{
"description": "DrugUse as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017.\\r\\n\\r\\nDrugs (or: narcotics, amphetamines, intoxicants, highs, hallucinogenics, illegal substances or dope) is a collective term for drugs and chemical substances with a more or less ‘drugging' (anesthetic, boosting and/or hallucinogenic) effect and which can lead to addiction. Drug [Online] Available at: nl.Wikipedia.org/wiki/drug [Accessed: 11 February 2015].\\r\\n\\r\\nThis information model describes the information asked of the patient about their drug use.",
"_filename": "zib-DrugUse.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "Documenting and sharing registration of the drug use, as described in the concept.",
"name": "Zib DrugUse",
"mapping": [ {
"uri": "https://zibs.nl/wiki/DrugUse-v1.2.2(2015EN)",
"name": "HCIM DrugUse-v1.2.2(2015EN)",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"uri": "https://zibs.nl/wiki/DrugUse-v3.0(2016EN)",
"name": "HCIM DrugUse-v3.0(2016EN)",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/DrugUse-v3.2(2017EN)",
"name": "HCIM DrugUse-v3.2(2017EN)",
"identity": "hcim-druguse-v3.2-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM DrugUse",
"package_version": "1.3.4",
"status": "active",
"id": "d054582c-7b12-42fc-8db3-ab28d71fc7a1",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-DrugUse",
"version": "2.1.1",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "DrugsGebruik" ],
"short": "DrugUse",
"mapping": [ {
"map": "NL-CM:7.4.1",
"comment": "DrugUse",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.1",
"comment": "DrugUse",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.1",
"comment": "DrugUse",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"definition": "Root concept of the DrugUse information model. This concept contains all data elements of the DrugUse information model."
}, {
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:drugUseCode",
"path": "Observation.code.coding",
"short": "DrugUseCode",
"sliceName": "drugUseCode"
}, {
"id": "Observation.code.coding:drugUseCode.system",
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:drugUseCode.code",
"path": "Observation.code.coding.code",
"fixedCode": "228366006"
}, {
"id": "Observation.code.coding:drugUseCode.display",
"path": "Observation.code.coding.display",
"defaultValueString": "Finding relating to drug misuse behavior (finding)"
}, {
"id": "Observation.context",
"path": "Observation.context",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/gp-Encounter"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
} ]
}, {
"id": "Observation.effective[x]:effectivePeriod",
"path": "Observation.effectivePeriod",
"type": [ {
"code": "Period"
} ],
"sliceName": "effectivePeriod"
}, {
"id": "Observation.effective[x]:effectivePeriod.start",
"path": "Observation.effectivePeriod.start",
"alias": [ "StartDatum" ],
"short": "StartDate",
"mapping": [ {
"map": "NL-CM:7.4.6",
"comment": "StartDate",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.6",
"comment": "StartDate",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.6",
"comment": "StartDate",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"definition": "The date on which the patient started using drugs."
}, {
"id": "Observation.effective[x]:effectivePeriod.end",
"path": "Observation.effectivePeriod.end",
"alias": [ "StopDatum" ],
"short": "StopDate",
"mapping": [ {
"map": "NL-CM:7.4.7",
"comment": "StopDate",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.7",
"comment": "StopDate",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.7",
"comment": "StopDate",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"definition": "The date on which the patient quit using drugs.\r\nIf the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time."
}, {
"path": "Observation.valueCodeableConcept",
"min": 1,
"definition": "Indication stating whether there was any drug use in the past or present.",
"short": "DrugUseStatus",
"mapping": [ {
"map": "NL-CM:7.4.3",
"comment": "DrugUseStatus",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.3",
"comment": "DrugUseStatus",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.3",
"comment": "DrugUseStatus",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "Indication stating whether there was any drug use in the past or present.",
"valueSetReference": {
"display": "DrugGebruikStatusCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.4.2--20171231000000"
}
},
"alias": [ "DrugGebruikStatus" ],
"id": "Observation.value[x]:valueCodeableConcept",
"example": [ {
"label": "Example of DrugsUseStatus",
"valueCodeableConcept": {
"coding": [ {
"code": "44870007",
"system": "http://snomed.info/sct",
"display": "Misused drugs in past"
} ]
}
} ]
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:7.4.9",
"comment": "Explanation",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.9",
"comment": "Explanation",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.9",
"comment": "Comment",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"definition": "Relevant comment on the drug use."
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code.coding.code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:DrugOrMedicationType",
"max": "1",
"path": "Observation.component",
"sliceName": "DrugOrMedicationType",
"definition": "Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations."
}, {
"id": "Observation.component:DrugOrMedicationType.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:DrugOrMedicationType.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "410942007"
}, {
"id": "Observation.component:DrugOrMedicationType.code.coding.display",
"path": "Observation.component.code.coding.display",
"defaultValueString": "Drug or medicament (substance)"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Type of drug used by the patient. The 'DrugOrMedicationTypeCodelist is extensible. If the drug in question is not on the codelist, the list can be extended with a code from the SNOMED CT hierarchy 'Substance; <105590001' or if necessary from the hierarchy 'Pharmaceutical/biologic product; < 373873005'.",
"short": "DrugOrMedicationType",
"mapping": [ {
"map": "NL-CM:7.4.2",
"comment": "TypeOfDrugOrMedication",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.2",
"comment": "TypeOfDrugOrMedication",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.2",
"comment": "DrugOrMedicationType",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "Type of drug used by the patient.",
"valueSetReference": {
"display": "DrugsOfGeneesmiddelSoortCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.4.1--20171231000000"
}
},
"alias": [ "DrugsOfGeneesmiddelSoort" ],
"id": "Observation.component:DrugOrMedicationType.value[x]:valueCodeableConcept",
"example": [ {
"label": "Example of TypeofDrugOrMedication",
"valueCodeableConcept": {
"coding": [ {
"code": "373464007",
"system": "http://snomed.info/sct",
"display": "Ketamine"
} ]
}
} ]
}, {
"id": "Observation.component:RouteOfAdministration",
"path": "Observation.component",
"sliceName": "RouteOfAdministration"
}, {
"id": "Observation.component:RouteOfAdministration.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:RouteOfAdministration.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "410675002"
}, {
"id": "Observation.component:RouteOfAdministration.code.coding.display",
"path": "Observation.component.code.coding.display",
"defaultValueString": "Route of administration (attribute)"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "The way the drugs are used.",
"short": "RouteOfAdministration",
"mapping": [ {
"map": "NL-CM:7.4.4",
"comment": "RouteOfAdministration",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.4",
"comment": "Toedieningsweg",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.4",
"comment": "RouteOfAdministration",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "The way the drugs are used.",
"valueSetReference": {
"display": "ToedieningswegCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.4.3--20171231000000"
}
},
"alias": [ "Toedieningsweg" ],
"id": "Observation.component:RouteOfAdministration.value[x]:valueCodeableConcept",
"example": [ {
"label": "Example of RouteOfAdministration",
"valueCodeableConcept": {
"coding": [ {
"code": "6",
"system": "urn:oid:2.16.840.1.113883.2.4.4.9",
"display": "NASAAL"
} ]
}
} ]
}, {
"id": "Observation.component:Amount",
"path": "Observation.component",
"sliceName": "Amount"
}, {
"id": "Observation.component:Amount.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:Amount.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "228390007"
}, {
"id": "Observation.component:Amount.code.coding.display",
"path": "Observation.component.code.coding.display",
"defaultValueString": "Frequency of drug misuse (observable entity)"
}, {
"id": "Observation.component:Amount.value[x]:valueString",
"path": "Observation.component.valueString",
"type": [ {
"code": "string"
} ],
"alias": [ "Hoeveelheid" ],
"short": "Amount",
"mapping": [ {
"map": "NL-CM:7.4.8",
"comment": "Amount",
"identity": "hcim-druguse-v1.2.2-2015EN"
}, {
"map": "NL-CM:7.4.8",
"comment": "Amount",
"identity": "hcim-druguse-v3.0-2016EN"
}, {
"map": "NL-CM:7.4.8",
"comment": "Amount",
"identity": "hcim-druguse-v3.2-2017EN"
} ],
"sliceName": "valueString",
"definition": "The number of units (pills, joints, shots etc.) per day, week, month or year or the frequency of use."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}