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

11.11 Resource MedicinalProductIndication - Content

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

Indication for the Medicinal Product.

A medical situation in which a medicinal product is appropriate for use

This resource is referenced by MedicinalProduct and MedicinalProductContraindication

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicinalProductIndication ΣTUDomainResourceMedicinalProductIndication
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
... diseaseSymptomProcedure Σ0..1CodeableConceptThe disease, symptom or procedure that is the indication for treatment
... diseaseStatus Σ0..1CodeableConceptThe status of the disease or symptom for which the indication applies
... comorbidity Σ0..*CodeableConceptComorbidity (concurrent condition) or co-infection as part of the indication
... intendedEffect Σ0..1CodeableConceptThe intended effect, aim or strategy to be achieved by the indication
... duration Σ0..1QuantityTiming or duration information 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)
... undesirableEffect Σ0..*Reference(MedicinalProductUndesirableEffect)Describe the undesirable effects of the medicinal product
... 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)

MedicinalProductIndication (DomainResource)The medication for which this is an indicationsubject : Reference [0..*] « MedicinalProduct|Medication »The disease, symptom or procedure that is the indication for treatmentdiseaseSymptomProcedure : CodeableConcept [0..1]The status of the disease or symptom for which the indication appliesdiseaseStatus : CodeableConcept [0..1]Comorbidity (concurrent condition) or co-infection as part of the indicationcomorbidity : CodeableConcept [0..*]The intended effect, aim or strategy to be achieved by the indicationintendedEffect : CodeableConcept [0..1]Timing or duration information as part of the indicationduration : Quantity [0..1]Describe the undesirable effects of the medicinal productundesirableEffect : Reference [0..*] « MedicinalProductUndesirableEffect »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

<MedicinalProductIndication 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>
 <diseaseSymptomProcedure><!-- 0..1 CodeableConcept The disease, symptom or procedure that is the indication for treatment --></diseaseSymptomProcedure>
 <diseaseStatus><!-- 0..1 CodeableConcept The status of the disease or symptom for which the indication applies --></diseaseStatus>
 <comorbidity><!-- 0..* CodeableConcept Comorbidity (concurrent condition) or co-infection as part of the indication --></comorbidity>
 <intendedEffect><!-- 0..1 CodeableConcept The intended effect, aim or strategy to be achieved by the indication --></intendedEffect>
 <duration><!-- 0..1 Quantity Timing or duration information as part of the indication --></duration>
 <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>
 <undesirableEffect><!-- 0..* Reference(MedicinalProductUndesirableEffect) Describe the undesirable effects of the medicinal product --></undesirableEffect>
 <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>
</MedicinalProductIndication>

JSON Template

{doco
  "resourceType" : "MedicinalProductIndication",
  // 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
  "diseaseSymptomProcedure" : { CodeableConcept }, // The disease, symptom or procedure that is the indication for treatment
  "diseaseStatus" : { CodeableConcept }, // The status of the disease or symptom for which the indication applies
  "comorbidity" : [{ CodeableConcept }], // Comorbidity (concurrent condition) or co-infection as part of the indication
  "intendedEffect" : { CodeableConcept }, // The intended effect, aim or strategy to be achieved by the indication
  "duration" : { Quantity }, // Timing or duration information 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) }
  }],
  "undesirableEffect" : [{ Reference(MedicinalProductUndesirableEffect) }], // Describe the undesirable effects of the medicinal product
  "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:MedicinalProductIndication;
  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:MedicinalProductIndication.subject [ Reference(MedicinalProduct|Medication) ], ... ; # 0..* The medication for which this is an indication
  fhir:MedicinalProductIndication.diseaseSymptomProcedure [ CodeableConcept ]; # 0..1 The disease, symptom or procedure that is the indication for treatment
  fhir:MedicinalProductIndication.diseaseStatus [ CodeableConcept ]; # 0..1 The status of the disease or symptom for which the indication applies
  fhir:MedicinalProductIndication.comorbidity [ CodeableConcept ], ... ; # 0..* Comorbidity (concurrent condition) or co-infection as part of the indication
  fhir:MedicinalProductIndication.intendedEffect [ CodeableConcept ]; # 0..1 The intended effect, aim or strategy to be achieved by the indication
  fhir:MedicinalProductIndication.duration [ Quantity ]; # 0..1 Timing or duration information as part of the indication
  fhir:MedicinalProductIndication.otherTherapy [ # 0..* Information about the use of the medicinal product in relation to other therapies described as part of the indication
    fhir:MedicinalProductIndication.otherTherapy.therapyRelationshipType [ CodeableConcept ]; # 1..1 The type of relationship between the medicinal product indication or contraindication and another therapy
    # MedicinalProductIndication.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:MedicinalProductIndication.otherTherapy.medicationCodeableConcept [ CodeableConcept ]
      fhir:MedicinalProductIndication.otherTherapy.medicationReference [ Reference(MedicinalProduct|Medication|Substance|SubstanceSpecification) ]
  ], ...;
  fhir:MedicinalProductIndication.undesirableEffect [ Reference(MedicinalProductUndesirableEffect) ], ... ; # 0..* Describe the undesirable effects of the medicinal product
  fhir:MedicinalProductIndication.population [ # 0..* The population group to which this applies
    # MedicinalProductIndication.population.age[x] : 0..1 The age of the specific population. One of these 2
      fhir:MedicinalProductIndication.population.ageRange [ Range ]
      fhir:MedicinalProductIndication.population.ageCodeableConcept [ CodeableConcept ]
    fhir:MedicinalProductIndication.population.gender [ CodeableConcept ]; # 0..1 The gender of the specific population
    fhir:MedicinalProductIndication.population.race [ CodeableConcept ]; # 0..1 Race of the specific population
    fhir:MedicinalProductIndication.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
.. MedicinalProductIndication ΣTUDomainResourceMedicinalProductIndication
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
... diseaseSymptomProcedure Σ0..1CodeableConceptThe disease, symptom or procedure that is the indication for treatment
... diseaseStatus Σ0..1CodeableConceptThe status of the disease or symptom for which the indication applies
... comorbidity Σ0..*CodeableConceptComorbidity (concurrent condition) or co-infection as part of the indication
... intendedEffect Σ0..1CodeableConceptThe intended effect, aim or strategy to be achieved by the indication
... duration Σ0..1QuantityTiming or duration information 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)
... undesirableEffect Σ0..*Reference(MedicinalProductUndesirableEffect)Describe the undesirable effects of the medicinal product
... 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)

MedicinalProductIndication (DomainResource)The medication for which this is an indicationsubject : Reference [0..*] « MedicinalProduct|Medication »The disease, symptom or procedure that is the indication for treatmentdiseaseSymptomProcedure : CodeableConcept [0..1]The status of the disease or symptom for which the indication appliesdiseaseStatus : CodeableConcept [0..1]Comorbidity (concurrent condition) or co-infection as part of the indicationcomorbidity : CodeableConcept [0..*]The intended effect, aim or strategy to be achieved by the indicationintendedEffect : CodeableConcept [0..1]Timing or duration information as part of the indicationduration : Quantity [0..1]Describe the undesirable effects of the medicinal productundesirableEffect : Reference [0..*] « MedicinalProductUndesirableEffect »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

<MedicinalProductIndication 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>
 <diseaseSymptomProcedure><!-- 0..1 CodeableConcept The disease, symptom or procedure that is the indication for treatment --></diseaseSymptomProcedure>
 <diseaseStatus><!-- 0..1 CodeableConcept The status of the disease or symptom for which the indication applies --></diseaseStatus>
 <comorbidity><!-- 0..* CodeableConcept Comorbidity (concurrent condition) or co-infection as part of the indication --></comorbidity>
 <intendedEffect><!-- 0..1 CodeableConcept The intended effect, aim or strategy to be achieved by the indication --></intendedEffect>
 <duration><!-- 0..1 Quantity Timing or duration information as part of the indication --></duration>
 <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>
 <undesirableEffect><!-- 0..* Reference(MedicinalProductUndesirableEffect) Describe the undesirable effects of the medicinal product --></undesirableEffect>
 <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>
</MedicinalProductIndication>

JSON Template

{doco
  "resourceType" : "MedicinalProductIndication",
  // 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
  "diseaseSymptomProcedure" : { CodeableConcept }, // The disease, symptom or procedure that is the indication for treatment
  "diseaseStatus" : { CodeableConcept }, // The status of the disease or symptom for which the indication applies
  "comorbidity" : [{ CodeableConcept }], // Comorbidity (concurrent condition) or co-infection as part of the indication
  "intendedEffect" : { CodeableConcept }, // The intended effect, aim or strategy to be achieved by the indication
  "duration" : { Quantity }, // Timing or duration information 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) }
  }],
  "undesirableEffect" : [{ Reference(MedicinalProductUndesirableEffect) }], // Describe the undesirable effects of the medicinal product
  "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:MedicinalProductIndication;
  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:MedicinalProductIndication.subject [ Reference(MedicinalProduct|Medication) ], ... ; # 0..* The medication for which this is an indication
  fhir:MedicinalProductIndication.diseaseSymptomProcedure [ CodeableConcept ]; # 0..1 The disease, symptom or procedure that is the indication for treatment
  fhir:MedicinalProductIndication.diseaseStatus [ CodeableConcept ]; # 0..1 The status of the disease or symptom for which the indication applies
  fhir:MedicinalProductIndication.comorbidity [ CodeableConcept ], ... ; # 0..* Comorbidity (concurrent condition) or co-infection as part of the indication
  fhir:MedicinalProductIndication.intendedEffect [ CodeableConcept ]; # 0..1 The intended effect, aim or strategy to be achieved by the indication
  fhir:MedicinalProductIndication.duration [ Quantity ]; # 0..1 Timing or duration information as part of the indication
  fhir:MedicinalProductIndication.otherTherapy [ # 0..* Information about the use of the medicinal product in relation to other therapies described as part of the indication
    fhir:MedicinalProductIndication.otherTherapy.therapyRelationshipType [ CodeableConcept ]; # 1..1 The type of relationship between the medicinal product indication or contraindication and another therapy
    # MedicinalProductIndication.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:MedicinalProductIndication.otherTherapy.medicationCodeableConcept [ CodeableConcept ]
      fhir:MedicinalProductIndication.otherTherapy.medicationReference [ Reference(MedicinalProduct|Medication|Substance|SubstanceSpecification) ]
  ], ...;
  fhir:MedicinalProductIndication.undesirableEffect [ Reference(MedicinalProductUndesirableEffect) ], ... ; # 0..* Describe the undesirable effects of the medicinal product
  fhir:MedicinalProductIndication.population [ # 0..* The population group to which this applies
    # MedicinalProductIndication.population.age[x] : 0..1 The age of the specific population. One of these 2
      fhir:MedicinalProductIndication.population.ageRange [ Range ]
      fhir:MedicinalProductIndication.population.ageCodeableConcept [ CodeableConcept ]
    fhir:MedicinalProductIndication.population.gender [ CodeableConcept ]; # 0..1 The gender of the specific population
    fhir:MedicinalProductIndication.population.race [ CodeableConcept ]; # 0..1 Race of the specific population
    fhir:MedicinalProductIndication.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 indicationMedicinalProductIndication.subject
(Medication, MedicinalProduct)