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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="zib-MedicationContraIndication" />
  <text>
    <status value="empty" />
    <div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>
  </text>
  <url value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationContraIndication" />
  <name value="ZibMedicationContraIndication" />
  <title value="zib MedicationContraIndication" />
  <status value="draft" />
  <publisher value="Nictiz" />
  <contact>
    <name value="Nictiz" />
    <telecom>
      <system value="url" />
      <value value="https://www.nictiz.nl" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="A contraindication (CI) for medication safety is a condition or characteristic of a patient where healthcare professionals are not allowed to subscribe certain medicines, or only under certain conditions." />
  <purpose value="This Flag resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicationContraIndication v1.0 (2020)](https://zibs.nl/wiki/MedicationContraIndication-v1.0(2020EN))." />
  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="zib-medicationcontraindication-v1.0-2020EN" />
    <uri value="https://zibs.nl/wiki/MedicationContraIndication-v1.0(2020EN)" />
    <name value="zib MedicationContraIndication-v1.0(2020EN)" />
  </mapping>
  <kind value="resource" />
  <abstract value="true" />
  <type value="Flag" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Flag" />
  <derivation value="constraint" />
  <differential>
    <element id="Flag">
      <path value="Flag" />
      <short value="MedicationContraIndication" />
      <comment value="Although a medication contra-indication could be represented using both the Flag or the DetectedIssue resource, the latter is an _event_ from the FHIR workflow perspective and associated with a specific action. For this reason, it is not a proper representation of zib MedicationContraIndication and this zib has been mapped onto the Flag resource." />
      <alias value="MedicatieContraIndicatie" />
      <mapping>
        <identity value="zib-medicationcontraindication-v1.0-2020EN" />
        <map value="NL-CM:9.14.1" />
        <comment value="MedicationContraIndication" />
      </mapping>
    </element>
    <element id="Flag.extension:comment">
      <path value="Flag.extension" />
      <sliceName value="comment" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-Comment" />
      </type>
    </element>
    <element id="Flag.extension:comment.value[x]">
      <path value="Flag.extension.value[x]" />
      <short value="Comment" />
      <definition value="Comment on the contraindication important for interpretation which cannot be captured in any of the other data items. For example, a comment on a contraindication with an end date in the future." />
      <alias value="Toelichting" />
      <mapping>
        <identity value="zib-medicationcontraindication-v1.0-2020EN" />
        <map value="NL-CM:9.14.7" />
        <comment value="Comment" />
      </mapping>
    </element>
    <element id="Flag.extension:reasonClosure">
      <path value="Flag.extension" />
      <sliceName value="reasonClosure" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-MedicationContraIndication.ReasonClosure" />
      </type>
    </element>
    <element id="Flag.status">
      <path value="Flag.status" />
      <comment value="This element is implictly mapped to the zib concept NL-CM:9.14.3 (EndDate). Unless the status is explicitly recorded, the following guidance applies:&#xD;&#xA;&#xD;&#xA;* When EndDateTime is present and in the past, `.status` will usually be set to _inactive_.&#xD;&#xA;* In all other situations, `.status` will usually be set to _active_.&#xD;&#xA;This element is labeled as a modifier because the status contains codes that mark the resource as entered in error." />
      <mapping>
        <identity value="zib-medicationcontraindication-v1.0-2020EN" />
        <map value="NL-CM:9.14.3" />
        <comment value="EndDate (implicit, main mapping is on `Flag.period.end`)" />
      </mapping>
    </element>
    <element id="Flag.category">
      <path value="Flag.category" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Flag.category:medicationContraIndicationCode">
      <path value="Flag.category" />
      <sliceName value="medicationContraIndicationCode" />
      <min value="1" />
      <max value="1" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="140401000146105" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Flag.code">
      <path value="Flag.code" />
      <short value="MedicationContraIndicationName" />
      <definition value="The name and code of the contraindication from the Dutch National Contraindication list (G-standard Thesaurus 40)." />
      <alias value="MedicatieContraIndicatieNaam" />
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.14.1--20200901000000" />
      </binding>
      <mapping>
        <identity value="zib-medicationcontraindication-v1.0-2020EN" />
        <map value="NL-CM:9.14.6" />
        <comment value="MedicationContraIndicationName" />
      </mapping>
    </element>
    <element id="Flag.period.start">
      <path value="Flag.period.start" />
      <short value="StartDate" />
      <definition value="The date and possibly time when the contraindication became relevant for medication safety monitoring.&#xD;&#xA;&#xD;&#xA;Note: the zib specifies the StartDate concept as &quot;The date and possibly time when the contraindication for medication [monitoring] was identified&quot;. This sentence was chosen specifically to indicate that the zib is about safety monitoring, which can only start once the contraindication has been identified. However, a date in the future is not prohibited, in which case the StartDate will not align with the identification date." />
      <alias value="BeginDatum" />
      <mapping>
        <identity value="zib-medicationcontraindication-v1.0-2020EN" />
        <map value="NL-CM:9.14.2" />
        <comment value="StartDate" />
      </mapping>
    </element>
    <element id="Flag.period.end">
      <path value="Flag.period.end" />
      <short value="EndDate" />
      <definition value="The date and, if applicable, time when the contraindication for medication monitoring is considered no longer applicable." />
      <alias value="EindDatum" />
      <mapping>
        <identity value="zib-medicationcontraindication-v1.0-2020EN" />
        <map value="NL-CM:9.14.3" />
        <comment value="EndDate" />
      </mapping>
    </element>
    <element id="Flag.author">
      <path value="Flag.author" />
      <short value="Reporter" />
      <definition value="The health professional who takes responsibility for registering the contraindication." />
      <comment value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [zib-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [zib-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.&#xD;&#xA;&#xD;&#xA;In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the zib-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." />
      <alias value="Melder" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole" />
      </type>
      <mapping>
        <identity value="zib-medicationcontraindication-v1.0-2020EN" />
        <map value="NL-CM:9.14.5" />
        <comment value="Reporter" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>

name : ZibMedicationContraIndication

{

}