{
"description": "A contraindication (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.",
"_filename": "zib-MedicationContraIndication.json",
"package_name": "nictiz.fhir.nl.r4.zib2020",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This Flag resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicationContraIndication v1.0 (2020)](https://zibs.nl/wiki/MedicationContraIndication-v1.0(2020EN)).",
"name": "ZibMedicationContraIndication",
"mapping": [ {
"uri": "https://zibs.nl/wiki/MedicationContraIndication-v1.0(2020EN)",
"name": "zib MedicationContraIndication-v1.0(2020EN)",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ],
"abstract": true,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "Flag",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "zib MedicationContraIndication",
"package_version": "0.9.0-beta.1",
"status": "draft",
"id": "b6d736df-ad8a-4e36-b488-f9e33b751330",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationContraIndication",
"version": null,
"differential": {
"element": [ {
"id": "Flag",
"path": "Flag",
"alias": [ "MedicatieContraIndicatie" ],
"short": "MedicationContraIndication",
"comment": "Although a medication contra-indication could be represented using both the Flag or the DetectedIssue resource, the latter is an _event_ from the FHIR workflow perspective and associated with a specific action. For this reason, it is not a proper representation of zib MedicationContraIndication and this zib has been mapped onto the Flag resource.",
"mapping": [ {
"map": "NL-CM:9.14.1",
"comment": "MedicationContraIndication",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ]
}, {
"id": "Flag.extension",
"min": 0,
"path": "Flag.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Flag.extension:comment",
"max": "1",
"min": 0,
"path": "Flag.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Comment" ]
} ],
"sliceName": "comment"
}, {
"id": "Flag.extension:comment.value[x]",
"path": "Flag.extension.value[x]",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:9.14.7",
"comment": "Comment",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ],
"definition": "Comment on the contraindication important for interpretation which cannot be captured in any of the other data items. For example, a comment on a contraindication with an end date in the future."
}, {
"id": "Flag.extension:reasonClosure",
"max": "1",
"min": 0,
"path": "Flag.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationContraIndication.ReasonClosure" ]
} ],
"sliceName": "reasonClosure"
}, {
"id": "Flag.status",
"path": "Flag.status",
"comment": "This element is implictly mapped to the zib concept NL-CM:9.14.3 (EndDate). Unless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When EndDateTime is present and in the past, `.status` will usually be set to _inactive_.\r\n* In all other situations, `.status` will usually be set to _active_.\r\nThis element is labeled as a modifier because the status contains codes that mark the resource as entered in error.",
"mapping": [ {
"map": "NL-CM:9.14.3",
"comment": "EndDate (implicit, main mapping is on `Flag.period.end`)",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ]
}, {
"id": "Flag.category",
"min": 1,
"path": "Flag.category",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
}
}, {
"id": "Flag.category:medicationContraIndication",
"max": "1",
"min": 1,
"path": "Flag.category",
"sliceName": "medicationContraIndication",
"patternCodeableConcept": {
"coding": [ {
"code": "140401000146105",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Flag.code",
"path": "Flag.code",
"alias": [ "MedicatieContraIndicatieNaam" ],
"short": "MedicationContraIndicationName",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.14.1--20200901000000"
},
"mapping": [ {
"map": "NL-CM:9.14.6",
"comment": "MedicationContraIndicationName",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ],
"definition": "The name and code of the contraindication from the Dutch National Contraindication list (G-standard Thesaurus 40)."
}, {
"id": "Flag.period.start",
"path": "Flag.period.start",
"alias": [ "BeginDatum" ],
"short": "StartDate",
"mapping": [ {
"map": "NL-CM:9.14.2",
"comment": "StartDate",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ],
"definition": "The date and possibly time when the contraindication became relevant for medication safety monitoring.\r\n\r\nNote: the zib specifies the StartDate concept as \"The date and possibly time when the contraindication for medication [monitoring] was identified\". This sentence was chosen specifically to indicate that the zib is about safety monitoring, which can only start once the contraindication has been identified. However, a date in the future is not prohibited, in which case the StartDate will not align with the identification date."
}, {
"id": "Flag.period.end",
"path": "Flag.period.end",
"alias": [ "EindDatum" ],
"short": "EndDate",
"mapping": [ {
"map": "NL-CM:9.14.3",
"comment": "EndDate",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ],
"definition": "The date and, if applicable, time when the contraindication for medication monitoring is considered no longer applicable."
}, {
"id": "Flag.author",
"path": "Flag.author",
"type": [ {
"code": "Reference",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference" ],
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole" ]
} ],
"alias": [ "Melder" ],
"short": "Reporter",
"mapping": [ {
"map": "NL-CM:9.14.5",
"comment": "Reporter",
"identity": "zib-medicationcontraindication-v1.0-2020EN"
} ],
"definition": "The health professional who takes responsibility for registering the contraindication."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Flag"
}