{
  "description": "A Flag resource as used within the Contraindications and intolerances (Dutch: Contra-indicaties en overgevoeligheden, abbreviated as CiO) information standard.",
  "_filename": "cio-MedicationContraIndication.json",
  "package_name": "nictiz.fhir.nl.r4.cio",
  "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)), and also contains augmentations to the zib with elements found in the transactions of CiO.",
  "name": "CioMedicationContraIndication",
  "mapping": [ {
    "uri": "https://decor.nictiz.nl/pub/cio/cio-html-20230424T150542/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html",
    "name": "ART-DECOR Dataset Contraindications and intolerances 2.0.0-beta.1 20230424",
    "identity": "cio-dataset-200-beta1-20230424"
  } ],
  "abstract": false,
  "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": "cio MedicationContraIndication",
  "package_version": "1.0.0-beta.1",
  "status": "draft",
  "id": "c5626850-e630-4fcf-88c1-c82973d0948c",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/cio-MedicationContraIndication",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Flag",
      "path": "Flag",
      "mapping": [ {
        "map": "cio-dataelement-20-2",
        "comment": "MedicationContraIndication",
        "identity": "cio-dataset-200-beta1-20230424"
      } ]
    }, {
      "id": "Flag.extension",
      "min": 1,
      "path": "Flag.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Flag.extension:comment",
      "min": 0,
      "path": "Flag.extension",
      "sliceName": "comment"
    }, {
      "id": "Flag.extension:comment.value[x]",
      "path": "Flag.extension.value[x]",
      "mapping": [ {
        "map": "cio-dataelement-20-286",
        "comment": "Comment",
        "identity": "cio-dataset-200-beta1-20230424"
      } ]
    }, {
      "id": "Flag.extension:reasonClosure",
      "min": 0,
      "path": "Flag.extension",
      "sliceName": "reasonClosure"
    }, {
      "id": "Flag.extension:reasonClosure.value[x]",
      "path": "Flag.extension.value[x]",
      "mapping": [ {
        "map": "cio-dataelement-20-301",
        "comment": "ReasonClosure",
        "identity": "cio-dataset-200-beta1-20230424"
      } ],
      "definition": "Reason to stop medication monitoring for this contraindication."
    }, {
      "id": "Flag.extension:registrationDateTime",
      "min": 1,
      "path": "Flag.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationContraIndication.RegistrationDateTime" ]
      } ],
      "sliceName": "registrationDateTime"
    }, {
      "id": "Flag.extension:relationMedicationContraIndication",
      "min": 0,
      "path": "Flag.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationContraIndication.RelationContraIndication" ]
      } ],
      "sliceName": "relationMedicationContraIndication"
    }, {
      "id": "Flag.identifier",
      "min": 1,
      "path": "Flag.identifier",
      "alias": [ "Identificatie" ],
      "short": "Identification",
      "mapping": [ {
        "map": "cio-dataelement-20-288",
        "comment": "Identification",
        "identity": "cio-dataset-200-beta1-20230424"
      } ]
    }, {
      "id": "Flag.status",
      "path": "Flag.status",
      "alias": [ "MedicatieContraIndicatieStatus" ],
      "short": "MedicationContraIndicationStatus",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/flag-status|4.0.1",
        "_valueSet": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueCanonical": "http://nictiz.nl/fhir/ConceptMap/MedicatieContraIndicatieStatusCodelijst-to-FlagStatus"
          } ]
        },
        "description": "Use ConceptMap MedicatieContraIndicatieStatusCodelijst_to_FlagStatus to translate terminology from the functional model to profile terminology in ValueSet FlagStatus"
      },
      "comment": "The mapping guidance given in the nl-core profile w.r.t. `.status` SHOULD be ignored, as there is a direct functional counterpart of this element present within the data set of CiO. The ConceptMap mentioned in the ValueSet binding SHOULD be used instead.",
      "mapping": [ {
        "map": "cio-dataelement-20-715",
        "comment": "MedicationContraIndicationStatus",
        "identity": "cio-dataset-200-beta1-20230424"
      } ],
      "definition": "Statement on the status of the contraindication."
    }, {
      "id": "Flag.code",
      "path": "Flag.code",
      "mapping": [ {
        "map": "cio-dataelement-20-283",
        "comment": "MedicationContraIndicationName",
        "identity": "cio-dataset-200-beta1-20230424"
      } ]
    }, {
      "id": "Flag.subject",
      "path": "Flag.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
      } ],
      "mapping": [ {
        "map": "cio-dataelement-20-302",
        "comment": "Patient",
        "identity": "cio-dataset-200-beta1-20230424"
      } ]
    }, {
      "id": "Flag.period",
      "min": 1,
      "path": "Flag.period"
    }, {
      "id": "Flag.period.start",
      "min": 1,
      "path": "Flag.period.start",
      "alias": [ "StartBewakingDatumTijd" ],
      "short": "StartMonitoringDateTime",
      "mapping": [ {
        "map": "cio-dataelement-20-284",
        "comment": "StartMonitoringDateTime",
        "identity": "cio-dataset-200-beta1-20230424"
      } ],
      "definition": "The date and time when the decision was taken to do medication monitoring for this contraindication."
    }, {
      "id": "Flag.period.end",
      "path": "Flag.period.end",
      "alias": [ "DatumTijdAfsluiten" ],
      "short": "DateTimeClosure",
      "mapping": [ {
        "map": "cio-dataelement-20-287",
        "comment": "DateTimeClosure",
        "identity": "cio-dataset-200-beta1-20230424"
      } ],
      "definition": "The date and time when the decision was taken to stop medication monitoring for this contraindication."
    }, {
      "path": "Flag.author",
      "min": 1,
      "definition": "The health professional or the healthcare provider who is responsible for the registration.",
      "short": "Author",
      "mapping": [ {
        "map": "cio-dataelement-20-289",
        "comment": "Author",
        "identity": "cio-dataset-200-beta1-20230424"
      }, {
        "map": "cio-dataelement-20-292",
        "comment": "HealthProfessional",
        "identity": "cio-dataset-200-beta1-20230424"
      }, {
        "map": "cio-dataelement-20-736",
        "comment": "HealthcareProvider",
        "identity": "cio-dataset-200-beta1-20230424"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization" ]
      } ],
      "alias": [ "Auteur" ],
      "id": "Flag.author",
      "comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.\r\n\r\nNote that, although the nl-core-HealthcareProvider profile (with resource type Location) is the focal profile of the zib HealthcareProvider, the reference to the nl-core-HealthcareProvider-Organization profile is sufficient, because the concept is concerned with the organizational information of the author."
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "https://www.nictiz.nl",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicationContraIndication"
}