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

RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.11.0) 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: 1.11.0
Active as of 2025-01-06 Computable Name: MedicationUse

Medicatie Gebruik

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

Zorginformatiebouwsteen

ZIB Medicatie Gebruik

View Definition

Request

  1. Opvragen (search) definities

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

Bronsysteem herkennen

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

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

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

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

Usage:

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

Changes since version 1.10.0:

  • The data elements list has changed

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. MedicationStatement C 0..* Zib MedicationUse MedicationUse
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    mst-1: Reason not taken is only permitted if Taken is No
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension Content/Rules for all slices
    .... asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
    ..... Slices for value[x] 0..1 boolean Value of extension
    Slice: Unordered, Closed by type:$this
    ...... value[x]:valueBoolean 0..1 boolean Value of extension
    Example Example of asAgreed: true
    .... prescriber 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner) Prescriber
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... author 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) Author
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... medicationTreatment 0..1 Identifier Medical Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
    ..... Slices for value[x] 0..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
    Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible)
    Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
    ... Slices for modifierExtension ?! 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Zib Medication RepeatPeriodCyclicalSchedule RepeatPeriodCyclicalSchedule
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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 medication[x] Σ 1..1 Reference() What medication was taken
    Slice: Unordered, Closed by type:$this
    .... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
    ..... display SΣ 0..1 string Text alternative for the resource
    ... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
    Slice: Unordered, Closed by type:$this
    .... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
    ..... Slices for extension Content/Rules for all slices
    ...... Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] 0..1 Duration Value of extension
    Slice: Unordered, Closed by type:$this
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
    ... taken ?!Σ 1..1 code UseIndicator
    Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication


    Example Example of taken: y
    ... dosage 0..* Zib InstructionsForUse Details of how medication is/was taken or should be taken
    .... 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

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

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
    : reasonNotTaken.exists().not() or (taken = 'n')

    This structure is derived from Zib MedicationUse

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

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

    ... category Σ 1..1 CodeableConcept Type of medication usage
    Binding: MedicationStatementCategory (preferred): A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered

    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:code
    ..... coding:medicationUseCode Σ 0..* Coding MedicationUseCode
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 0..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 6
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    .... text SΣ 0..1 string Plain text representation of the concept
    ... Slices for medication[x] Σ 1..1 Reference() What medication was taken
    Slice: Unordered, Closed by type:$this
    .... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display SΣ 0..1 string Text alternative for the resource
    ... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
    Slice: Unordered, Closed by type:$this
    .... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ...... Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] 0..1 Duration Value of extension
    Slice: Unordered, Closed by type:$this
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ..... start ΣC 0..1 dateTime StartDate
    ..... end ΣC 0..1 dateTime EndDate
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... informationSource 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) Person or organization that provided the information about the taking of this medication
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
    ... derivedFrom 0..* Reference(Resource) Additional supporting information
    ... taken ?!Σ 1..1 code UseIndicator
    Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication


    Example Example of taken: y
    ... reasonNotTaken C 0..* CodeableConcept True if asserting medication was not given
    Binding: SNOMED CT Drugs not taken/completed Codes (example): A coded concept indicating the reason why the medication was not taken


    ... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
    Binding: Condition/Problem/Diagnosis Codes (example): A coded concept identifying why the medication is being taken.


    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string ReasonForUse
    ... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the medication is being/was taken
    ... note 0..* Annotation Comment
    ... dosage 0..* Zib InstructionsForUse Details of how medication is/was taken or should be 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
    .... 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

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

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
    : reasonNotTaken.exists().not() or (taken = 'n')

    This structure is derived from Zib MedicationUse

    Summary

    Must-Support: 5 elements

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. MedicationStatement C 0..* Zib MedicationUse MedicationUse
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    mst-1: Reason not taken is only permitted if Taken is No
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension Content/Rules for all slices
    .... asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
    ..... Slices for value[x] 0..1 boolean Value of extension
    Slice: Unordered, Closed by type:$this
    ...... value[x]:valueBoolean 0..1 boolean Value of extension
    Example Example of asAgreed: true
    .... prescriber 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner) Prescriber
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... author 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) Author
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... medicationTreatment 0..1 Identifier Medical Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
    ..... Slices for value[x] 0..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
    Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible)
    Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
    ... Slices for modifierExtension ?! 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Zib Medication RepeatPeriodCyclicalSchedule RepeatPeriodCyclicalSchedule
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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 medication[x] Σ 1..1 Reference() What medication was taken
    Slice: Unordered, Closed by type:$this
    .... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
    ..... display SΣ 0..1 string Text alternative for the resource
    ... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
    Slice: Unordered, Closed by type:$this
    .... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
    ..... Slices for extension Content/Rules for all slices
    ...... Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] 0..1 Duration Value of extension
    Slice: Unordered, Closed by type:$this
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
    ... taken ?!Σ 1..1 code UseIndicator
    Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication


    Example Example of taken: y
    ... dosage 0..* Zib InstructionsForUse Details of how medication is/was taken or should be taken
    .... 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

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

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
    : reasonNotTaken.exists().not() or (taken = 'n')

    Differential View

    This structure is derived from Zib MedicationUse

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

    doco Documentation for this format

    Snapshot View

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

    ... category Σ 1..1 CodeableConcept Type of medication usage
    Binding: MedicationStatementCategory (preferred): A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered

    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:code
    ..... coding:medicationUseCode Σ 0..* Coding MedicationUseCode
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 0..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 6
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    .... text SΣ 0..1 string Plain text representation of the concept
    ... Slices for medication[x] Σ 1..1 Reference() What medication was taken
    Slice: Unordered, Closed by type:$this
    .... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display SΣ 0..1 string Text alternative for the resource
    ... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
    Slice: Unordered, Closed by type:$this
    .... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ...... Duration 0..1 (Complex) Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
    ....... Slices for value[x] 0..1 Duration Value of extension
    Slice: Unordered, Closed by type:$this
    ........ value[x]:valueDuration 0..1 Duration UsageDuration
    Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
    ..... start ΣC 0..1 dateTime StartDate
    ..... end ΣC 0..1 dateTime EndDate
    ... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
    Example Example of MedicationUseDateTime: 2017-06-14
    ... informationSource 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) Person or organization that provided the information about the taking of this medication
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
    ... derivedFrom 0..* Reference(Resource) Additional supporting information
    ... taken ?!Σ 1..1 code UseIndicator
    Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication


    Example Example of taken: y
    ... reasonNotTaken C 0..* CodeableConcept True if asserting medication was not given
    Binding: SNOMED CT Drugs not taken/completed Codes (example): A coded concept indicating the reason why the medication was not taken


    ... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
    Binding: Condition/Problem/Diagnosis Codes (example): A coded concept identifying why the medication is being taken.


    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string ReasonForUse
    ... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the medication is being/was taken
    ... note 0..* Annotation Comment
    ... dosage 0..* Zib InstructionsForUse Details of how medication is/was taken or should be 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
    .... 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

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

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
    : reasonNotTaken.exists().not() or (taken = 'n')

    This structure is derived from Zib MedicationUse

    Summary

    Must-Support: 5 elements

     

    Other representations of profile: CSV, Excel, Schematron