R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

11.10 Resource MedicinalProductContraindication - Content

Biomedical Research and Regulation Work GroupMaturity Level: 0 Trial Use Compartments: Not linked to any defined compartments

The clinical particulars - indications, contraindications etc. of a medicinal product, including for regulatory purposes.

A reason why a medicinal product is not to be used in a certain context

This resource is referenced by MedicinalProduct

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicinalProductContraindication ΣTUDomainResourceMedicinalProductContraindication
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... subject Σ0..*Reference(MedicinalProduct | Medication)The medication for which this is an indication
... disease Σ0..1CodeableConceptThe disease, symptom or procedure for the contraindication
... diseaseStatus Σ0..1CodeableConceptThe status of the disease or symptom for the contraindication
... comorbidity Σ0..*CodeableConceptA comorbidity (concurrent condition) or coinfection
... therapeuticIndication Σ0..*Reference(MedicinalProductIndication)Information about the use of the medicinal product in relation to other therapies as part of the indication
... otherTherapy Σ0..*BackboneElementInformation about the use of the medicinal product in relation to other therapies described as part of the indication
.... therapyRelationshipType Σ1..1CodeableConceptThe type of relationship between the medicinal product indication or contraindication and another therapy
.... medication[x] Σ1..1Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
..... medicationCodeableConceptCodeableConcept
..... medicationReferenceReference(MedicinalProduct | Medication | Substance | SubstanceSpecification)
... population Σ0..*BackboneElementThe population group to which this applies
.... age[x] Σ0..1The age of the specific population
..... ageRangeRange
..... ageCodeableConceptCodeableConcept
.... gender Σ0..1CodeableConceptThe gender of the specific population
.... race Σ0..1CodeableConceptRace of the specific population
.... physiologicalCondition Σ0..1CodeableConceptThe existing physiological conditions of the specific population to which this applies

doco Documentation for this format

UML Diagram (Legend)

MedicinalProductContraindication (DomainResource)The medication for which this is an indicationsubject : Reference [0..*] « MedicinalProduct|Medication »The disease, symptom or procedure for the contraindicationdisease : CodeableConcept [0..1]The status of the disease or symptom for the contraindicationdiseaseStatus : CodeableConcept [0..1]A comorbidity (concurrent condition) or coinfectioncomorbidity : CodeableConcept [0..*]Information about the use of the medicinal product in relation to other therapies as part of the indicationtherapeuticIndication : Reference [0..*] « MedicinalProductIndication »OtherTherapyThe type of relationship between the medicinal product indication or contraindication and another therapytherapyRelationshipType : CodeableConcept [1..1]Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindicationmedication[x] : Type [1..1] « CodeableConcept|Reference( MedicinalProduct|Medication|Substance|SubstanceSpecification) »PopulationThe age of the specific populationage[x] : Type [0..1] « Range|CodeableConcept »The gender of the specific populationgender : CodeableConcept [0..1]Race of the specific populationrace : CodeableConcept [0..1]The existing physiological conditions of the specific population to which this appliesphysiologicalCondition : CodeableConcept [0..1]Information about the use of the medicinal product in relation to other therapies described as part of the indicationotherTherapy[0..*]The population group to which this appliespopulation[0..*]

XML Template

<MedicinalProductContraindication xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <subject><!-- 0..* Reference(MedicinalProduct|Medication) The medication for which this is an indication --></subject>
 <disease><!-- 0..1 CodeableConcept The disease, symptom or procedure for the contraindication --></disease>
 <diseaseStatus><!-- 0..1 CodeableConcept The status of the disease or symptom for the contraindication --></diseaseStatus>
 <comorbidity><!-- 0..* CodeableConcept A comorbidity (concurrent condition) or coinfection --></comorbidity>
 <therapeuticIndication><!-- 0..* Reference(MedicinalProductIndication) Information about the use of the medicinal product in relation to other therapies as part of the indication --></therapeuticIndication>
 <otherTherapy>  <!-- 0..* Information about the use of the medicinal product in relation to other therapies described as part of the indication -->
  <therapyRelationshipType><!-- 1..1 CodeableConcept The type of relationship between the medicinal product indication or contraindication and another therapy --></therapyRelationshipType>
  <medication[x]><!-- 1..1 CodeableConcept|Reference(MedicinalProduct|Medication|
    Substance|SubstanceSpecification) Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication --></medication[x]>
 </otherTherapy>
 <population>  <!-- 0..* The population group to which this applies -->
  <age[x]><!-- 0..1 Range|CodeableConcept The age of the specific population --></age[x]>
  <gender><!-- 0..1 CodeableConcept The gender of the specific population --></gender>
  <race><!-- 0..1 CodeableConcept Race of the specific population --></race>
  <physiologicalCondition><!-- 0..1 CodeableConcept The existing physiological conditions of the specific population to which this applies --></physiologicalCondition>
 </population>
</MedicinalProductContraindication>

JSON Template

{doco
  "resourceType" : "MedicinalProductContraindication",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "subject" : [{ Reference(MedicinalProduct|Medication) }], // The medication for which this is an indication
  "disease" : { CodeableConcept }, // The disease, symptom or procedure for the contraindication
  "diseaseStatus" : { CodeableConcept }, // The status of the disease or symptom for the contraindication
  "comorbidity" : [{ CodeableConcept }], // A comorbidity (concurrent condition) or coinfection
  "therapeuticIndication" : [{ Reference(MedicinalProductIndication) }], // Information about the use of the medicinal product in relation to other therapies as part of the indication
  "otherTherapy" : [{ // Information about the use of the medicinal product in relation to other therapies described as part of the indication
    "therapyRelationshipType" : { CodeableConcept }, // R!  The type of relationship between the medicinal product indication or contraindication and another therapy
    // medication[x]: 
      Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication. One of these 2:
    "medicationCodeableConcept" : { CodeableConcept }
    "medicationReference" : { Reference(MedicinalProduct|Medication|Substance|
    SubstanceSpecification) }
  }],
  "population" : [{ // The population group to which this applies
    // age[x]: The age of the specific population. One of these 2:
    "ageRange" : { Range },
    "ageCodeableConcept" : { CodeableConcept },
    "gender" : { CodeableConcept }, // The gender of the specific population
    "race" : { CodeableConcept }, // Race of the specific population
    "physiologicalCondition" : { CodeableConcept } // The existing physiological conditions of the specific population to which this applies
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:MedicinalProductContraindication;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:MedicinalProductContraindication.subject [ Reference(MedicinalProduct|Medication) ], ... ; # 0..* The medication for which this is an indication
  fhir:MedicinalProductContraindication.disease [ CodeableConcept ]; # 0..1 The disease, symptom or procedure for the contraindication
  fhir:MedicinalProductContraindication.diseaseStatus [ CodeableConcept ]; # 0..1 The status of the disease or symptom for the contraindication
  fhir:MedicinalProductContraindication.comorbidity [ CodeableConcept ], ... ; # 0..* A comorbidity (concurrent condition) or coinfection
  fhir:MedicinalProductContraindication.therapeuticIndication [ Reference(MedicinalProductIndication) ], ... ; # 0..* Information about the use of the medicinal product in relation to other therapies as part of the indication
  fhir:MedicinalProductContraindication.otherTherapy [ # 0..* Information about the use of the medicinal product in relation to other therapies described as part of the indication
    fhir:MedicinalProductContraindication.otherTherapy.therapyRelationshipType [ CodeableConcept ]; # 1..1 The type of relationship between the medicinal product indication or contraindication and another therapy
    # MedicinalProductContraindication.otherTherapy.medication[x] : 1..1 Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication. One of these 2
      fhir:MedicinalProductContraindication.otherTherapy.medicationCodeableConcept [ CodeableConcept ]
      fhir:MedicinalProductContraindication.otherTherapy.medicationReference [ Reference(MedicinalProduct|Medication|Substance|SubstanceSpecification) ]
  ], ...;
  fhir:MedicinalProductContraindication.population [ # 0..* The population group to which this applies
    # MedicinalProductContraindication.population.age[x] : 0..1 The age of the specific population. One of these 2
      fhir:MedicinalProductContraindication.population.ageRange [ Range ]
      fhir:MedicinalProductContraindication.population.ageCodeableConcept [ CodeableConcept ]
    fhir:MedicinalProductContraindication.population.gender [ CodeableConcept ]; # 0..1 The gender of the specific population
    fhir:MedicinalProductContraindication.population.race [ CodeableConcept ]; # 0..1 Race of the specific population
    fhir:MedicinalProductContraindication.population.physiologicalCondition [ CodeableConcept ]; # 0..1 The existing physiological conditions of the specific population to which this applies
  ], ...;
]

Changes since R3

This resource did not exist in Release 2

This analysis is available as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicinalProductContraindication ΣTUDomainResourceMedicinalProductContraindication
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... subject Σ0..*Reference(MedicinalProduct | Medication)The medication for which this is an indication
... disease Σ0..1CodeableConceptThe disease, symptom or procedure for the contraindication
... diseaseStatus Σ0..1CodeableConceptThe status of the disease or symptom for the contraindication
... comorbidity Σ0..*CodeableConceptA comorbidity (concurrent condition) or coinfection
... therapeuticIndication Σ0..*Reference(MedicinalProductIndication)Information about the use of the medicinal product in relation to other therapies as part of the indication
... otherTherapy Σ0..*BackboneElementInformation about the use of the medicinal product in relation to other therapies described as part of the indication
.... therapyRelationshipType Σ1..1CodeableConceptThe type of relationship between the medicinal product indication or contraindication and another therapy
.... medication[x] Σ1..1Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
..... medicationCodeableConceptCodeableConcept
..... medicationReferenceReference(MedicinalProduct | Medication | Substance | SubstanceSpecification)
... population Σ0..*BackboneElementThe population group to which this applies
.... age[x] Σ0..1The age of the specific population
..... ageRangeRange
..... ageCodeableConceptCodeableConcept
.... gender Σ0..1CodeableConceptThe gender of the specific population
.... race Σ0..1CodeableConceptRace of the specific population
.... physiologicalCondition Σ0..1CodeableConceptThe existing physiological conditions of the specific population to which this applies

doco Documentation for this format

UML Diagram (Legend)

MedicinalProductContraindication (DomainResource)The medication for which this is an indicationsubject : Reference [0..*] « MedicinalProduct|Medication »The disease, symptom or procedure for the contraindicationdisease : CodeableConcept [0..1]The status of the disease or symptom for the contraindicationdiseaseStatus : CodeableConcept [0..1]A comorbidity (concurrent condition) or coinfectioncomorbidity : CodeableConcept [0..*]Information about the use of the medicinal product in relation to other therapies as part of the indicationtherapeuticIndication : Reference [0..*] « MedicinalProductIndication »OtherTherapyThe type of relationship between the medicinal product indication or contraindication and another therapytherapyRelationshipType : CodeableConcept [1..1]Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindicationmedication[x] : Type [1..1] « CodeableConcept|Reference( MedicinalProduct|Medication|Substance|SubstanceSpecification) »PopulationThe age of the specific populationage[x] : Type [0..1] « Range|CodeableConcept »The gender of the specific populationgender : CodeableConcept [0..1]Race of the specific populationrace : CodeableConcept [0..1]The existing physiological conditions of the specific population to which this appliesphysiologicalCondition : CodeableConcept [0..1]Information about the use of the medicinal product in relation to other therapies described as part of the indicationotherTherapy[0..*]The population group to which this appliespopulation[0..*]

XML Template

<MedicinalProductContraindication xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <subject><!-- 0..* Reference(MedicinalProduct|Medication) The medication for which this is an indication --></subject>
 <disease><!-- 0..1 CodeableConcept The disease, symptom or procedure for the contraindication --></disease>
 <diseaseStatus><!-- 0..1 CodeableConcept The status of the disease or symptom for the contraindication --></diseaseStatus>
 <comorbidity><!-- 0..* CodeableConcept A comorbidity (concurrent condition) or coinfection --></comorbidity>
 <therapeuticIndication><!-- 0..* Reference(MedicinalProductIndication) Information about the use of the medicinal product in relation to other therapies as part of the indication --></therapeuticIndication>
 <otherTherapy>  <!-- 0..* Information about the use of the medicinal product in relation to other therapies described as part of the indication -->
  <therapyRelationshipType><!-- 1..1 CodeableConcept The type of relationship between the medicinal product indication or contraindication and another therapy --></therapyRelationshipType>
  <medication[x]><!-- 1..1 CodeableConcept|Reference(MedicinalProduct|Medication|
    Substance|SubstanceSpecification) Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication --></medication[x]>
 </otherTherapy>
 <population>  <!-- 0..* The population group to which this applies -->
  <age[x]><!-- 0..1 Range|CodeableConcept The age of the specific population --></age[x]>
  <gender><!-- 0..1 CodeableConcept The gender of the specific population --></gender>
  <race><!-- 0..1 CodeableConcept Race of the specific population --></race>
  <physiologicalCondition><!-- 0..1 CodeableConcept The existing physiological conditions of the specific population to which this applies --></physiologicalCondition>
 </population>
</MedicinalProductContraindication>

JSON Template

{doco
  "resourceType" : "MedicinalProductContraindication",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "subject" : [{ Reference(MedicinalProduct|Medication) }], // The medication for which this is an indication
  "disease" : { CodeableConcept }, // The disease, symptom or procedure for the contraindication
  "diseaseStatus" : { CodeableConcept }, // The status of the disease or symptom for the contraindication
  "comorbidity" : [{ CodeableConcept }], // A comorbidity (concurrent condition) or coinfection
  "therapeuticIndication" : [{ Reference(MedicinalProductIndication) }], // Information about the use of the medicinal product in relation to other therapies as part of the indication
  "otherTherapy" : [{ // Information about the use of the medicinal product in relation to other therapies described as part of the indication
    "therapyRelationshipType" : { CodeableConcept }, // R!  The type of relationship between the medicinal product indication or contraindication and another therapy
    // medication[x]: 
      Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication. One of these 2:
    "medicationCodeableConcept" : { CodeableConcept }
    "medicationReference" : { Reference(MedicinalProduct|Medication|Substance|
    SubstanceSpecification) }
  }],
  "population" : [{ // The population group to which this applies
    // age[x]: The age of the specific population. One of these 2:
    "ageRange" : { Range },
    "ageCodeableConcept" : { CodeableConcept },
    "gender" : { CodeableConcept }, // The gender of the specific population
    "race" : { CodeableConcept }, // Race of the specific population
    "physiologicalCondition" : { CodeableConcept } // The existing physiological conditions of the specific population to which this applies
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:MedicinalProductContraindication;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:MedicinalProductContraindication.subject [ Reference(MedicinalProduct|Medication) ], ... ; # 0..* The medication for which this is an indication
  fhir:MedicinalProductContraindication.disease [ CodeableConcept ]; # 0..1 The disease, symptom or procedure for the contraindication
  fhir:MedicinalProductContraindication.diseaseStatus [ CodeableConcept ]; # 0..1 The status of the disease or symptom for the contraindication
  fhir:MedicinalProductContraindication.comorbidity [ CodeableConcept ], ... ; # 0..* A comorbidity (concurrent condition) or coinfection
  fhir:MedicinalProductContraindication.therapeuticIndication [ Reference(MedicinalProductIndication) ], ... ; # 0..* Information about the use of the medicinal product in relation to other therapies as part of the indication
  fhir:MedicinalProductContraindication.otherTherapy [ # 0..* Information about the use of the medicinal product in relation to other therapies described as part of the indication
    fhir:MedicinalProductContraindication.otherTherapy.therapyRelationshipType [ CodeableConcept ]; # 1..1 The type of relationship between the medicinal product indication or contraindication and another therapy
    # MedicinalProductContraindication.otherTherapy.medication[x] : 1..1 Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication. One of these 2
      fhir:MedicinalProductContraindication.otherTherapy.medicationCodeableConcept [ CodeableConcept ]
      fhir:MedicinalProductContraindication.otherTherapy.medicationReference [ Reference(MedicinalProduct|Medication|Substance|SubstanceSpecification) ]
  ], ...;
  fhir:MedicinalProductContraindication.population [ # 0..* The population group to which this applies
    # MedicinalProductContraindication.population.age[x] : 0..1 The age of the specific population. One of these 2
      fhir:MedicinalProductContraindication.population.ageRange [ Range ]
      fhir:MedicinalProductContraindication.population.ageCodeableConcept [ CodeableConcept ]
    fhir:MedicinalProductContraindication.population.gender [ CodeableConcept ]; # 0..1 The gender of the specific population
    fhir:MedicinalProductContraindication.population.race [ CodeableConcept ]; # 0..1 Race of the specific population
    fhir:MedicinalProductContraindication.population.physiologicalCondition [ CodeableConcept ]; # 0..1 The existing physiological conditions of the specific population to which this applies
  ], ...;
]

Changes since Release 3

This resource did not exist in Release 2

This analysis is available as XML or JSON.

 

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionExpressionIn Common
subjectreferenceThe medication for which this is an contraindicationMedicinalProductContraindication.subject
(Medication, MedicinalProduct)