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

• ViewDefinition voor MedicationStatement

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.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Zib MedicationUse

Name	Flags	Card.	Type	Description & Constraints
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
dosage
text	S	0..1	string	Description
route
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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
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
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:$this
value[x]:valueDuration		0..1	Duration	UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
dateAsserted	SΣ	1..1	dateTime	MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14
subject	Σ	1..1	Reference(nl-core-patient)	Who is/was taking the medication
taken	?!Σ	1..1	code	UseIndicator Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication Example Example of taken: y
dosage		0..*	Zib InstructionsForUse	InstructionsForUse ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Description
Slices for asNeeded[x]	Σ	0..1	CodeableConcept	Take "as needed" (for x) Slice: Unordered, Closed by type:$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	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept	extensible	RedenWijzigenOfStoppenGebruikCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.status	required	MedicationStatementStatus http://hl7.org/fhir/ValueSet/medication-statement-status from the FHIR Standard
MedicationStatement.category	preferred	MedicationStatementCategory http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.taken	required	MedicationStatementTaken http://hl7.org/fhir/ValueSet/medication-statement-taken from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.route	extensible	MedicatieToedieningswegCodelijst (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]:doseQuantity	required	GstdTabel902 (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

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If 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-4	error	MedicationStatement	If 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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mst-1	error	MedicationStatement	Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n')
qty-3	error	MedicationStatement.dosage.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationStatement.dosage.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
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	InstructionsForUse
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		0..1	Zib AdministrationSchedule	AdministeringSchedule
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	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept	extensible	RedenWijzigenOfStoppenGebruikCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.status	required	MedicationStatementStatus http://hl7.org/fhir/ValueSet/medication-statement-status from the FHIR Standard
MedicationStatement.category	preferred	MedicationStatementCategory http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.taken	required	MedicationStatementTaken http://hl7.org/fhir/ValueSet/medication-statement-taken from the FHIR Standard
MedicationStatement.reasonNotTaken	example	SNOMED CT Drugs not taken/completed Codes http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	extensible	AanvullendeGebruiksinstructie 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]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.site	example	SNOMED CT Anatomical Structure for Administration Site Codes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	extensible	MedicatieToedieningswegCodelijst (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.method	example	SNOMED CT Administration Method Codes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.dose[x]:doseQuantity	required	GstdTabel902 (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.low	required	GstdTabel902 (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.high	required	GstdTabel902 (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.numerator	required	GstdTabel902 (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

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If 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-4	error	MedicationStatement	If 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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mst-1	error	MedicationStatement	Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n')
qty-3	error	MedicationStatement.dosage.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationStatement.dosage.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Differential View

This structure is derived from Zib MedicationUse

Name	Flags	Card.	Type	Description & Constraints
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
dosage
text	S	0..1	string	Description
route
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
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
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:$this
value[x]:valueDuration		0..1	Duration	UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
dateAsserted	SΣ	1..1	dateTime	MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14
subject	Σ	1..1	Reference(nl-core-patient)	Who is/was taking the medication
taken	?!Σ	1..1	code	UseIndicator Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication Example Example of taken: y
dosage		0..*	Zib InstructionsForUse	InstructionsForUse ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Description
Slices for asNeeded[x]	Σ	0..1	CodeableConcept	Take "as needed" (for x) Slice: Unordered, Closed by type:$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	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept	extensible	RedenWijzigenOfStoppenGebruikCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.status	required	MedicationStatementStatus http://hl7.org/fhir/ValueSet/medication-statement-status from the FHIR Standard
MedicationStatement.category	preferred	MedicationStatementCategory http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.taken	required	MedicationStatementTaken http://hl7.org/fhir/ValueSet/medication-statement-taken from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.route	extensible	MedicatieToedieningswegCodelijst (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]:doseQuantity	required	GstdTabel902 (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

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If 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-4	error	MedicationStatement	If 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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mst-1	error	MedicationStatement	Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n')
qty-3	error	MedicationStatement.dosage.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationStatement.dosage.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
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	InstructionsForUse
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		0..1	Zib AdministrationSchedule	AdministeringSchedule
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	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept	extensible	RedenWijzigenOfStoppenGebruikCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.status	required	MedicationStatementStatus http://hl7.org/fhir/ValueSet/medication-statement-status from the FHIR Standard
MedicationStatement.category	preferred	MedicationStatementCategory http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.taken	required	MedicationStatementTaken http://hl7.org/fhir/ValueSet/medication-statement-taken from the FHIR Standard
MedicationStatement.reasonNotTaken	example	SNOMED CT Drugs not taken/completed Codes http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	extensible	AanvullendeGebruiksinstructie 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]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.site	example	SNOMED CT Anatomical Structure for Administration Site Codes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	extensible	MedicatieToedieningswegCodelijst (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.method	example	SNOMED CT Administration Method Codes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.dose[x]:doseQuantity	required	GstdTabel902 (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.low	required	GstdTabel902 (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.high	required	GstdTabel902 (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.numerator	required	GstdTabel902 (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

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If 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-4	error	MedicationStatement	If 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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mst-1	error	MedicationStatement	Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n')
qty-3	error	MedicationStatement.dosage.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationStatement.dosage.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from Zib MedicationUse

Summary

Must-Support: 5 elements