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HdBe-DrugsGebruik

CBB	Concept	Status
HdBe-DrugUse	Drugs (ook wel: verdovende middelen, stimulerende middelen, bedwelmingsmiddelen, roesmiddelen, geestverruimende middelen, verboden middelen of dope) is een verzamelnaam voor geneesmiddelen en genotsmiddelen die een meer of minder 'drogerende' (verdovende, opwekkende en/of hallucinogene) werking hebben en die tot verslaving kunnen leiden. Drug [Online] Beschikbaar op: nl.Wikipedia.org/wiki/drug [Geraadpleegd: 11 februari 2015]. Deze bouwsteen beschrijft de bij de patiënt uitgevraagde gegevens over het gebruik van drugs. Purpose Vastleggen en delen van de registratie van het gebruik van drugs, zoals in het concept beschreven. Evidence Base Hoewel deze bouwsteen ook gebruikt kan worden voor misbruik van (eigen) medicatie heeft de projectgroep uiteindelijk besloten de focus op de gegevens over drugsgebruik, zoals beschreven in het concept. Aangezien er grote diversiteit is in de wijze waarop de hoeveelheid gebruikte drugs wordt vastgelegd, is besloten dit als vrije tekst te doen. Instructions De 'DrugsOfGeneesmiddelCodelijst is uitbreidbaar. Indien het betreffende middel niet in de codelijst staat, kan deze lijst uitgebreid worden met een code uit de SNOMED CT hiërarchie 'Substance; <105590001' of eventueel uit de hiërarchie 'Pharmaceutical/biologic product; < 373873005'.	active

CBB

Concept

Status

HdBe-DrugUse

Drugs (ook wel: verdovende middelen, stimulerende middelen, bedwelmingsmiddelen, roesmiddelen, geestverruimende middelen, verboden middelen of dope) is een verzamelnaam voor geneesmiddelen en genotsmiddelen die een meer of minder 'drogerende' (verdovende, opwekkende en/of hallucinogene) werking hebben en die tot verslaving kunnen leiden. Drug [Online] Beschikbaar op: nl.Wikipedia.org/wiki/drug [Geraadpleegd: 11 februari 2015].

Deze bouwsteen beschrijft de bij de patiënt uitgevraagde gegevens over het gebruik van drugs.

Purpose

Vastleggen en delen van de registratie van het gebruik van drugs, zoals in het concept beschreven.

Evidence Base

Hoewel deze bouwsteen ook gebruikt kan worden voor misbruik van (eigen) medicatie heeft de projectgroep uiteindelijk besloten de focus op de gegevens over drugsgebruik, zoals beschreven in het concept. Aangezien er grote diversiteit is in de wijze waarop de hoeveelheid gebruikte drugs wordt vastgelegd, is besloten dit als vrije tekst te doen.

Instructions

De 'DrugsOfGeneesmiddelCodelijst is uitbreidbaar. Indien het betreffende middel niet in de codelijst staat, kan deze lijst uitgebreid worden met een code uit de SNOMED CT hiërarchie 'Substance; <105590001' of eventueel uit de hiërarchie 'Pharmaceutical/biologic product; < 373873005'.

active

DrugUse			DrugUse	Element id DrugUse Short description DrugsGebruik Definition Rootconcept van de bouwsteen DrugsGebruik. Dit concept bevat alle gegevenselementen van de bouwsteen DrugsGebruik. Data type DrugUse 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 DrugUse.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 DrugUse.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
ObservationOfUse		0..1	BackboneElement	Element id DrugUse.ObservationOfUse Short description WaarnemingGebruik Definition Container voor WaarnemingGebruik. Deze container bevat alle gegevenselementen van de container WaarnemingGebruik. Data type BackboneElement 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 DrugUse.ObservationOfUse.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 DrugUse.ObservationOfUse.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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id DrugUse.ObservationOfUse.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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. 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 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
StartDate		0..1	dateTime	Element id DrugUse.ObservationOfUse.StartDate Short description StartDatum Definition De datum waarop is gestart met het gebruik. 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
StopDate		0..1	dateTime	Element id DrugUse.ObservationOfUse.StopDate Short description StopDatum Definition De datum waarop is gestopt met het gebruik 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
Amount		0..1	string	Element id DrugUse.ObservationOfUse.Amount Short description Hoeveelheid Definition Het aantal eenheden (pillen, joints, shots etc.) per dag, week, maand of jaar of de freqentie van gebruik. 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
Comment		0..1	string	Element id DrugUse.Comment Short description Toelichting Definition Relevante opmerkingen over het gebruik. 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
DrugOrMedicationType		0..1	CodeableConceptBinding	Element id DrugUse.DrugOrMedicationType Short description DrugsOfGeneesmiddelSoort Definition Soort drugs die de patiënt gebruikt. 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 DrugOrMedicationType codes TypeOfDrugOrMedication (extensible) 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
DrugUseStatus		1..1	CodeableConceptBinding	Element id DrugUse.DrugUseStatus Short description DrugsGebruikStatus Definition Indicatie of in het heden of verleden sprake is (geweest) van gebruik van drugs. 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 DrugUseStatus codes DrugUseStatus (extensible) 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
RouteOfAdministration		0..*	CodeableConceptBinding	Element id DrugUse.RouteOfAdministration Short description Toedieningsweg Definition De wijze de drugs wordt gebruikt. 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 RouteOfAdministration codes RouteOfAdministration (extensible) 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

DrugUse		0..*
DrugUse.ObservationOfUse	BackboneElement	0..1
DrugUse.ObservationOfUse.StartDate	dateTime	0..1
DrugUse.ObservationOfUse.StopDate	dateTime	0..1
DrugUse.ObservationOfUse.Amount	string	0..1
DrugUse.Comment	string	0..1
DrugUse.DrugOrMedicationType	CodeableConcept	0..1
DrugUse.DrugUseStatus	CodeableConcept	1..1
DrugUse.RouteOfAdministration	CodeableConcept	0..*

DrugUse
Definition	Root concept of the DrugUse information model. This concept contains all data elements of the DrugUse 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
DrugUse.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
DrugUse.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
DrugUse.ObservationOfUse
Definition	Container for ObservationOfUse. This container contains all data elements of the ObservationOfUse container.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
DrugUse.ObservationOfUse.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
DrugUse.ObservationOfUse.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
DrugUse.ObservationOfUse.modifierExtension
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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
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.
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.
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
DrugUse.ObservationOfUse.StartDate
Definition	The date on which the patient started using.
Cardinality	0...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
DrugUse.ObservationOfUse.StopDate
Definition	The date on which the patient quit using.
Cardinality	0...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
DrugUse.ObservationOfUse.Amount
Definition	The number of units (pills, joints, shots etc.) per day, week, month, or year; or the frequency of 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
DrugUse.Comment
Definition	Relevant comments on the drug 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
DrugUse.DrugOrMedicationType
Definition	Type of drug used by the patient.
Cardinality	0...1
Type	CodeableConcept
Binding	DrugOrMedicationType codes TypeOfDrugOrMedication (extensible)
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
DrugUse.DrugUseStatus
Definition	Indication stating whether there was any drug use in the past or present.
Cardinality	1...1
Type	CodeableConcept
Binding	DrugUseStatus codes DrugUseStatus (extensible)
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
DrugUse.RouteOfAdministration
Definition	The way the drugs are used.
Cardinality	0...*
Type	CodeableConcept
Binding	RouteOfAdministration codes RouteOfAdministration (extensible)
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

Example instances

DrugUse
ObservationOfUse.StartDate	1985-01-01
ObservationOfUse.StopDate
ObservationOfUse.Amount	2x per month
Comment	Uses at parties and on weekends. The patient used more in the past than the present.
DrugOrMedicationType	288459003 - Methylenedioxymethamphetamine (code by SNOMED CT)
DrugUseStatus	417284009 - Current drug user (code by SNOMED CT)
RouteOfAdministration	26643006 - Oral route (code by SNOMED CT), 46713006 - Nasal route (code by SNOMED CT)

zib DrugUse-v3.3 difference

Concept	Category	Description
`DrugUseStatus`	terminology	Replaced 'Other' from HL7 NullFlavor CodeSystem with equivalent SNOMED code.
`DrugOrMedicationType`	terminology	Replaced 'Other' from HL7 NullFlavor CodeSystem with equivalent SNOMED code.
`RouteOfAdministration`	terminology	Replaced ValueSet content of RouteOfAdministration with SNOMED codes.
`StopDate`	textual	Added a period at the end of the sentence.
`Amount`	textual	Replaced 'week, month or year or' with 'week, month, or year; or'

Terminology Bindings

Path	Name	Strength	URL
DrugOrMedicationType	TypeOfDrugOrMedication	extensible	https://fhir.healthdata.be/ValueSet/TypeOfDrugOrMedication
DrugUseStatus	DrugUseStatus	extensible	https://fhir.healthdata.be/ValueSet/DrugUseStatus
RouteOfAdministration	RouteOfAdministration	extensible	https://fhir.healthdata.be/ValueSet/RouteOfAdministration