Release 4B
Medication DefinitionThis page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B
| Biomedical Research and Regulation Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
StructureDefinition for clinicalusedefinition
{
"resourceType" : "StructureDefinition",
"id" : "ClinicalUseDefinition",
"meta" : {
"lastUpdated" : "2022-05-28T12:47:40.239+10:00"
},
"text" : {
"status" : "generated",
"div" : "<div>!-- Snipped for Brevity --></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString" : "Specialized.Medication Definition"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode" : "anonymous"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "brr"
}],
"url" : "http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition",
"version" : "4.3.0",
"name" : "ClinicalUseDefinition",
"status" : "draft",
"experimental" : false,
"date" : "2022-05-28T12:47:40+10:00",
"publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://hl7.org/fhir"
}]
},
{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
}]
}],
"description" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.",
"fhirVersion" : "4.3.0",
"mapping" : [{
"identity" : "idmp",
"uri" : "https://en.wikipedia.org/wiki/Identification_of_medicinal_products",
"name" : "IDMP Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}],
"kind" : "resource",
"abstract" : false,
"type" : "ClinicalUseDefinition",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
"derivation" : "specialization",
"snapshot" : {
"element" : [{
"id" : "ClinicalUseDefinition",
"path" : "ClinicalUseDefinition",
"short" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure",
"definition" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition",
"min" : 0,
"max" : "*"
},
"constraint" : [{
"key" : "cud-1",
"severity" : "error",
"human" : "Indication, Contraindication, Interaction, UndesirableEffect and Warning cannot be used in the same instance",
"expression" : "(ClinicalUseDefinition.indication.count() + ClinicalUseDefinition.contraindication.count() + ClinicalUseDefinition.interaction.count() + ClinicalUseDefinition.undesirableEffect.count() + ClinicalUseDefinition.warning.count()) < 2",
"xpath" : "count(f:ClinicalUseDefinition/f:indication|f:ClinicalUseDefinition/f:contraindication|f:ClinicalUseDefinition/f:interaction|f:ClinicalUseDefinition/f:undesirableEffect|f:ClinicalUseDefinition/f:warning) < 2",
"source" : "http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition"
},
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"expression" : "contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath" : "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "idmp",
"map" : "Contraindication, Therapeutic Indication, Interactions, Undesirable Effects"
},
{
"identity" : "w5",
"map" : "clinical.general"
}]
},
{
"id" : "ClinicalUseDefinition.id",
"path" : "ClinicalUseDefinition.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ClinicalUseDefinition.meta",
"path" : "ClinicalUseDefinition.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Meta"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ClinicalUseDefinition.implicitRules",
"path" : "ClinicalUseDefinition.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "ClinicalUseDefinition.language",
"path" : "ClinicalUseDefinition.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "preferred",
"description" : "IETF language tag",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "ClinicalUseDefinition.text",
"path" : "ClinicalUseDefinition.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias" : ["narrative",
"html",
"xhtml",
"display"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Narrative"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Act.text?"
}]
},
{
"id" : "ClinicalUseDefinition.contained",
"path" : "ClinicalUseDefinition.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias" : ["inline resources",
"anonymous resources",
"contained resources"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Resource"
}],
"constraint" : [{
"key" : "dom-r4b",
"severity" : "warning",
"human" : "Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems",
"expression" : "($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)",
"xpath" : "not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:PackagedProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedAuthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citation|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDefinition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingredient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic)",
"source" : "http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.extension",
"path" : "ClinicalUseDefinition.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.modifierExtension",
"path" : "ClinicalUseDefinition.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"mustSupport" : false,
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.identifier",
"path" : "ClinicalUseDefinition.identifier",
"short" : "Business identifier for this issue",
"definition" : "Business identifier for this issue.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.identifier",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Identifier"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.type",
"path" : "ClinicalUseDefinition.type",
"short" : "indication | contraindication | interaction | undesirable-effect | warning",
"definition" : "indication | contraindication | interaction | undesirable-effect | warning.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.type",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ClinicalUseDefinitionType"
}],
"strength" : "required",
"description" : "Overall defining type of this clinical use definition.",
"valueSet" : "http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0"
},
"mapping" : [{
"identity" : "idmp",
"map" : "(the type of IDMP class, out of Contraindication, Therapeutic Indication, Interactions, Undesirable Effects)"
}]
},
{
"id" : "ClinicalUseDefinition.category",
"path" : "ClinicalUseDefinition.category",
"short" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy\", \"Overdose\"",
"definition" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy and Lactation\", \"Overdose\", \"Effects on Ability to Drive and Use Machines\".",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.category",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ClinicalUseDefinitionCategory"
}],
"strength" : "preferred",
"description" : "A categorisation for a clinical use information item.",
"valueSet" : "http://hl7.org/fhir/ValueSet/clinical-use-definition-category"
},
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.subject",
"path" : "ClinicalUseDefinition.subject",
"short" : "The medication or procedure for which this is an indication",
"definition" : "The medication or procedure for which this is an indication.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.subject",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
"http://hl7.org/fhir/StructureDefinition/Medication",
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
"http://hl7.org/fhir/StructureDefinition/PlanDefinition",
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/DeviceDefinition",
"http://hl7.org/fhir/StructureDefinition/Substance"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "(the link between the IDMP class and Medicinal Product)"
}]
},
{
"id" : "ClinicalUseDefinition.status",
"path" : "ClinicalUseDefinition.status",
"short" : "Whether this is a current issue or one that has been retired etc",
"definition" : "Whether this is a current issue or one that has been retired etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.status",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "PublicationStatus"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "preferred",
"description" : "The lifecycle status of an artifact.",
"valueSet" : "http://hl7.org/fhir/ValueSet/publication-status"
},
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication",
"path" : "ClinicalUseDefinition.contraindication",
"short" : "Specifics for when this is a contraindication",
"definition" : "Specifics for when this is a contraindication.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.contraindication",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression" : "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath" : "@value|f:*|h:div|self::f:Parameters",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.id",
"path" : "ClinicalUseDefinition.contraindication.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.extension",
"path" : "ClinicalUseDefinition.contraindication.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.modifierExtension",
"path" : "ClinicalUseDefinition.contraindication.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.diseaseSymptomProcedure",
"path" : "ClinicalUseDefinition.contraindication.diseaseSymptomProcedure",
"short" : "The situation that is being documented as contraindicating against this item",
"definition" : "The situation that is being documented as contraindicating against this item.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.contraindication.diseaseSymptomProcedure",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Contraindications as \"Disease / Symptom / Procedure\" and Contraindication.Contraindications Text"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.diseaseStatus",
"path" : "ClinicalUseDefinition.contraindication.diseaseStatus",
"short" : "The status of the disease or symptom for the contraindication",
"definition" : "The status of the disease or symptom for the contraindication, for example \"chronic\" or \"metastatic\".",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.contraindication.diseaseStatus",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseStatus"
}],
"strength" : "example",
"description" : "The status of a disease or symptom.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-status"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Disease Status"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.comorbidity",
"path" : "ClinicalUseDefinition.contraindication.comorbidity",
"short" : "A comorbidity (concurrent condition) or coinfection",
"definition" : "A comorbidity (concurrent condition) or coinfection.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.contraindication.comorbidity",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Comorbidity"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.indication",
"path" : "ClinicalUseDefinition.contraindication.indication",
"short" : "The indication which this is a contraidication for",
"definition" : "The indication which this is a contraidication for.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.contraindication.indication",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "(the link from Contraindication to Therapeutic Indication)"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy",
"short" : "Information about use of the product in relation to other therapies described as part of the contraindication",
"definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the contraindication.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.contraindication.otherTherapy",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression" : "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath" : "@value|f:*|h:div|self::f:Parameters",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Other Therapy Specifics"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy.id",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy.extension",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy.modifierExtension",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType",
"short" : "The type of relationship between the product indication/contraindication and another therapy",
"definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "TherapyRelationshipType"
}],
"strength" : "preferred",
"description" : "Classification of relationship between a therapy and a contraindication or an indication.",
"valueSet" : "http://hl7.org/fhir/ValueSet/therapy-relationship-type"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Other Therapy Specifics.Therapy Relationship Type"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy.therapy",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.therapy",
"short" : "Reference to a specific medication as part of an indication or contraindication",
"definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.therapy",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
"http://hl7.org/fhir/StructureDefinition/Medication",
"http://hl7.org/fhir/StructureDefinition/Substance",
"http://hl7.org/fhir/StructureDefinition/SubstanceDefinition",
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Therapy"
}],
"strength" : "example",
"description" : "A therapy.",
"valueSet" : "http://hl7.org/fhir/ValueSet/therapy"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Other Therapy Specifics.Medication"
}]
},
{
"id" : "ClinicalUseDefinition.indication",
"path" : "ClinicalUseDefinition.indication",
"short" : "Specifics for when this is an indication",
"definition" : "Specifics for when this is an indication.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.indication",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression" : "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath" : "@value|f:*|h:div|self::f:Parameters",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication"
}]
},
{
"id" : "ClinicalUseDefinition.indication.id",
"path" : "ClinicalUseDefinition.indication.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.indication.extension",
"path" : "ClinicalUseDefinition.indication.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.indication.modifierExtension",
"path" : "ClinicalUseDefinition.indication.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.indication.diseaseSymptomProcedure",
"path" : "ClinicalUseDefinition.indication.diseaseSymptomProcedure",
"short" : "The situation that is being documented as an indicaton for this item",
"definition" : "The situation that is being documented as an indicaton for this item.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.indication.diseaseSymptomProcedure",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Indication as \"Disease / Symptom / Procedure\", and Therapeutic Indication.Indication Text"
}]
},
{
"id" : "ClinicalUseDefinition.indication.diseaseStatus",
"path" : "ClinicalUseDefinition.indication.diseaseStatus",
"short" : "The status of the disease or symptom for the indication",
"definition" : "The status of the disease or symptom for the indication, for example \"chronic\" or \"metastatic\".",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.indication.diseaseStatus",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseStatus"
}],
"strength" : "example",
"description" : "The status of a disease or symptom.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-status"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Disease Status"
}]
},
{
"id" : "ClinicalUseDefinition.indication.comorbidity",
"path" : "ClinicalUseDefinition.indication.comorbidity",
"short" : "A comorbidity or coinfection as part of the indication",
"definition" : "A comorbidity (concurrent condition) or coinfection as part of the indication.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.indication.comorbidity",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Comorbidity"
}]
},
{
"id" : "ClinicalUseDefinition.indication.intendedEffect",
"path" : "ClinicalUseDefinition.indication.intendedEffect",
"short" : "The intended effect, aim or strategy to be achieved",
"definition" : "The intended effect, aim or strategy to be achieved.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.indication.intendedEffect",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProductIntendedUse"
}],
"strength" : "preferred",
"description" : "The overall intended use of a product.",
"valueSet" : "http://hl7.org/fhir/ValueSet/product-intended-use"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Intended Effect"
}]
},
{
"id" : "ClinicalUseDefinition.indication.duration[x]",
"path" : "ClinicalUseDefinition.indication.duration[x]",
"short" : "Timing or duration information",
"definition" : "Timing or duration information, that may be associated with use with the indicated condition e.g. Adult patients suffering from myocardial infarction (from a few days until less than 35 days), ischaemic stroke (from 7 days until less than 6 months).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.indication.duration[x]",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Range"
},
{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Timing / Duration"
}]
},
{
"id" : "ClinicalUseDefinition.indication.undesirableEffect",
"path" : "ClinicalUseDefinition.indication.undesirableEffect",
"short" : "An unwanted side effect or negative outcome of the subject of this resource when being used for this indication",
"definition" : "An unwanted side effect or negative outcome that may happen if you use the drug (or other subject of this resource) for this indication.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.indication.undesirableEffect",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Undesirable Effects"
}]
},
{
"id" : "ClinicalUseDefinition.indication.otherTherapy",
"path" : "ClinicalUseDefinition.indication.otherTherapy",
"short" : "The use of the medicinal product in relation to other therapies described as part of the indication",
"definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.indication.otherTherapy",
"min" : 0,
"max" : "*"
},
"contentReference" : "#ClinicalUseDefinition.contraindication.otherTherapy",
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Other Therapy Specifics"
}]
},
{
"id" : "ClinicalUseDefinition.interaction",
"path" : "ClinicalUseDefinition.interaction",
"short" : "Specifics for when this is an interaction",
"definition" : "Specifics for when this is an interaction.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.interaction",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression" : "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath" : "@value|f:*|h:div|self::f:Parameters",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.id",
"path" : "ClinicalUseDefinition.interaction.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.extension",
"path" : "ClinicalUseDefinition.interaction.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.modifierExtension",
"path" : "ClinicalUseDefinition.interaction.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.interactant",
"path" : "ClinicalUseDefinition.interaction.interactant",
"short" : "The specific medication, food, substance or laboratory test that interacts",
"definition" : "The specific medication, food, substance or laboratory test that interacts.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.interaction.interactant",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression" : "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath" : "@value|f:*|h:div|self::f:Parameters",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactant and Interactions.Interactions Text"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.interactant.id",
"path" : "ClinicalUseDefinition.interaction.interactant.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.interactant.extension",
"path" : "ClinicalUseDefinition.interaction.interactant.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.interactant.modifierExtension",
"path" : "ClinicalUseDefinition.interaction.interactant.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.interactant.item[x]",
"path" : "ClinicalUseDefinition.interaction.interactant.item[x]",
"short" : "The specific medication, food or laboratory test that interacts",
"definition" : "The specific medication, food or laboratory test that interacts.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.interaction.interactant.item[x]",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
"http://hl7.org/fhir/StructureDefinition/Medication",
"http://hl7.org/fhir/StructureDefinition/Substance",
"http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
},
{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Interactant"
}],
"strength" : "example",
"description" : "An interactant - a substance that may have an clinically significant effect on another.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interactant"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactant and Interactions.Interactions Text"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.type",
"path" : "ClinicalUseDefinition.interaction.type",
"short" : "The type of the interaction e.g. drug-drug interaction, drug-lab test interaction",
"definition" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.interaction.type",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "InteractionType"
}],
"strength" : "example",
"description" : "A categorisation for an interaction between two substances.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-type"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactions Type"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.effect",
"path" : "ClinicalUseDefinition.interaction.effect",
"short" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\"",
"definition" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\".",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.interaction.effect",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "InteractionEffect"
}],
"strength" : "example",
"description" : "A interaction effect of clinical use of a medication or other substance.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-effect"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactions Effect"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.incidence",
"path" : "ClinicalUseDefinition.interaction.incidence",
"short" : "The incidence of the interaction, e.g. theoretical, observed",
"definition" : "The incidence of the interaction, e.g. theoretical, observed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.interaction.incidence",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirableEffectSymptom"
}],
"strength" : "example",
"description" : "A categorisation for incidence of occurence of an interaction.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-incidence"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactions Incidence"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.management",
"path" : "ClinicalUseDefinition.interaction.management",
"short" : "Actions for managing the interaction",
"definition" : "Actions for managing the interaction.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.interaction.management",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "InteractionManagement"
}],
"strength" : "example",
"description" : "A type of management for an interaction of a medication or other substance.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-management"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Management Actions"
}]
},
{
"id" : "ClinicalUseDefinition.population",
"path" : "ClinicalUseDefinition.population",
"short" : "The population group to which this applies",
"definition" : "The population group to which this applies.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalUseDefinition.population",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Population Specifics"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect",
"path" : "ClinicalUseDefinition.undesirableEffect",
"short" : "A possible negative outcome from the use of this treatment",
"definition" : "Describe the possible undesirable effects (negative outcomes) from the use of the medicinal product as treatment.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.undesirableEffect",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression" : "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath" : "@value|f:*|h:div|self::f:Parameters",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.id",
"path" : "ClinicalUseDefinition.undesirableEffect.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.extension",
"path" : "ClinicalUseDefinition.undesirableEffect.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.modifierExtension",
"path" : "ClinicalUseDefinition.undesirableEffect.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.symptomConditionEffect",
"path" : "ClinicalUseDefinition.undesirableEffect.symptomConditionEffect",
"short" : "The situation in which the undesirable effect may manifest",
"definition" : "The situation in which the undesirable effect may manifest.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.undesirableEffect.symptomConditionEffect",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirableEffectSymptom"
}],
"strength" : "example",
"description" : "An undesirable effect of clinical use.",
"valueSet" : "http://hl7.org/fhir/ValueSet/undesirable-effect-symptom"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects.Undesirable Effect as \"Symptom / Condition / Effect\""
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.classification",
"path" : "ClinicalUseDefinition.undesirableEffect.classification",
"short" : "High level classification of the effect",
"definition" : "High level classification of the effect.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.undesirableEffect.classification",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirableEffectClassification"
}],
"strength" : "example",
"description" : "A categorisation for an undesirable effect.",
"valueSet" : "http://hl7.org/fhir/ValueSet/undesirable-effect-classification"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects.Symptom / Condition / Effect Classification"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence",
"path" : "ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence",
"short" : "How often the effect is seen",
"definition" : "How often the effect is seen.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirablEffectFrequency"
}],
"strength" : "example",
"description" : "A categorisation for a frequency of occurence of an undesirable effect.",
"valueSet" : "http://hl7.org/fhir/ValueSet/undesirable-effect-frequency"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects.Frequency of Occurrence"
}]
},
{
"id" : "ClinicalUseDefinition.warning",
"path" : "ClinicalUseDefinition.warning",
"short" : "Critical environmental, health or physical risks or hazards. For example 'Do not operate heavy machinery', 'May cause drowsiness'",
"definition" : "A critical piece of information about environmental, health or physical risks or hazards that serve as caution to the user. For example 'Do not operate heavy machinery', 'May cause drowsiness', or 'Get medical advice/attention if you feel unwell'.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.warning",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression" : "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath" : "@value|f:*|h:div|self::f:Parameters",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.warning.id",
"path" : "ClinicalUseDefinition.warning.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.warning.extension",
"path" : "ClinicalUseDefinition.warning.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.warning.modifierExtension",
"path" : "ClinicalUseDefinition.warning.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ClinicalUseDefinition.warning.description",
"path" : "ClinicalUseDefinition.warning.description",
"short" : "A textual definition of this warning, with formatting",
"definition" : "A textual definition of this warning, with formatting.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.warning.description",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "markdown"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.warning.code",
"path" : "ClinicalUseDefinition.warning.code",
"short" : "A coded or unformatted textual definition of this warning",
"definition" : "A coded or unformatted textual definition of this warning.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalUseDefinition.warning.code",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "WarningType"
}],
"strength" : "example",
"description" : "Classification of warning type.",
"valueSet" : "http://hl7.org/fhir/ValueSet/warning-type"
},
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
}]
},
"differential" : {
"element" : [{
"id" : "ClinicalUseDefinition",
"path" : "ClinicalUseDefinition",
"short" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure",
"definition" : "A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.",
"min" : 0,
"max" : "*",
"constraint" : [{
"key" : "cud-1",
"severity" : "error",
"human" : "Indication, Contraindication, Interaction, UndesirableEffect and Warning cannot be used in the same instance",
"expression" : "(ClinicalUseDefinition.indication.count() + ClinicalUseDefinition.contraindication.count() + ClinicalUseDefinition.interaction.count() + ClinicalUseDefinition.undesirableEffect.count() + ClinicalUseDefinition.warning.count()) < 2",
"xpath" : "count(f:ClinicalUseDefinition/f:indication|f:ClinicalUseDefinition/f:contraindication|f:ClinicalUseDefinition/f:interaction|f:ClinicalUseDefinition/f:undesirableEffect|f:ClinicalUseDefinition/f:warning) < 2",
"source" : "http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition"
}],
"mustSupport" : false,
"isModifier" : false,
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication, Therapeutic Indication, Interactions, Undesirable Effects"
},
{
"identity" : "w5",
"map" : "clinical.general"
}]
},
{
"id" : "ClinicalUseDefinition.identifier",
"path" : "ClinicalUseDefinition.identifier",
"short" : "Business identifier for this issue",
"definition" : "Business identifier for this issue.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Identifier"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.type",
"path" : "ClinicalUseDefinition.type",
"short" : "indication | contraindication | interaction | undesirable-effect | warning",
"definition" : "indication | contraindication | interaction | undesirable-effect | warning.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "code"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ClinicalUseDefinitionType"
}],
"strength" : "required",
"description" : "Overall defining type of this clinical use definition.",
"valueSet" : "http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0"
},
"mapping" : [{
"identity" : "idmp",
"map" : "(the type of IDMP class, out of Contraindication, Therapeutic Indication, Interactions, Undesirable Effects)"
}]
},
{
"id" : "ClinicalUseDefinition.category",
"path" : "ClinicalUseDefinition.category",
"short" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy\", \"Overdose\"",
"definition" : "A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy and Lactation\", \"Overdose\", \"Effects on Ability to Drive and Use Machines\".",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ClinicalUseDefinitionCategory"
}],
"strength" : "preferred",
"description" : "A categorisation for a clinical use information item.",
"valueSet" : "http://hl7.org/fhir/ValueSet/clinical-use-definition-category"
},
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.subject",
"path" : "ClinicalUseDefinition.subject",
"short" : "The medication or procedure for which this is an indication",
"definition" : "The medication or procedure for which this is an indication.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
"http://hl7.org/fhir/StructureDefinition/Medication",
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
"http://hl7.org/fhir/StructureDefinition/PlanDefinition",
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/DeviceDefinition",
"http://hl7.org/fhir/StructureDefinition/Substance"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "(the link between the IDMP class and Medicinal Product)"
}]
},
{
"id" : "ClinicalUseDefinition.status",
"path" : "ClinicalUseDefinition.status",
"short" : "Whether this is a current issue or one that has been retired etc",
"definition" : "Whether this is a current issue or one that has been retired etc.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "PublicationStatus"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "preferred",
"description" : "The lifecycle status of an artifact.",
"valueSet" : "http://hl7.org/fhir/ValueSet/publication-status"
},
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication",
"path" : "ClinicalUseDefinition.contraindication",
"short" : "Specifics for when this is a contraindication",
"definition" : "Specifics for when this is a contraindication.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.diseaseSymptomProcedure",
"path" : "ClinicalUseDefinition.contraindication.diseaseSymptomProcedure",
"short" : "The situation that is being documented as contraindicating against this item",
"definition" : "The situation that is being documented as contraindicating against this item.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Contraindications as \"Disease / Symptom / Procedure\" and Contraindication.Contraindications Text"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.diseaseStatus",
"path" : "ClinicalUseDefinition.contraindication.diseaseStatus",
"short" : "The status of the disease or symptom for the contraindication",
"definition" : "The status of the disease or symptom for the contraindication, for example \"chronic\" or \"metastatic\".",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseStatus"
}],
"strength" : "example",
"description" : "The status of a disease or symptom.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-status"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Disease Status"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.comorbidity",
"path" : "ClinicalUseDefinition.contraindication.comorbidity",
"short" : "A comorbidity (concurrent condition) or coinfection",
"definition" : "A comorbidity (concurrent condition) or coinfection.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Comorbidity"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.indication",
"path" : "ClinicalUseDefinition.contraindication.indication",
"short" : "The indication which this is a contraidication for",
"definition" : "The indication which this is a contraidication for.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "(the link from Contraindication to Therapeutic Indication)"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy",
"short" : "Information about use of the product in relation to other therapies described as part of the contraindication",
"definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the contraindication.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Contraindication.Other Therapy Specifics"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType",
"short" : "The type of relationship between the product indication/contraindication and another therapy",
"definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "TherapyRelationshipType"
}],
"strength" : "preferred",
"description" : "Classification of relationship between a therapy and a contraindication or an indication.",
"valueSet" : "http://hl7.org/fhir/ValueSet/therapy-relationship-type"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Other Therapy Specifics.Therapy Relationship Type"
}]
},
{
"id" : "ClinicalUseDefinition.contraindication.otherTherapy.therapy",
"path" : "ClinicalUseDefinition.contraindication.otherTherapy.therapy",
"short" : "Reference to a specific medication as part of an indication or contraindication",
"definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
"http://hl7.org/fhir/StructureDefinition/Medication",
"http://hl7.org/fhir/StructureDefinition/Substance",
"http://hl7.org/fhir/StructureDefinition/SubstanceDefinition",
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Therapy"
}],
"strength" : "example",
"description" : "A therapy.",
"valueSet" : "http://hl7.org/fhir/ValueSet/therapy"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Other Therapy Specifics.Medication"
}]
},
{
"id" : "ClinicalUseDefinition.indication",
"path" : "ClinicalUseDefinition.indication",
"short" : "Specifics for when this is an indication",
"definition" : "Specifics for when this is an indication.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication"
}]
},
{
"id" : "ClinicalUseDefinition.indication.diseaseSymptomProcedure",
"path" : "ClinicalUseDefinition.indication.diseaseSymptomProcedure",
"short" : "The situation that is being documented as an indicaton for this item",
"definition" : "The situation that is being documented as an indicaton for this item.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Indication as \"Disease / Symptom / Procedure\", and Therapeutic Indication.Indication Text"
}]
},
{
"id" : "ClinicalUseDefinition.indication.diseaseStatus",
"path" : "ClinicalUseDefinition.indication.diseaseStatus",
"short" : "The status of the disease or symptom for the indication",
"definition" : "The status of the disease or symptom for the indication, for example \"chronic\" or \"metastatic\".",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseStatus"
}],
"strength" : "example",
"description" : "The status of a disease or symptom.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-status"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Disease Status"
}]
},
{
"id" : "ClinicalUseDefinition.indication.comorbidity",
"path" : "ClinicalUseDefinition.indication.comorbidity",
"short" : "A comorbidity or coinfection as part of the indication",
"definition" : "A comorbidity (concurrent condition) or coinfection as part of the indication.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DiseaseSymptomProcedure"
}],
"strength" : "example",
"description" : "A symptom, disease or procedure.",
"valueSet" : "http://hl7.org/fhir/ValueSet/disease-symptom-procedure"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Comorbidity"
}]
},
{
"id" : "ClinicalUseDefinition.indication.intendedEffect",
"path" : "ClinicalUseDefinition.indication.intendedEffect",
"short" : "The intended effect, aim or strategy to be achieved",
"definition" : "The intended effect, aim or strategy to be achieved.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProductIntendedUse"
}],
"strength" : "preferred",
"description" : "The overall intended use of a product.",
"valueSet" : "http://hl7.org/fhir/ValueSet/product-intended-use"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Intended Effect"
}]
},
{
"id" : "ClinicalUseDefinition.indication.duration[x]",
"path" : "ClinicalUseDefinition.indication.duration[x]",
"short" : "Timing or duration information",
"definition" : "Timing or duration information, that may be associated with use with the indicated condition e.g. Adult patients suffering from myocardial infarction (from a few days until less than 35 days), ischaemic stroke (from 7 days until less than 6 months).",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Range"
},
{
"code" : "string"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Timing / Duration"
}]
},
{
"id" : "ClinicalUseDefinition.indication.undesirableEffect",
"path" : "ClinicalUseDefinition.indication.undesirableEffect",
"short" : "An unwanted side effect or negative outcome of the subject of this resource when being used for this indication",
"definition" : "An unwanted side effect or negative outcome that may happen if you use the drug (or other subject of this resource) for this indication.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Undesirable Effects"
}]
},
{
"id" : "ClinicalUseDefinition.indication.otherTherapy",
"path" : "ClinicalUseDefinition.indication.otherTherapy",
"short" : "The use of the medicinal product in relation to other therapies described as part of the indication",
"definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
"min" : 0,
"max" : "*",
"contentReference" : "#ClinicalUseDefinition.contraindication.otherTherapy",
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Therapeutic Indication.Other Therapy Specifics"
}]
},
{
"id" : "ClinicalUseDefinition.interaction",
"path" : "ClinicalUseDefinition.interaction",
"short" : "Specifics for when this is an interaction",
"definition" : "Specifics for when this is an interaction.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.interactant",
"path" : "ClinicalUseDefinition.interaction.interactant",
"short" : "The specific medication, food, substance or laboratory test that interacts",
"definition" : "The specific medication, food, substance or laboratory test that interacts.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactant and Interactions.Interactions Text"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.interactant.item[x]",
"path" : "ClinicalUseDefinition.interaction.interactant.item[x]",
"short" : "The specific medication, food or laboratory test that interacts",
"definition" : "The specific medication, food or laboratory test that interacts.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition",
"http://hl7.org/fhir/StructureDefinition/Medication",
"http://hl7.org/fhir/StructureDefinition/Substance",
"http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
},
{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Interactant"
}],
"strength" : "example",
"description" : "An interactant - a substance that may have an clinically significant effect on another.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interactant"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactant and Interactions.Interactions Text"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.type",
"path" : "ClinicalUseDefinition.interaction.type",
"short" : "The type of the interaction e.g. drug-drug interaction, drug-lab test interaction",
"definition" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "InteractionType"
}],
"strength" : "example",
"description" : "A categorisation for an interaction between two substances.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-type"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactions Type"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.effect",
"path" : "ClinicalUseDefinition.interaction.effect",
"short" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\"",
"definition" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\".",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "InteractionEffect"
}],
"strength" : "example",
"description" : "A interaction effect of clinical use of a medication or other substance.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-effect"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactions Effect"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.incidence",
"path" : "ClinicalUseDefinition.interaction.incidence",
"short" : "The incidence of the interaction, e.g. theoretical, observed",
"definition" : "The incidence of the interaction, e.g. theoretical, observed.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirableEffectSymptom"
}],
"strength" : "example",
"description" : "A categorisation for incidence of occurence of an interaction.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-incidence"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Interactions Incidence"
}]
},
{
"id" : "ClinicalUseDefinition.interaction.management",
"path" : "ClinicalUseDefinition.interaction.management",
"short" : "Actions for managing the interaction",
"definition" : "Actions for managing the interaction.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "InteractionManagement"
}],
"strength" : "example",
"description" : "A type of management for an interaction of a medication or other substance.",
"valueSet" : "http://hl7.org/fhir/ValueSet/interaction-management"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Interactions.Management Actions"
}]
},
{
"id" : "ClinicalUseDefinition.population",
"path" : "ClinicalUseDefinition.population",
"short" : "The population group to which this applies",
"definition" : "The population group to which this applies.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Population Specifics"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect",
"path" : "ClinicalUseDefinition.undesirableEffect",
"short" : "A possible negative outcome from the use of this treatment",
"definition" : "Describe the possible undesirable effects (negative outcomes) from the use of the medicinal product as treatment.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.symptomConditionEffect",
"path" : "ClinicalUseDefinition.undesirableEffect.symptomConditionEffect",
"short" : "The situation in which the undesirable effect may manifest",
"definition" : "The situation in which the undesirable effect may manifest.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableReference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirableEffectSymptom"
}],
"strength" : "example",
"description" : "An undesirable effect of clinical use.",
"valueSet" : "http://hl7.org/fhir/ValueSet/undesirable-effect-symptom"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects.Undesirable Effect as \"Symptom / Condition / Effect\""
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.classification",
"path" : "ClinicalUseDefinition.undesirableEffect.classification",
"short" : "High level classification of the effect",
"definition" : "High level classification of the effect.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirableEffectClassification"
}],
"strength" : "example",
"description" : "A categorisation for an undesirable effect.",
"valueSet" : "http://hl7.org/fhir/ValueSet/undesirable-effect-classification"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects.Symptom / Condition / Effect Classification"
}]
},
{
"id" : "ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence",
"path" : "ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence",
"short" : "How often the effect is seen",
"definition" : "How often the effect is seen.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "UndesirablEffectFrequency"
}],
"strength" : "example",
"description" : "A categorisation for a frequency of occurence of an undesirable effect.",
"valueSet" : "http://hl7.org/fhir/ValueSet/undesirable-effect-frequency"
},
"mapping" : [{
"identity" : "idmp",
"map" : "Undesirable Effects.Frequency of Occurrence"
}]
},
{
"id" : "ClinicalUseDefinition.warning",
"path" : "ClinicalUseDefinition.warning",
"short" : "Critical environmental, health or physical risks or hazards. For example 'Do not operate heavy machinery', 'May cause drowsiness'",
"definition" : "A critical piece of information about environmental, health or physical risks or hazards that serve as caution to the user. For example 'Do not operate heavy machinery', 'May cause drowsiness', or 'Get medical advice/attention if you feel unwell'.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.warning.description",
"path" : "ClinicalUseDefinition.warning.description",
"short" : "A textual definition of this warning, with formatting",
"definition" : "A textual definition of this warning, with formatting.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "markdown"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
},
{
"id" : "ClinicalUseDefinition.warning.code",
"path" : "ClinicalUseDefinition.warning.code",
"short" : "A coded or unformatted textual definition of this warning",
"definition" : "A coded or unformatted textual definition of this warning.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "WarningType"
}],
"strength" : "example",
"description" : "Classification of warning type.",
"valueSet" : "http://hl7.org/fhir/ValueSet/warning-type"
},
"mapping" : [{
"identity" : "idmp",
"map" : "n/a"
}]
}]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR Release 4B (v4.3.0) hl7.fhir.r4b.core#4.3.0 generated on Sat, May 28, 2022 12:54+1000.
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