferred MedicationStatementCategory 📦3.0.2 FHIR Std.
    MedicationStatement.​taken Base required MedicationStatementTaken 📦3.0.2 FHIR Std.
    MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationStatement.extension:asAgreedIndicator, MedicationStatement.extension:prescriber, MedicationStatement.extension:author, MedicationStatement.extension:medicationTreatment, MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse, MedicationStatement.modifierExtension:repeatPeriodCyclicalSchedule, MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration Must have either extensions or value[x], not both extension.exists() != value.exists()
    mst-1 error MedicationStatement Reason not taken is only permitted if Taken is No reasonNotTaken.exists().not() or (taken = 'n')

    Differential View

    This structure is derived from Zib MedicationUse

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationStatement Zib MedicationUse(2.2.11)
    ... Slices for extension Content/Rules for all slices
    .... extension:prescriber S 0..1 Zib MedicationUse Prescriber Who ordered the initial medication(s)
    ... category
    .... text S 0..1 string Plain text representation of the concept
    ​... medicationReference S 1..1 Reference(Medication) ProductUsed
    ​.... display S 0..1 string Text alternative for the resource
    ​.... start S 0..1 dateTime StartDate
    ​.... end S 0..1 dateTime EndDate
    ... dateAsserted S 1..1 dateTime MedicationUseDateTime
    ... dosage
    .... text S 0..1 string Description
    .... route
    ..... text S 0..1 string Plain text representation of the concept

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationStatement C 0..* Zib MedicationUse(2.2.11) MedicationUse
    Constraints: mst-1
    ... 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
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueBoolean 0..1 boolean Value of extension
    Example Example of asAgreed: true
    .... extension:prescriber S 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7)) Who ordered the initial medication(s)
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
    Constraints: ext-1
    .... extension:author 0..1 Reference(nl-core-practitionerrole(2.0.7) | nl-core-practitioner(2.0.7) | nl-core-organization(2.0.6) | nl-core-patient(2.2.5)) Author
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
    Constraints: ext-1
    .... extension:medicationTreatment 0..1 Identifier Medical Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    .... extension:reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
    Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible): ReasonForChangeOrDiscontinuationOfUseCodeList
    Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... 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 medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) 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 effectivePeriod Content/Rules for all slices
    .... effectivePeriod:effectivePeriod SΣ 0..1 Period PeriodOfUse
    ..... 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:Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ..... start SΣC 0..1 dateTime StartDate
    ..... end SΣC 0..1 dateTime EndDate
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... informationSource 0..1 Reference(nl-core-patient(2.2.5) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5) | nl-core-organization(2.0.6)) 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 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) 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
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) 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 Σ 0..1 Zib AdministrationSchedule When medication should be administered
    .... Slices for asNeeded[x] Σ 0..1 CodeableConcept Take "as needed" (for x)
    Slice: Unordered, Closed by type:$this
    Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
    ..... asNeeded[x]:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
    Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
    .... site Σ 0..1 CodeableConcept Body site to administer to
    Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
    .... route Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... method Σ 0..1 CodeableConcept Technique for administering medication
    Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
    .... Slices for dose[x] Σ 0..1 Dose
    Slice: Unordered, Closed by type:$this
    ..... doseRange Range
    ..... doseQuantity Quantity(SimpleQuantity)
    ..... dose[x]:doseQuantity Σ 0..1 SimpleQuantity Amount of medication per dose
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... low ΣC 0..1 SimpleQuantity Low limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ...... high ΣC 0..1 SimpleQuantity High limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    .... maxDosePerPeriod Σ 0..1 Ratio MaximumDose
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... numerator Σ 0..1 Quantity Numerator value
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... denominator Σ 0..1 Quantity Denominator value
    .... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
    .... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
    .... rate[x] Σ 0..1 AdministeringSpeed
    ..... rateRatio Ratio
    ..... rateRange Range
    ..... rateQuantity Quantity(SimpleQuantity)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationStatement.​language Base extensible Common Languages 📦3.0.2 FHIR Std.
    MedicationStatement.​extension:reasonForChangeOrDiscontinuationOfUse.​value[x]:valueCodeableConcept Base extensible RedenWijzigenOfStoppenGebruikCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​status Base required MedicationStatementStatus 📦3.0.2 FHIR Std.
    MedicationStatement.​category Base preferred MedicationStatementCategory 📦3.0.2 FHIR Std.
    MedicationStatement.​taken Base required MedicationStatementTaken 📦3.0.2 FHIR Std.
    MedicationStatement.​reasonNotTaken Base example SNOMED CT Drugs not taken/completed Codes 📦3.0.2 FHIR Std.
    MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📦3.0.2 FHIR Std.
    MedicationStatement.​dosage.additionalInstruction Base extensible Aanvullende gebruiksinstructie 📦2016-04-07T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍3.0.2 FHIR Std.
    MedicationStatement.​dosage.dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.dose[x]:doseRange.​low Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.dose[x]:doseRange.​high Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0
    MedicationStatement.​dosage.maxDosePerPeriod.​numerator Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationStatement.extension:asAgreedIndicator, MedicationStatement.extension:prescriber, MedicationStatement.extension:author, MedicationStatement.extension:medicationTreatment, MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse, MedicationStatement.modifierExtension:repeatPeriodCyclicalSchedule, MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration, MedicationStatement.informationSource.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    mst-1 error MedicationStatement Reason not taken is only permitted if Taken is No reasonNotTaken.exists().not() or (taken = 'n')

    This structure is derived from Zib MedicationUse

    Summary

    Must-Support: 10 elements

    Structures

    This structure refers to these other structures:

     

    Other representations of profile: CSV, Excel, Schematron