{
"description": "This profile is based on Medicatieproces V9.0.6 and the related Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) MedicationDispense version 2.0, year 2017.\\r\\nA dispense is the delivery of an amount of medicine to the patient, their administrator or their representative.",
"_filename": "ZIB-Dispense.json",
"package_name": "PGO.02",
"date": "2018-09-18T16:39:05.96+00:00",
"derivation": "constraint",
"meta": {
"versionId": "7",
"lastUpdated": "2018-09-18T16:39:05.96+00:00"
},
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "The goal of the dispense is to provide insight into which products are delivered by the pharmacist to the patient (or their representative)",
"name": "Zib Dispense",
"mapping": [ {
"uri": "https://zibs.nl/wiki/Dispense-v1.0(2017EN)",
"name": "HCIM Dispense-v1.0(2017EN)",
"identity": "hcim-dispense-v1.0-2017EN"
}, {
"uri": "https://decor.nictiz.nl/medicatieproces/mp-html-20170829T141253/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.3-2016-06-01T000000.html",
"name": "Medication Process v09",
"comment": "Language of Medication Process is Dutch.",
"identity": "Medication-Process-v09"
} ],
"abstract": false,
"copyright": "CC0",
"type": "MedicationDispense",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM Dispense",
"package_version": "1.02.1",
"status": "active",
"id": "20e0adcd-68b1-4280-a254-c30300c5270a",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-Dispense",
"version": "2.1.2",
"differential": {
"element": [ {
"id": "MedicationDispense",
"path": "MedicationDispense",
"alias": [ "Verstrekking" ],
"short": "MedicationDispense",
"mapping": [ {
"map": "NL-CM:9.9.20270",
"identity": "hcim-dispense-v1.0-2017EN"
} ]
}, {
"id": "MedicationDispense.extension",
"path": "MedicationDispense.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "MedicationDispense.extension",
"definition": "Distribution form.",
"short": "DistributionForm",
"mapping": [ {
"map": "NL-CM:9.9.20927",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm"
} ],
"sliceName": "distributionForm",
"alias": [ "Distributievorm" ],
"max": "1",
"id": "MedicationDispense.extension:distributionForm",
"comment": "For example through Baxter or seperate box."
}, {
"id": "MedicationDispense.extension:distributionForm.valueCodeableConcept",
"path": "MedicationDispense.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "VerstrekkingDistributievormCodelijst",
"valueSetReference": {
"display": "MedicatieverstrekkingDistributievormCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000"
}
}
}, {
"path": "MedicationDispense.extension",
"definition": "The time at which a pharmacist records an intended dispense. ",
"short": "RequestDate",
"mapping": [ {
"map": "NL-CM:9.9.2250",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate"
} ],
"sliceName": "requestDate",
"alias": [ "Aanschrijfdatum" ],
"max": "1",
"id": "MedicationDispense.extension:requestDate"
}, {
"id": "MedicationDispense.extension:requestDate.valueDateTime",
"path": "MedicationDispense.extension.valueDateTime"
}, {
"path": "MedicationDispense.extension",
"definition": "Additional information includes details on the structure of the dispense. This can be e.g. a reason for deviating from the dispense request. For now, this list is used. This list will be replaced by a thesaurus in the G standard at a later stage.",
"short": "DispenseAdditionalInformation",
"mapping": [ {
"map": "NL-CM:9.9.23285",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
} ],
"sliceName": "additionalInformation",
"alias": [ "VerstrekkingAanvullendeInformatie" ],
"max": "1",
"id": "MedicationDispense.extension:additionalInformation"
}, {
"id": "MedicationDispense.extension:additionalInformation.valueCodeableConcept",
"path": "MedicationDispense.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "VerstrekkingAanvullendeInformatieCodelijst",
"valueSetReference": {
"display": "MedicatieverstrekkingAanvullendeInformatieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000"
}
},
"example": [ {
"label": "Example of DispenseAdditionalInformation",
"valueCodeableConcept": {
"coding": [ {
"code": "1",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052",
"display": "Aantal bewust gewijzigd"
} ]
}
} ]
}, {
"path": "MedicationDispense.extension",
"definition": "This extension is to describe which overarching medication treatment this information is part of. This is done by the use of an identifier of that medication treatment.",
"short": "Medication Treatment",
"mapping": [ {
"map": "mp-dataelement900-22092",
"identity": "Medication-Process-v09"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment"
} ],
"sliceName": "medicationTreatment",
"alias": [ "Medicamenteuze behandeling" ],
"max": "1",
"id": "MedicationDispense.extension:medicationTreatment",
"comment": "No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided."
}, {
"id": "MedicationDispense.identifier",
"path": "MedicationDispense.identifier",
"alias": [ "VerstrekkingIdentificatie" ],
"short": "DispenseIdentifier",
"mapping": [ {
"map": "mp-dataelement900-20271",
"identity": "Medication-Process-v09"
} ]
}, {
"id": "MedicationDispense.partOf",
"path": "MedicationDispense.partOf",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure"
} ]
}, {
"id": "MedicationDispense.category",
"min": 1,
"path": "MedicationDispense.category"
}, {
"id": "MedicationDispense.category.coding",
"path": "MedicationDispense.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "MedicationDispense.category.coding:DispenseCode",
"path": "MedicationDispense.category.coding",
"short": "DispenseCode",
"sliceName": "DispenseCode",
"definition": "Category snomed code used for indexing/retrieval of the ZIB Dispense. The snomed code 373784005 for this resource is stated in the Medication Process v09."
}, {
"id": "MedicationDispense.category.coding:DispenseCode.system",
"path": "MedicationDispense.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "MedicationDispense.category.coding:DispenseCode.code",
"path": "MedicationDispense.category.coding.code",
"fixedCode": "373784005"
}, {
"id": "MedicationDispense.category.coding:DispenseCode.display",
"path": "MedicationDispense.category.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"fixedString": "Dispensing medication (procedure)"
}, {
"id": "MedicationDispense.medication[x]",
"path": "MedicationDispense.medication[x]",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
} ],
"alias": [ "VerstrekGeneesmiddel" ],
"short": "DispensedMedicine",
"mapping": [ {
"map": "NL-CM:9.9.22259",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"definition": "The dispensed medicine."
}, {
"id": "MedicationDispense.subject",
"path": "MedicationDispense.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
} ]
}, {
"id": "MedicationDispense.context",
"path": "MedicationDispense.context",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Contact"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
} ]
}, {
"id": "MedicationDispense.performer",
"path": "MedicationDispense.performer",
"alias": [ "Verstrekker" ],
"short": "Supplier",
"mapping": [ {
"map": "NL-CM:9.9.20858",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"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.performer.actor",
"path": "MedicationDispense.performer.actor",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
} ]
}, {
"id": "MedicationDispense.authorizingPrescription",
"max": "1",
"path": "MedicationDispense.authorizingPrescription",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-DispenseRequest"
} ],
"alias": [ "Verstrekkingsverzoek" ],
"short": "DispenseRequest",
"mapping": [ {
"map": "NL-CM:9.9.22396",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"definition": "Relationship to the dispense request."
}, {
"id": "MedicationDispense.quantity",
"path": "MedicationDispense.quantity",
"alias": [ "VerstrekteHoeveelheid" ],
"short": "DispensedAmount",
"mapping": [ {
"map": "NL-CM:9.9.20923",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"definition": "Number of units of the product (measured based on the relevant product code) supplied."
}, {
"id": "MedicationDispense.daysSupply",
"path": "MedicationDispense.daysSupply",
"alias": [ "VerbruiksDuur" ],
"short": "DurationOfUse",
"mapping": [ {
"map": "NL-CM:9.9.20924",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"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": [ "VerstrekkingsDatumTijd" ],
"short": "DispenseDateTime",
"example": [ {
"label": "Example of DispenseDateTime",
"valueDateTime": "2017-05-17"
} ],
"mapping": [ {
"map": "NL-CM:9.9.20272",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"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."
}, {
"id": "MedicationDispense.destination",
"path": "MedicationDispense.destination",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-location"
} ],
"alias": [ "Afleverlocatie" ],
"short": "DispenseLocation",
"mapping": [ {
"map": "NL-CM:9.9.20925",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"definition": "Dispense location."
}, {
"id": "MedicationDispense.receiver",
"path": "MedicationDispense.receiver",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
} ]
}, {
"id": "MedicationDispense.note",
"path": "MedicationDispense.note",
"alias": [ "Toelichting", "Aanvullende informatie" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:9.9.22276",
"identity": "hcim-dispense-v1.0-2017EN"
} ],
"definition": "Comments or additional information on the dispense.\r\nAdditional information includes details on the structure of the dispense. This can be e.g. a reason for deviating from the dispense request."
}, {
"id": "MedicationDispense.dosageInstruction",
"max": "0",
"path": "MedicationDispense.dosageInstruction",
"definition": "Dosage instructions are part of an AdministrationAgreement"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense"
}