HdBe-UtilisationMédication2

CBB	Concept	Status
HdBe-MedicationUse2	UtilisationMédication est une déclaration sur l'utilisation historique, actuelle ou prévue d'un certain médicament. Purpose L'objectif de l'utilisation de la médication est de fournir des informations sur le modèle d'utilisation du patient.	active

CBB

Concept

Status

HdBe-MedicationUse2

UtilisationMédication est une déclaration sur l'utilisation historique, actuelle ou prévue d'un certain médicament.

Purpose

L'objectif de l'utilisation de la médication est de fournir des informations sur le modèle d'utilisation du patient.

active

MedicationUse2			MedicationUse2	Element id MedicationUse2 Short description UtilisationMédication2 Definition Concept root du modèle d'information UtilisationMédication2. Ce concept root contient tous les éléments de données du modèle d'information UtilisationMédication2. Data type MedicationUse2 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationUse2.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationUse2.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Prescriber	I	0..1	Reference(HdBe-HealthProfessional)	Element id MedicationUse2.Prescriber Short description Prescripteur Definition Le professionnel de la santé ayant conclu la convention de médication avec le patient. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-HealthProfessional) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
ProductUsed	I	1..1	Reference(HdBe-PharmaceuticalProduct)	Element id MedicationUse2.ProductUsed Short description ProduitUtilisé Definition Le produit utilisé. Il s'agit généralement d'un médicament. Les aliments, produits sanguins, aides et bandages ne relèvent pas strictement de la catégorie des médicaments, mais peuvent également être enregistrés. En principe, il s'agit du produit prescrit, mais le produit utilisé peut différer du produit prescrit. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-PharmaceuticalProduct) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
InstructionsForUse		0..1	HdBe-InstructionsForUse	Element id MedicationUse2.InstructionsForUse Short description InstructionsDUtilisation Definition Instructions relatives à l'utilisation de la médication, par ex. la dose et la voie d'administration. En cas d'utilisation de médicaments, il s'agit du mode d'utilisation établi par le patient ou suivi par le patient. Data type HdBe-InstructionsForUse Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MedicationUseDateTime		1..1	dateTime	Element id MedicationUse2.MedicationUseDateTime Short description DateHeureUtilisationMédication Definition Date à laquelle cette utilisation a été saisie. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
PeriodOfUse		0..1	HdBe-TimeInterval	Element id MedicationUse2.PeriodOfUse Short description PériodeDUtilisation Definition L'utilisation de médicaments peut être enregistrée pour un moment déterminé ou sur une période déterminée. Ainsi, l'utilisation de médicaments peut être enregistrée à plusieurs reprises au cours de l'utilisation de médicaments. La période d'utilisation est la période au cours de laquelle ou le moment lors duquel les données sont enregistrées.Date de début : Le moment où la convention entre en vigueur (ou est entrée en vigueur, ou entrera en vigueur). Durée : La durée d'utilisation prévue. Par ex. 5 jours ou 8 semaines. Indiquer la durée en mois n'est pas autorisé, car différents mois ont un nombre de jours variable. Date de fin : Le moment où la période d'utilisation se termine (ou s'est terminée, ou se terminera). Pour éviter toute confusion entre ‘jusqu'à’ et ‘jusqu'à et y compris’, la soumission de l'heure est toujours obligatoire pour la date de fin. Data type HdBe-TimeInterval Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
AsAgreedIndicator		0..1	boolean	Element id MedicationUse2.AsAgreedIndicator Short description IndicateurCommeConvenu Definition Le médicament est-il utilisé comme convenu dans la convention de médication ? Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
UseIndicator		1..1	boolean	Element id MedicationUse2.UseIndicator Short description IndicateurUtilisation Definition Ce médicament est-il utilisé ou non ? Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
ReasonForUse		0..1	string	Element id MedicationUse2.ReasonForUse Short description RaisonDUtilisation Definition La raison de l'utilisation du médicament, en particulier en automédication, acheté par le patient lui-même. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MedicationUseStopType		0..1	CodeableConceptBinding	Element id MedicationUse2.MedicationUseStopType Short description TypeArrêtUtilisationMédication Definition Type d'arrêt, la manière dont cette médication est arrêtée (temporairement ou définitivement). Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes TypeArrêtUtilisationMédication MedicationStopType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ReasonForChangeOrDiscontinuationOfUse		0..*	CodeableConceptBinding	Element id MedicationUse2.ReasonForChangeOrDiscontinuationOfUse Short description RaisonChangementOuArrêtDUtilisation Definition Raison de changer ou d'arrêter l'utilisation de la médication. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes RaisonChangementOuArrêtDUtilisation MedicationReason (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Comment		0..1	string	Element id MedicationUse2.Comment Short description Commentaire Definition Commentaires sur l'utilisation de la médication. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

MedicationUse2		0..*
MedicationUse2.Prescriber	Reference(HdBe-HealthProfessional)	0..1
MedicationUse2.ProductUsed	Reference(HdBe-PharmaceuticalProduct)	1..1
MedicationUse2.InstructionsForUse	HdBe-InstructionsForUse	0..1
MedicationUse2.MedicationUseDateTime	dateTime	1..1
MedicationUse2.PeriodOfUse	HdBe-TimeInterval	0..1
MedicationUse2.AsAgreedIndicator	boolean	0..1
MedicationUse2.UseIndicator	boolean	1..1
MedicationUse2.ReasonForUse	string	0..1
MedicationUse2.MedicationUseStopType	CodeableConcept	0..1
MedicationUse2.ReasonForChangeOrDiscontinuationOfUse	CodeableConcept	0..*
MedicationUse2.Comment	string	0..1

MedicationUse2
Definition	Root concept of the MedicationUse2 information model. This root concept contains all data elements of the MedicationUse2 information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationUse2.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationUse2.extension
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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationUse2.Prescriber
Definition	The health professional that entered the medication agreement with the patient.
Cardinality	0...1
Type	Reference(HdBe-HealthProfessional)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationUse2.ProductUsed
Definition	The product used. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be recorded as well. In principle, this will be the prescribed product, but the product used may differ from the prescribed product.
Cardinality	1...1
Type	Reference(HdBe-PharmaceuticalProduct)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationUse2.InstructionsForUse
Definition	Instructions for the use of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or that the patient followed.
Cardinality	0...1
Type	HdBe-InstructionsForUse
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationUse2.MedicationUseDateTime
Definition	Date on which this use is entered.
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationUse2.PeriodOfUse
Definition	Medication use can be recorded for a certain moment or over a certain period. Thus, medication use can be recorded multiple times during the use of medication. The usage period is the period or moment over which the data is recorded. Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days. End date: The time at which the period of use ends (or ended or will end). To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date.
Cardinality	0...1
Type	HdBe-TimeInterval
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationUse2.AsAgreedIndicator
Definition	Is the medicine used as outlined in the medication agreement?
Cardinality	0...1
Type	boolean
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationUse2.UseIndicator
Definition	Is this medicine used or not?
Cardinality	1...1
Type	boolean
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationUse2.ReasonForUse
Definition	The reason for using the medication, particularly in self-care medicine purchased by the patient themselves.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationUse2.MedicationUseStopType
Definition	Stop type, the manner in which this medication is discontinued (temporary or definitive).
Cardinality	0...1
Type	CodeableConcept
Binding	MedicationUseStopType codes MedicationStopType (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MedicationUse2.ReasonForChangeOrDiscontinuationOfUse
Definition	Reason for changing or discontinuing use of medication.
Cardinality	0...*
Type	CodeableConcept
Binding	ReasonForChangeOrDiscontinuationOfUse codes MedicationReason (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MedicationUse2.Comment
Definition	Comments on the medication use.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

MedicationUse2
Prescriber	Reference to HealthProfessional (E. Penninx)
ProductUsed	Reference to PharmaceuticalProduct (Acetaminophen 500 mg)
InstructionsForUse	Reference to InstructionsForUse (From 24 Oct 2016, for 4 days, 4 times per day 1 unit, if needed 2 times a day 1 unit, oral.)
MedicationUseDateTime	2020-07-21
PeriodOfUse	Reference to TimeInterval (duration: 4 days)
AsAgreedIndicator	true
UseIndicator
ReasonForUse	Taken for side effects of vaccination
MedicationUseStopType
ReasonForChangeOrDiscontinuationOfUse
Comment

zib MedicationUse2-v1.1.1 difference

Concept	Category	Description
`MedicationUse2` (root)	naming	Renamed the root concept name MedicationUse to MedicationUse2 to align with the sdf-8 constraint. (zib ticket #1875)
`ReasonForChangeOrDiscontinuationOf`	terminology	Renamed the ValueSet from ReasonForChangeOrDiscontinuationOfUse to MedicationReason, to be able to reuse it at MedicationAgreement. Replaced several values in MedicationReason valueSet
: 1. Replaced OTH with SNOMED-CT code for Other. 2. Added SNOMED-CT code for Unknown. 3. Added CodeSystem MedicationReason which replaces all Dutch SNOMED-CT codes. 4. Removed all Dutch SNOMED-CT codes from valueset.
`MedicationUseStopType`	terminology	Renamed the ValueSet from MedicationUseStopType to MedicationStopType, to be able to reuse it in MedicationAgreement and AdministrationAgreement. Replaced Dutch SNOMED-CT codes with international codes.
`InstructionsForUse`	textual	Replaced 'which the patient followed' by 'that the patient followed'.

Terminology Bindings

Path	Name	Strength	URL
MedicationUseStopType	MedicationStopType	required	https://fhir.healthdata.be/ValueSet/MedicationStopType
ReasonForChangeOrDiscontinuationOfUse	MedicationReason	required	https://fhir.healthdata.be/ValueSet/MedicationReason