{
"description": "**Concept**\\r\\nA dispense is the delivery of an amount of medicine to the patient, their administrator or their representative.\\r\\n**Purpose**\\r\\nThe goal of the dispense is to provide insight into which products are delivered by the pharmacist to the patient (or their representative).\\r\\n**Example Instances**",
"_filename": "HdBe-MedicationDispense.json",
"package_name": "healthdata.be.r4.cbb",
"date": null,
"derivation": "specialization",
"publisher": "Healthdata.be (Sciensano)",
"fhirVersion": "4.0.1",
"name": "HdBeMedicationDispense",
"abstract": true,
"copyright": "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.",
"type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/medication_dispense",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HdBe MedicationDispense",
"_description": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "**Concept**\r\nEen verstrekking is de terhandstelling van een hoeveelheid van een geneesmiddel aan de patiënt, zijn toediener of zijn vertegenwoordiger.\r\n**Purpose**\r\nHet doel van de verstrekking is inzicht te geven in welke producten ter hand gesteld zijn door de apotheker aan de patiënt (of zijn vertegenwoordiger).\r\n**Example Instances**\r\n\r\n**Revision History**\r\nPublicatieversie 1.0 (04-09-2017)\r\n\r\nPublicatieversie 2.0 (31-12-2017)\r\nBevat: [ZIB-618](https://bits.nictiz.nl/browse/ZIB-618), [ZIB-643](https://bits.nictiz.nl/browse/ZIB-643).\r\n\r\nPublicatieversie 2.0.1 (06-07-2019)\r\nBevat: [ZIB-807](https://bits.nictiz.nl/browse/ZIB-807).\r\n\r\nPublicatieversie 2.0.2 (01-09-2020)\r\nBevat: [ZIB-911](https://bits.nictiz.nl/browse/ZIB-911), [ZIB-1195](https://bits.nictiz.nl/browse/ZIB-1195)."
} ]
} ]
},
"package_version": "0.3.0-alpha",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod": {
"start": "2020-09-01T00:00:00+02:00"
}
} ],
"status": "draft",
"language": "en-US",
"id": "068d0932-692b-4eab-ae0b-f5278c17ee57",
"kind": "logical",
"_name": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "HdBe-Medicatieverstrekking"
} ]
} ]
},
"url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-MedicationDispense",
"version": null,
"differential": {
"element": [ {
"path": "medication_dispense",
"min": 0,
"definition": "Root concept of the MedicationDispense information model. This root concept contains all data elements of the MedicationDispense information model.",
"short": "MedicationDispense",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Rootconcept van de bouwsteen Medicatieverstrekking. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Medicatieverstrekking."
} ]
} ]
},
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Medicatieverstrekking"
} ]
} ]
},
"max": "*",
"id": "medication_dispense",
"base": {
"max": "*",
"min": 0,
"path": "medication_dispense"
}
}, {
"path": "medication_dispense.supplier",
"min": 0,
"definition": "In almost all cases, the supplier will be a pharmacist. It could also be supplied by a webshop (in case of an online order), a drug store or a foreign pharmacist.",
"short": "Supplier",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De verstrekker is in vrijwel alle gevallen een apotheker. Het kan ook gaan om een webwinkel (online bestelling), een drogisterij of een buitenlandse apotheker."
} ]
} ]
},
"type": [ {
"code": "BackboneElement"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Verstrekker"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.supplier",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.supplier"
}
}, {
"path": "medication_dispense.supplier.healthcare_provider",
"min": 1,
"definition": "Root concept of the Healthcare Provider information model. This root concept contains all data elements of the Healthcare Provider information model.",
"short": "HealthcareProvider",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Rootconcept van de bouwsteen Zorgaanbieder. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Zorgaanbieder."
} ]
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthcareProvider" ]
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Zorgaanbieder"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.supplier.healthcare_provider",
"base": {
"max": "1",
"min": 1,
"path": "medication_dispense.supplier.healthcare_provider"
}
}, {
"path": "medication_dispense.dispense_request",
"min": 0,
"definition": "Relationship to the dispense request.",
"short": "DispenseRequest",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Relatie naar verstrekkingsverzoek."
} ]
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-DispenseRequest" ]
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Verstrekkingsverzoek"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.dispense_request",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.dispense_request"
}
}, {
"path": "medication_dispense.dispensed_medicine",
"min": 1,
"definition": "The dispensed medicine.",
"short": "DispensedMedicine",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Verstrekt geneesmiddel."
} ]
} ]
},
"type": [ {
"code": "BackboneElement"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "VerstrektGeneesmiddel"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.dispensed_medicine",
"base": {
"max": "1",
"min": 1,
"path": "medication_dispense.dispensed_medicine"
}
}, {
"path": "medication_dispense.dispensed_medicine.pharmaceutical_product",
"min": 1,
"definition": "Root concept of the PharmaceuticalProduct partial information model.This root concept contains all data elements of the PharmaceuticalProduct partial information model.\r\n\r\nThe prescribed product is usually a medicine. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Strictly speaking, food and blood products do not belong in the medication category, but can be prescribed and supplied by a pharmacy as well. \r\n\r\nA type of medication can be indicated with **a single code**. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary. \r\n\r\nIn addition to a primary code, **alternative codes **from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example). \r\n\r\nEntering multiple ingredients will enable you to display a compound product. \r\nIn that case, the **composition of the medication** can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) substance(s) of the medication. \r\n**Prescriptions to be prepared by the pharmacy** can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text.",
"short": "PharmaceuticalProduct",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Rootconcept van de subbouwsteen FarmaceutischProduct. Dit rootconcept bevat alle gegevenselementen van de subbouwsteen FarmaceutischProduct.\r\n\r\nHet voorgeschreven middel is vrijwel steeds een geneesmiddel. Hulp- en verbandmiddelen kunnen echter ook voorgeschreven en via de apotheek geleverd worden. Voedingsmiddelen en bloedproducten vallen strikt genomen niet onder de categorie geneesmiddelen, maar kunnen worden voorgeschreven, en door een apotheek geleverd worden.\r\n\r\nHet is mogelijk om met **één enkele code **een medicatiesoort aan te duiden, waarbij die code gekozen kan zijn uit meerdere mogelijke coderingssystemen (concreet GPK, PRK, HPK of artikelnummers). Door een juiste toepassing van deze codes in de softwaresystemen leggen deze codes de samenstelling van het gebruikte middel voldoende vast en is een complete productspecificatie niet nodig.\r\n\r\nHet is mogelijk om naast een primaire code ook **alternatieve codes **uit andere coderingssystemen aan te duiden (zodat bijvoorbeeld de GPK kan worden meegestuurd als is geregistreerd op basis van PRK). \r\n\r\nDoor meerdere ingrediënten op te geven wordt het mogelijk om een samengesteld product weer te geven. \r\n\r\nHet is dan mogelijk om zowel impliciet te specificeren (door een medicatiecode te gebruiken) als expliciet de **samenstelling van de medicatie **aan te duiden, bijvoorbeeld door de (actieve) ingrediënt(en) van de medicatie te benoemen. \r\n\r\nHet is mogelijk om **magistrale receptuur **door te geven. Dit kan door bovenbedoelde mogelijkheid om gecodeerd ingrediënten aan te duiden en/of door de samenstelling en bereidingswijze als vrije tekst door te geven."
} ]
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-PharmaceuticalProduct" ]
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "FarmaceutischProduct"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.dispensed_medicine.pharmaceutical_product",
"base": {
"max": "1",
"min": 1,
"path": "medication_dispense.dispensed_medicine.pharmaceutical_product"
}
}, {
"path": "medication_dispense.medication_dispense_date_time",
"min": 0,
"definition": "The time at which the medicine was supplied. The date and time at which the medicine is delivered. \r\nNote: this is the time at which the medicine was delivered to the patient (or their administrator/representative) and not the request date.",
"short": "MedicationDispenseDateTime",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Het tijdstip van uitgifte. De datumtijd waarop het geneesmiddel ter hand gesteld wordt. \r\nNoot: het gaat dus om het tijdstip waarop het geneesmiddel aan de patiënt (of diens toediener/vertegenwoordiger) is uitgegeven en niet om de aanschrijfdatum."
} ]
} ]
},
"type": [ {
"code": "dateTime"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "MedicatieverstrekkingsDatumTijd"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.medication_dispense_date_time",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.medication_dispense_date_time"
}
}, {
"path": "medication_dispense.request_date",
"min": 0,
"definition": "The request date is the time at which a pharmacist records an intended dispense.",
"short": "RequestDate",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De aanschrijfdatum is het tijdstip waarop een apotheker een voorgenomen uitgifte vastlegt."
} ]
} ]
},
"type": [ {
"code": "dateTime"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "AanschrijfDatum"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.request_date",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.request_date"
}
}, {
"path": "medication_dispense.distribution_form",
"min": 0,
"definition": "Distribution form",
"short": "DistributionForm",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Distributievorm"
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Distributievorm"
} ]
} ]
},
"binding": {
"strength": "required",
"valueSet": "https://fhir.healthdata.be/ValueSet/MedicatieverstrekkingDistributievorm",
"description": "DistributionForm codes"
},
"max": "1",
"id": "medication_dispense.distribution_form",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.distribution_form"
}
}, {
"path": "medication_dispense.duration_of_use",
"min": 0,
"definition": "The period in which the medication is expected to be used. The value depends on the dose and the dispensed amount.",
"short": "DurationOfUse",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De verwachte periode, dat het medicament gebruikt zal worden. De waarde hangt samen met de dosering en de verstrekte hoeveelheid."
} ]
} ]
},
"type": [ {
"code": "Quantity"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Verbruiksduur"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.duration_of_use",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.duration_of_use"
}
}, {
"path": "medication_dispense.medication_dispense_additional_information",
"min": 0,
"definition": "Additional information includes details on the structure of the medical dispense. This can be e.g. a reason for deviating from the dispense request. \r\nFor now, this list is used. This list will be replaced by a thesaurus in the G standard at a later stage.",
"short": "MedicationDispenseAdditionalInformation",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Aanvullende informatie bevat bijzonderheden over de invulling van de medicatieverstrekking. Dit kan bijvoorbeeld een reden zijn om af te wijken van het verstrekkingsverzoek.\r\nVooralsnog wordt deze lijst gebruikt. In een later stadium zal deze lijst vervangen worden door een thesaurus in de G-standaard."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "MedicatieverstrekkingAanvullendeInformatie"
} ]
} ]
},
"binding": {
"strength": "required",
"valueSet": "https://fhir.healthdata.be/ValueSet/MedicatieverstrekkingAanvullendeInformatie",
"description": "MedicationDispenseAdditionalInformation codes"
},
"max": "*",
"id": "medication_dispense.medication_dispense_additional_information",
"base": {
"max": "*",
"min": 0,
"path": "medication_dispense.medication_dispense_additional_information"
}
}, {
"path": "medication_dispense.dispensed_amount",
"min": 0,
"definition": "Number of units of the product (measured based on the relevant product code) supplied. Optionally a translation to NHG table Gebruiksvoorschriften(Table 25) is also allowed.",
"short": "DispensedAmount",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Aantal eenheden van het product (gemeten op basis van de relevante productcode) dat is afgeleverd. Optioneel is voor de eenheid in plaats van gebruik van UCUM eenheden ook een vertaling toegestaan naar NHG tabel Gebruiksvoorschriften (tabel 25)"
} ]
} ]
},
"type": [ {
"code": "Quantity"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "VerstrekteHoeveelheid"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.dispensed_amount",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.dispensed_amount"
}
}, {
"path": "medication_dispense.dispense_location",
"min": 0,
"definition": "Dispense location",
"short": "DispenseLocation",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Afleverlocatie"
} ]
} ]
},
"type": [ {
"code": "string"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Afleverlocatie"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.dispense_location",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.dispense_location"
}
}, {
"path": "medication_dispense.comment",
"min": 0,
"definition": "Comments on the dispense.",
"short": "Comment",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Opmerkingen met betrekking tot de verstrekking."
} ]
} ]
},
"type": [ {
"code": "string"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Toelichting"
} ]
} ]
},
"max": "1",
"id": "medication_dispense.comment",
"base": {
"max": "1",
"min": 0,
"path": "medication_dispense.comment"
}
} ]
},
"contact": [ {
"name": "Service Portal - Sciensano",
"telecom": [ {
"use": "work",
"value": "https://sciensano.service-now.com/sp",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}