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ClinicalUseDefinition

PropertyValue
Publisher
NameClinicalUseDefinition
URLhttp://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition
Statusdraft
Description
Abstractfalse

Structure

PathCardinalityTypeDescription
ClinicalUseDefinition0..*ClinicalUseDefinitionA single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.
ClinicalUseDefinition.id0..1http://hl7.org/fhirpath/System.StringThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
ClinicalUseDefinition.meta0..1MetaThe 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.
ClinicalUseDefinition.implicitRules0..1uriA 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.
ClinicalUseDefinition.language0..1codeThe base language in which the resource is written.
ClinicalUseDefinition.text0..1NarrativeA 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.
ClinicalUseDefinition.contained0..*ResourceThese 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.
ClinicalUseDefinition.extension0..*ExtensionMay 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.
ClinicalUseDefinition.modifierExtension0..*ExtensionMay 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.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
ClinicalUseDefinition.identifier0..*IdentifierBusiness identifier for this issue.
ClinicalUseDefinition.type1..1codeindication / contraindication / interaction / undesirable-effect / warning.
ClinicalUseDefinition.category0..*CodeableConceptA 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".
ClinicalUseDefinition.subject0..*ReferenceThe medication or procedure for which this is an indication.
ClinicalUseDefinition.status0..1CodeableConceptWhether this is a current issue or one that has been retired etc.
ClinicalUseDefinition.contraindication0..1BackboneElementSpecifics for when this is a contraindication.
ClinicalUseDefinition.contraindication.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
ClinicalUseDefinition.contraindication.extension0..*ExtensionMay 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.
ClinicalUseDefinition.contraindication.modifierExtension0..*ExtensionMay 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).
ClinicalUseDefinition.contraindication.diseaseSymptomProcedure0..1CodeableReferenceThe situation that is being documented as contraindicating against this item.
ClinicalUseDefinition.contraindication.diseaseStatus0..1CodeableReferenceThe status of the disease or symptom for the contraindication, for example "chronic" or "metastatic".
ClinicalUseDefinition.contraindication.comorbidity0..*CodeableReferenceA comorbidity (concurrent condition) or coinfection.
ClinicalUseDefinition.contraindication.indication0..*ReferenceThe indication which this is a contraidication for.
ClinicalUseDefinition.contraindication.otherTherapy0..*BackboneElementInformation about the use of the medicinal product in relation to other therapies described as part of the contraindication.
ClinicalUseDefinition.contraindication.otherTherapy.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
ClinicalUseDefinition.contraindication.otherTherapy.extension0..*ExtensionMay 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.
ClinicalUseDefinition.contraindication.otherTherapy.modifierExtension0..*ExtensionMay 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).
ClinicalUseDefinition.contraindication.otherTherapy.relationshipType1..1CodeableConceptThe type of relationship between the medicinal product indication or contraindication and another therapy.
ClinicalUseDefinition.contraindication.otherTherapy.therapy1..1CodeableReferenceReference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.
ClinicalUseDefinition.indication0..1BackboneElementSpecifics for when this is an indication.
ClinicalUseDefinition.indication.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
ClinicalUseDefinition.indication.extension0..*ExtensionMay 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.
ClinicalUseDefinition.indication.modifierExtension0..*ExtensionMay 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).
ClinicalUseDefinition.indication.diseaseSymptomProcedure0..1CodeableReferenceThe situation that is being documented as an indicaton for this item.
ClinicalUseDefinition.indication.diseaseStatus0..1CodeableReferenceThe status of the disease or symptom for the indication, for example "chronic" or "metastatic".
ClinicalUseDefinition.indication.comorbidity0..*CodeableReferenceA comorbidity (concurrent condition) or coinfection as part of the indication.
ClinicalUseDefinition.indication.intendedEffect0..1CodeableReferenceThe intended effect, aim or strategy to be achieved.
ClinicalUseDefinition.indication.duration[x]0..1RangeTiming 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).
ClinicalUseDefinition.indication.undesirableEffect0..*ReferenceAn unwanted side effect or negative outcome that may happen if you use the drug (or other subject of this resource) for this indication.
ClinicalUseDefinition.indication.otherTherapy0..*ClinicalUseDefinitionInformation about the use of the medicinal product in relation to other therapies described as part of the indication.
ClinicalUseDefinition.interaction0..1BackboneElementSpecifics for when this is an interaction.
ClinicalUseDefinition.interaction.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
ClinicalUseDefinition.interaction.extension0..*ExtensionMay 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.
ClinicalUseDefinition.interaction.modifierExtension0..*ExtensionMay 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).
ClinicalUseDefinition.interaction.interactant0..*BackboneElementThe specific medication, food, substance or laboratory test that interacts.
ClinicalUseDefinition.interaction.interactant.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
ClinicalUseDefinition.interaction.interactant.extension0..*ExtensionMay 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.
ClinicalUseDefinition.interaction.interactant.modifierExtension0..*ExtensionMay 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).
ClinicalUseDefinition.interaction.interactant.item[x]1..1ReferenceThe specific medication, food or laboratory test that interacts.
ClinicalUseDefinition.interaction.type0..1CodeableConceptThe type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.
ClinicalUseDefinition.interaction.effect0..1CodeableReferenceThe effect of the interaction, for example "reduced gastric absorption of primary medication".
ClinicalUseDefinition.interaction.incidence0..1CodeableConceptThe incidence of the interaction, e.g. theoretical, observed.
ClinicalUseDefinition.interaction.management0..*CodeableConceptActions for managing the interaction.
ClinicalUseDefinition.population0..*ReferenceThe population group to which this applies.
ClinicalUseDefinition.undesirableEffect0..1BackboneElementDescribe the possible undesirable effects (negative outcomes) from the use of the medicinal product as treatment.
ClinicalUseDefinition.undesirableEffect.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
ClinicalUseDefinition.undesirableEffect.extension0..*ExtensionMay 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.
ClinicalUseDefinition.undesirableEffect.modifierExtension0..*ExtensionMay 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).
ClinicalUseDefinition.undesirableEffect.symptomConditionEffect0..1CodeableReferenceThe situation in which the undesirable effect may manifest.
ClinicalUseDefinition.undesirableEffect.classification0..1CodeableConceptHigh level classification of the effect.
ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence0..1CodeableConceptHow often the effect is seen.
ClinicalUseDefinition.warning0..1BackboneElementA 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'.
ClinicalUseDefinition.warning.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
ClinicalUseDefinition.warning.extension0..*ExtensionMay 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.
ClinicalUseDefinition.warning.modifierExtension0..*ExtensionMay 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).
ClinicalUseDefinition.warning.description0..1markdownA textual definition of this warning, with formatting.
ClinicalUseDefinition.warning.code0..1CodeableConceptA coded or unformatted textual definition of this warning.

Search Parameters

NameTypeDescriptionExpression
_textstringSearch on the narrative of the resource
_contentstringSearch on the entire content of the resource
_filtertokenFilter search parameter which supports a more sophisticated grammar for searching. See documentation for further details
_hasstringProvides limited support for reverse chaining - that is, selecting resources based on the properties of resources that refer to them (instead of chaining where resources can be selected based on the properties of resources that they refer to). See the FHIR search page for further documentation
_idtokenLogical id of this artifactResource.id
_lastUpdateddateWhen the resource version last changedResource.meta.lastUpdated
_liststringAll resources in nominated list (by id, Type/id, url or one of the magic List types)
_profileuriProfiles this resource claims to conform toResource.meta.profile
_querytokenA custom search profile that describes a specific defined query operation
_securitytokenSecurity Labels applied to this resourceResource.meta.security
_sourceuriIdentifies where the resource comes fromResource.meta.source
_tagtokenTags applied to this resourceResource.meta.tag
_textstringSearch on the narrative text (html) of the resource
_typetokenUsed when a search is performed in a context which doesn't limit the search to indicate which types are being searched. See the FHIR search page for further discussion
contraindicationtokenThe situation that is being documented as contraindicating against this item, as a codeClinicalUseDefinition.contraindication.diseaseSymptomProcedure
contraindication-referencereferenceThe situation that is being documented as contraindicating against this item, as a referenceClinicalUseDefinition.contraindication.diseaseSymptomProcedure
effecttokenThe situation in which the undesirable effect may manifest, as a codeClinicalUseDefinition.undesirableEffect.symptomConditionEffect
effect-referencereferenceThe situation in which the undesirable effect may manifest, as a referenceClinicalUseDefinition.undesirableEffect.symptomConditionEffect
identifiertokenBusiness identifier for this issueClinicalUseDefinition.identifier
indicationtokenThe situation that is being documented as an indicaton for this item, as a codeClinicalUseDefinition.indication.diseaseSymptomProcedure
indication-referencereferenceThe situation that is being documented as an indicaton for this item, as a referenceClinicalUseDefinition.indication.diseaseSymptomProcedure
interactiontokenThe type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interactionClinicalUseDefinition.interaction.type
productreferenceThe medicinal product for which this is a clinical usage issueClinicalUseDefinition.subject.where(resolve() is MedicinalProductDefinition)
subjectreferenceThe resource for which this is a clinical usage issueClinicalUseDefinition.subject
typetokenindication / contraindication / interaction / undesirable-effect / warningClinicalUseDefinition.type