http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0

description: A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure.
derivation: specialization
name: ClinicalUseDefinition
type: ClinicalUseDefinition
elements:
  category:
    isModifier: false
    short: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as \"Pregnancy\", \"Overdose\"
    mustSupport: false
    array: true
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/clinical-use-definition-category'}
    isSummary: true
    index: 2
  indication:
    isModifier: false
    short: Specifics for when this is an indication
    mustSupport: false
    isSummary: true
    index: 14
    elements:
      diseaseSymptomProcedure:
        isModifier: false
        short: The situation that is being documented as an indicaton for this item
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/disease-symptom-procedure'}
        isSummary: true
        index: 15
      diseaseStatus:
        isModifier: false
        short: The status of the disease or symptom for the indication
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/disease-status'}
        isSummary: true
        index: 16
      comorbidity:
        isModifier: false
        short: A comorbidity or coinfection as part of the indication
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/disease-symptom-procedure'}
        isSummary: true
        index: 17
      intendedEffect:
        isModifier: false
        short: The intended effect, aim or strategy to be achieved
        mustSupport: false
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/product-intended-use'}
        isSummary: true
        index: 18
      duration:
        isModifier: false
        short: Timing or duration information
        mustSupport: false
        choices: []
        isSummary: true
        index: 20
      undesirableEffect: {isModifier: false, short: An unwanted side effect or negative outcome of the subject of this resource when being used for this indication, mustSupport: false, array: true, isSummary: true, index: 21}
      applicability: {isModifier: false, short: 'An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements', mustSupport: false, isSummary: false, index: 22}
      otherTherapy:
        elementReference: ['http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition', elements, contraindication, elements, otherTherapy]
        isModifier: false
        short: The use of the medicinal product in relation to other therapies described as part of the indication
        mustSupport: false
        array: true
        isSummary: true
        index: 23
  type:
    isModifier: false
    short: indication | contraindication | interaction | undesirable-effect | warning
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/clinical-use-definition-type|5.0.0'}
    isSummary: true
    index: 1
  interaction:
    isModifier: false
    short: Specifics for when this is an interaction
    mustSupport: false
    isSummary: true
    index: 24
    elements:
      interactant:
        isModifier: false
        short: The specific medication, product, food etc. or laboratory test that interacts
        mustSupport: false
        array: true
        isSummary: true
        index: 25
        elements:
          item:
            isModifier: false
            short: The specific medication, product, food etc. or laboratory test that interacts
            mustSupport: false
            choices: []
            isSummary: true
            index: 27
        required: [item]
      type:
        isModifier: false
        short: The type of the interaction e.g. drug-drug interaction, drug-lab test interaction
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/interaction-type'}
        isSummary: true
        index: 28
      effect:
        isModifier: false
        short: The effect of the interaction, for example \"reduced gastric absorption of primary medication\"
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/interaction-effect'}
        isSummary: true
        index: 29
      incidence:
        isModifier: false
        short: The incidence of the interaction, e.g. theoretical, observed
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/interaction-incidence'}
        isSummary: true
        index: 30
      management:
        isModifier: false
        short: Actions for managing the interaction
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/interaction-management'}
        isSummary: true
        index: 31
  undesirableEffect:
    isModifier: false
    short: A possible negative outcome from the use of this treatment
    mustSupport: false
    isSummary: true
    index: 34
    elements:
      symptomConditionEffect:
        isModifier: false
        short: The situation in which the undesirable effect may manifest
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/undesirable-effect-symptom'}
        isSummary: true
        index: 35
      classification:
        isModifier: false
        short: High level classification of the effect
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/undesirable-effect-classification'}
        isSummary: true
        index: 36
      frequencyOfOccurrence:
        isModifier: false
        short: How often the effect is seen
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/undesirable-effect-frequency'}
        isSummary: true
        index: 37
  library: {isModifier: false, short: Logic used by the clinical use definition, mustSupport: false, array: true, isSummary: true, index: 33}
  warning:
    isModifier: false
    short: Critical environmental, health or physical risks or hazards. For example 'Do not operate heavy machinery', 'May cause drowsiness'
    mustSupport: false
    isSummary: true
    index: 38
    elements:
      description: {isModifier: false, short: 'A textual definition of this warning, with formatting', mustSupport: false, isSummary: true, index: 39}
      code:
        isModifier: false
        short: A coded or unformatted textual definition of this warning
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/warning-type'}
        isSummary: true
        index: 40
  contraindication:
    isModifier: false
    short: Specifics for when this is a contraindication
    mustSupport: false
    isSummary: true
    index: 5
    elements:
      diseaseSymptomProcedure:
        isModifier: false
        short: The situation that is being documented as contraindicating against this item
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/disease-symptom-procedure'}
        isSummary: true
        index: 6
      diseaseStatus:
        isModifier: false
        short: The status of the disease or symptom for the contraindication
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/disease-status'}
        isSummary: true
        index: 7
      comorbidity:
        isModifier: false
        short: A comorbidity (concurrent condition) or coinfection
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/disease-symptom-procedure'}
        isSummary: true
        index: 8
      indication: {isModifier: false, short: The indication which this is a contraidication for, mustSupport: false, array: true, isSummary: true, index: 9}
      applicability: {isModifier: false, short: 'An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements', mustSupport: false, isSummary: false, index: 10}
      otherTherapy:
        isModifier: false
        short: Information about use of the product in relation to other therapies described as part of the contraindication
        mustSupport: false
        array: true
        isSummary: true
        index: 11
        elements:
          relationshipType:
            isModifier: false
            short: The type of relationship between the product indication/contraindication and another therapy
            mustSupport: false
            binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/therapy-relationship-type'}
            isSummary: true
            index: 12
          treatment:
            isModifier: false
            short: Reference to a specific medication, substance etc. as part of an indication or contraindication
            mustSupport: false
            binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/therapy'}
            isSummary: true
            index: 13
        required: [relationshipType, treatment]
  status:
    isModifier: false
    short: Whether this is a current issue or one that has been retired etc
    mustSupport: false
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/publication-status'}
    isSummary: true
    index: 4
  population: {isModifier: false, short: The population group to which this applies, mustSupport: false, array: true, isSummary: true, index: 32}
  identifier: {isModifier: false, short: Business identifier for this issue, mustSupport: false, array: true, isSummary: true, index: 0}
  subject: {isModifier: false, short: 'The medication, product, substance, device, procedure etc. for which this is an indication', mustSupport: false, array: true, isSummary: true, index: 3}
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 5.0.0
required: [type]