{
"description": "A dispense is the delivery of an amount of medicine to the patient, their administrator or their representative.",
"_filename": "mp-MedicationDispense.json",
"package_name": "nictiz.fhir.nl.r4.medicationprocess9",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This MedicationDispense resource represents the MedicationDispense building block for implementations following the information standard [MP9](https://informatiestandaarden.nictiz.nl/wiki/Landingspagina_Medicatieproces). This profile is based on the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicationDispense, but has no dependency on the corresponding nl-core profile because it contains non-compatible changes. Where compatible, mappings to zib concepts are defined. Additional concepts or concepts that are not compatible with their zib counterparts contain a mapping to the MP9 data set.",
"name": "MpMedicationDispense",
"mapping": [ {
"uri": "https://zibs.nl/wiki/MedicationDispense-v2.0.2(2020EN)",
"name": "zib MedicationDispense-v2.0.2(2020EN)",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
}, {
"uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20240229T110214/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-06-30T000000.html",
"name": "ART-DECOR Dataset MP9 3.0.0-beta.3 20240229",
"identity": "mp-dataset-mp9-300-beta3-20240229"
}, {
"uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20241118T151205/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-06-30T000000.html",
"name": "ART-DECOR Dataset MP9 3.0.0-beta.4 20241118",
"identity": "mp-dataset-mp9-300-beta4-20241118"
} ],
"abstract": false,
"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": "MedicationDispense",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "mp MedicationDispense",
"package_version": "2.0.0-beta.6",
"status": "active",
"id": "07513354-019c-4b56-b2d7-6984e5c4cd7c",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/mp-MedicationDispense",
"version": "2.0.0-beta.6",
"differential": {
"element": [ {
"id": "MedicationDispense",
"path": "MedicationDispense",
"alias": [ "Medicatieverstrekking" ],
"short": "MedicationDispense",
"mapping": [ {
"map": "NL-CM:9.9.20270",
"comment": "MedicationDispense",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ]
}, {
"id": "MedicationDispense.extension:medicationDispenseAdditionalInformation",
"path": "MedicationDispense.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationDispense.MedicationDispenseAdditionalInformation" ]
} ],
"sliceName": "medicationDispenseAdditionalInformation"
}, {
"id": "MedicationDispense.extension:medicationDispenseAdditionalInformation.value[x]",
"path": "MedicationDispense.extension.value[x]",
"mapping": [ {
"map": "mp-dataelement9x-357",
"comment": "MedicationDispenseAdditionalInformation",
"identity": "mp-dataset-mp9-300-beta3-20240229"
}, {
"map": "mp-dataelement9x-357",
"comment": "MedicationDispenseAdditionalInformation",
"identity": "mp-dataset-mp9-300-beta4-20241118"
} ]
}, {
"id": "MedicationDispense.extension:requestDate",
"path": "MedicationDispense.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationDispense.RequestDate" ]
} ],
"sliceName": "requestDate"
}, {
"id": "MedicationDispense.extension:requestDate.value[x]",
"path": "MedicationDispense.extension.value[x]",
"mapping": [ {
"map": "NL-CM:9.9.22500",
"comment": "RequestDate",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ]
}, {
"id": "MedicationDispense.extension:distributionForm",
"path": "MedicationDispense.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationDispense.DistributionForm" ]
} ],
"sliceName": "distributionForm"
}, {
"id": "MedicationDispense.extension:distributionForm.value[x]",
"path": "MedicationDispense.extension.value[x]",
"mapping": [ {
"map": "NL-CM:9.9.20927",
"comment": "DistributionForm",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ]
}, {
"id": "MedicationDispense.extension:pharmaceuticalTreatmentIdentifier",
"path": "MedicationDispense.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier" ]
} ],
"sliceName": "pharmaceuticalTreatmentIdentifier"
}, {
"id": "MedicationDispense.extension:pharmaceuticalTreatmentIdentifier.value[x]",
"path": "MedicationDispense.extension.value[x]",
"mapping": [ {
"map": "mp-dataelement9x-42",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta3-20240229"
}, {
"map": "mp-dataelement9x-42",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta4-20241118"
} ]
}, {
"id": "MedicationDispense.identifier",
"path": "MedicationDispense.identifier",
"alias": [ "Identificatie" ],
"short": "Identification",
"mapping": [ {
"map": "mp-dataelement9x-361",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta3-20240229"
}, {
"map": "mp-dataelement9x-361",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta4-20241118"
} ]
}, {
"id": "MedicationDispense.status",
"path": "MedicationDispense.status",
"comment": "Sending systems that don't record an explicit status can use the following guidance to infer a value from the zib:\r\n\r\n* When MedicationDispenseDateTime exists and its value is in the past, `.status` will usually be set to _completed_.\r\n\r\nMoreover, it is expected that in most use cases only actual, executed, medication dispenses are exchanged which result in a _completed_ value.",
"mapping": [ {
"map": "NL-CM:9.9.20272",
"comment": "MedicationDispenseDateTime (implicit, main mapping is on `.whenHandedOver`)",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ]
}, {
"id": "MedicationDispense.category",
"min": 1,
"path": "MedicationDispense.category",
"patternCodeableConcept": {
"coding": [ {
"code": "373784005",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "MedicationDispense.category.extension:additionalCategory",
"path": "MedicationDispense.category.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory" ]
} ],
"sliceName": "additionalCategory"
}, {
"id": "MedicationDispense.category.extension:additionalCategory.value[x]",
"path": "MedicationDispense.category.extension.value[x]",
"short": "Type of medication dispense",
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/medicationdispense-category"
},
"definition": "Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient))"
}, {
"id": "MedicationDispense.medication[x]",
"path": "MedicationDispense.medication[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "MedicationDispense.medication[x]:medicationReference",
"path": "MedicationDispense.medication[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication", "http://nictiz.nl/fhir/StructureDefinition/mp-PharmaceuticalProduct" ]
} ],
"alias": [ "VerstrektGeneesmiddel" ],
"short": "DispensedMedicine",
"mapping": [ {
"map": "NL-CM:9.9.22259",
"comment": "DispensedMedicine",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"sliceName": "medicationReference",
"definition": "The dispensed medicine."
}, {
"id": "MedicationDispense.subject",
"path": "MedicationDispense.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
} ]
}, {
"id": "MedicationDispense.performer",
"max": "1",
"path": "MedicationDispense.performer"
}, {
"id": "MedicationDispense.performer.actor",
"path": "MedicationDispense.performer.actor",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization" ]
} ],
"alias": [ "Verstrekker" ],
"short": "Supplier",
"comment": "The 'Supplier' concept of zib MedicationDispense is mapped to both `.performer.actor` and `.location`. This is a Reference to an instance of nl-core-HealthcareProvider-Organization instead of to an instance of nl-core-HealthcareProfessional, because individuals who enter the medication dispense are not recorded.",
"mapping": [ {
"map": "NL-CM:9.9.20858",
"comment": "Supplier",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"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."
}, {
"id": "MedicationDispense.location",
"path": "MedicationDispense.location",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" ]
} ],
"alias": [ "Verstrekker" ],
"short": "Supplier",
"comment": "The 'Supplier' concept of zib MedicationDispense is mapped to both `.performer.actor` and `.location`. Details of the physical location of the supplier of the medication dispense can be referenced here.",
"mapping": [ {
"map": "NL-CM:9.9.20858",
"comment": "Supplier",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"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."
}, {
"id": "MedicationDispense.authorizingPrescription",
"max": "1",
"path": "MedicationDispense.authorizingPrescription",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://nictiz.nl/fhir/StructureDefinition/mp-DispenseRequest" ]
} ],
"alias": [ "Verstrekkingsverzoek" ],
"short": "DispenseRequest",
"mapping": [ {
"map": "NL-CM:9.9.22396",
"comment": "DispenseRequest",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"definition": "Relationship to the dispense request."
}, {
"id": "MedicationDispense.quantity",
"path": "MedicationDispense.quantity",
"type": [ {
"code": "Quantity",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-GstdSimpleQuantity" ]
} ],
"alias": [ "VerstrekteHoeveelheid" ],
"short": "DispensedAmount",
"mapping": [ {
"map": "NL-CM:9.9.20923",
"comment": "DispensedAmount",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"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 which is captured using the iso21090-PQ-translation extension."
}, {
"id": "MedicationDispense.daysSupply",
"path": "MedicationDispense.daysSupply",
"alias": [ "Verbruiksduur" ],
"short": "DurationOfUse",
"mapping": [ {
"map": "NL-CM:9.9.20924",
"comment": "DurationOfUse",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"definition": "The period in which the medication is expected to be used. The value depends on the dose and the dispensed amount."
}, {
"id": "MedicationDispense.whenHandedOver",
"path": "MedicationDispense.whenHandedOver",
"alias": [ "MedicatieverstrekkingsDatumTijd" ],
"short": "MedicationDispenseDateTime",
"mapping": [ {
"map": "NL-CM:9.9.20272",
"comment": "MedicationDispenseDateTime",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"definition": "The time at which the medicine was supplied. The date and time at which the medicine is delivered. Note: this is the time at which the medicine was delivered to the patient (or their administrator/representative) and not the request date."
}, {
"id": "MedicationDispense.destination",
"path": "MedicationDispense.destination",
"alias": [ "Afleverlocatie" ],
"short": "DispenseLocation",
"comment": "The `Location.name` elements holds the DispenseLocation information.",
"mapping": [ {
"map": "NL-CM:9.9.20925",
"comment": "DispenseLocation. Use `Location.name`.",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"definition": "Dispense location"
}, {
"id": "MedicationDispense.note",
"max": "1",
"path": "MedicationDispense.note"
}, {
"id": "MedicationDispense.note.text",
"path": "MedicationDispense.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:9.9.22276",
"comment": "Comment",
"identity": "zib-medicationdispense-v2.0.2-2020EN"
} ],
"definition": "Comments on the dispense."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense"
}