description: '**Concept**\r\nA contra-indication (CI) for medication safety is a condition or characteristic of a patient where healthcare professionals are not allowed to subscribe certain medicines, or only under certain conditions.\r\n**Purpose**\r\nContraindications should be taken into account with drug treatement. These are important for medication safety monitoring.\r\n**Evidence Base**\r\nA number of contraindications for medication safety are disorders that are also recorded as a problem (HCIM Problem) and/or as a warning (HCIM Alert) and not only as a medication contraindication . \r\nIn the Netherlands it is important to also capture these via the G standard (thesaurus 40) as a contra-indication. Contraindications are used for medication safety. Through its use in these applications, important warnings / signals are given to healthcare providers.\r\n**Example Instances**\r\n\r\n**Instructions**\r\nIn the G-standard Thesaurus 40, Z-Index uses 2 terms. \r\n\r\n1. The contraindication nature: the list of items referred to from MedicationContraIndicationName) and \r\n\r\n1. the contraindication: the combination of recorded contraindication nature + the medicine (the contraindication codes from file 655). \r\n\r\nThis last combination between contraindication nature and medication is made via this MedicationContraIndication HCIM and one or more of the other medication HCIMs. For example in a medication process use-case ePrescription and/or dispense of medication.' package_name: healthdata.be.r4.cbb derivation: specialization name: HdBeMedicationContraIndication abstract: true type: https://fhir.healthdata.be/StructureDefinition/LogicalModel/medication_contra_indication elements: start_date: short: StartDate _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: De datum en eventueel tijd waarop de contra-indicatie voor medicatiebewaking is vastgesteld.} type: dateTime _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: BeginDatum} base: {max: '1', min: 0, path: medication_contra_indication.start_date} index: 0 end_date: short: EndDate _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: De datum en eventueel tijd waarop de contra-indicatie voor medicatiebewaking is aangemerkt als niet meer van toepassing.} type: dateTime _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: EindDatum} base: {max: '1', min: 0, path: medication_contra_indication.end_date} index: 1 reason_closure: short: ReasonClosure _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Reden waarom de medicatie contra-indicatie is afgesloten.} type: string _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: RedenVanAfsluiten} base: {max: '1', min: 0, path: medication_contra_indication.reason_closure} index: 2 reporter: short: Reporter index: 3 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: De zorgverlener die de verantwoordelijkheid neemt voor wat is vastgelegd als contra-indicatie.} type: BackboneElement _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Melder} elements: health_professional: short: HealthProfessional _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - url: content valueMarkdown: "Rootconcept van de bouwsteen Zorgverlener. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Zorgverlener. \r\nBij verwijzing naar deze bouwsteen kan tevens de rol die de zorgverlener in het zorgproces vervult, worden meegegeven. Voor zorgverleners kan dit bijvoorbeeld hoofdbehandelaar of verwijzer zijn" refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthProfessional'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Zorgverlener} base: {max: '1', min: 1, path: medication_contra_indication.reporter.health_professional} index: 4 base: {max: '1', min: 1, path: medication_contra_indication.reporter} required: [health_professional] medication_contra_indication_name: short: MedicationContraIndicationName _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: De naam en code van de contra-indicatie uit de Nationale Contra-indicatielijst (G-standaard Thesaurus 40).} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: MedicatieContraIndicatieNaam} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/MedicatieContraIndicatieNaam'} base: {max: '1', min: 1, path: medication_contra_indication.medication_contra_indication_name} index: 5 comment: short: Comment _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Toelichting op de contra-indicatie die belangrijk is voor de interpretatie ervan en die niet in een van de andere elementen uitgedrukt kan worden. Bijvoorbeeld een toelichting op een einddatum van een contra-indicatie in de toekomst.} type: string _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Toelichting} base: {max: '1', min: 0, path: medication_contra_indication.comment} index: 6 package_version: 0.3.0-alpha class: logical kind: logical url: https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-MedicationContraIndication base: http://hl7.org/fhir/StructureDefinition/Element version: null required: [reporter, medication_contra_indication_name]