{
"description": "This profile is based on the Dutch Health and Care Information (HCIM) models (Dutch: Zorginformatiebouwsteen or ZIB) nl.zorg.Verstrekking version 1.0, year 2017.",
"_filename": "zib-AdministrationAgreement.json",
"package_name": "nictiz.fhir.nl.stu3.zib2015",
"date": "2016-12-12T16:39:05.96+00:00",
"derivation": "constraint",
"meta": {
"versionId": "3",
"lastUpdated": "2017-12-06T15:16:05.282+01:00"
},
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "The goal of the administration agreement is to provide insight into the concrete instructions for administration/use of medication.",
"name": "ZIB-AdministrationAgreement",
"mapping": [ {
"uri": "https://zibs.nl/wiki/AdministrationAgreement-v1.0(2017EN)",
"name": "HCIM AdministrationAgreement-v1.0(2017EN)",
"identity": "hcim-administrationagreement-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 Administration Agreement",
"package_version": "1.0.0",
"status": "retired",
"id": "ddf53bd2-4e84-494d-b69c-10f7f55b6a3e",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement",
"version": "1.0",
"differential": {
"element": [ {
"id": "MedicationDispense",
"path": "MedicationDispense",
"alias": [ "Toedieningsafspraak" ],
"short": "AdministrationAgreement",
"mapping": [ {
"map": "NL-CM:9.8.20132",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"definition": "An administration agreement is the use (or administering) instructions from the pharmacist to the patient (or their representative or administrator), whereby a medication agreement is structured at a concrete level."
}, {
"id": "MedicationDispense.extension",
"path": "MedicationDispense.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "MedicationDispense.extension",
"definition": "The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days.",
"short": "Duration",
"mapping": [ {
"map": "NL-CM:9.8.22660",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
} ],
"sliceName": "usageDuration",
"alias": [ "Gebruiksduur" ],
"max": "1",
"id": "MedicationDispense.extension:usageDuration"
}, {
"id": "MedicationDispense.extension:usageDuration.valueDuration:valueDuration",
"path": "MedicationDispense.extension.valueDuration",
"sliceName": "valueDuration"
}, {
"path": "MedicationDispense.extension",
"definition": "The time at which the agreement was made.",
"short": "AdministrationAgreementDateTime",
"mapping": [ {
"map": "NL-CM:9.8.20133",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AuthoredOn"
} ],
"sliceName": "authoredOn",
"alias": [ "ToedieningsafspraakDatumTijd" ],
"max": "1",
"id": "MedicationDispense.extension:authoredOn"
}, {
"id": "MedicationDispense.extension:authoredOn.valueDateTime:valueDateTime",
"path": "MedicationDispense.extension.valueDateTime",
"sliceName": "valueDateTime"
}, {
"path": "MedicationDispense.extension",
"definition": "Reason for this agreement. This will often be the same reason as the one for the medication agreement. \r\nThis field has the option to - if applicable - enter a specific reason for the administration agreement. Examples include: substitution, transfer to GDS, patient request for different product, etc",
"short": "AgreementReason",
"mapping": [ {
"map": "NL-CM:9.8.22499",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AgreementReason"
} ],
"sliceName": "agreementReason",
"alias": [ "RedenAfspraak" ],
"max": "1",
"id": "MedicationDispense.extension:agreementReason"
}, {
"id": "MedicationDispense.extension:agreementReason.valueString:valueString",
"path": "MedicationDispense.extension.valueString",
"sliceName": "valueString"
}, {
"id": "MedicationDispense.extension:periodOfUse",
"path": "MedicationDispense.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse"
} ],
"short": "PeriodOfUse",
"mapping": [ {
"map": "NL-CM:9.8.22660",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"sliceName": "periodOfUse",
"definition": "Optional Extensions Element - found in all resources."
}, {
"path": "MedicationDispense.extension",
"definition": "Additional information includes details on the structure of the agreement made. \r\n\r\nThis element mainly contains information that until now has been structured with ZZ rules. The medication-related topics that are now supported by the ZZ rules are best supported with a system functionality. A process has been started for this by Z-index/KNMP. For now, the following list will be used. This list will be replaced by a thesaurus in the G standard at a later stage.",
"short": "AdministrationAgreementAdditionalInformation",
"mapping": [ {
"map": "NL-CM:9.8.23284",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
} ],
"sliceName": "additionalInformation",
"alias": [ "ToedieningsafspraakAanvullendeInformatie" ],
"max": "1",
"id": "MedicationDispense.extension:additionalInformation"
}, {
"id": "MedicationDispense.extension:additionalInformation.valueCodeableConcept:valueCodeableConcept",
"path": "MedicationDispense.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "AdministrationAgreementAdditionalInformation",
"valueSetReference": {
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.8.2--20171231000000"
}
},
"example": [ {
"label": "Example of AdditionalInformation",
"valueCodeableConcept": {
"coding": [ {
"code": "4",
"display": "Medicatieafspraak gewijzigd: dosering"
} ]
}
} ],
"sliceName": "valueCodeableConcept"
}, {
"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.modifierExtension",
"path": "MedicationDispense.modifierExtension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "MedicationDispense.modifierExtension:stopType",
"max": "1",
"path": "MedicationDispense.modifierExtension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
} ],
"short": "AdministrationAgreementStopType",
"mapping": [ {
"map": "NL-CM:9.8.22498",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"sliceName": "stopType"
}, {
"id": "MedicationDispense.modifierExtension:stopType.valueCodeableConcept:valueCodeableConcept",
"path": "MedicationDispense.modifierExtension.valueCodeableConcept",
"binding": {
"strength": "required"
},
"sliceName": "valueCodeableConcept"
}, {
"id": "MedicationDispense.identifier",
"path": "MedicationDispense.identifier",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "MedicationDispense.identifier:AdministrationAgreementIdentifier",
"max": "1",
"path": "MedicationDispense.identifier",
"sliceName": "AdministrationAgreementIdentifier"
}, {
"id": "MedicationDispense.status",
"path": "MedicationDispense.status",
"alias": [ "GeannuleerdIndicator" ],
"short": "CanceledIndicator",
"mapping": [ {
"map": "NL-CM:9.8.23034",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"definition": "In the event of an error correction, the value of this element shall be 'entered-in-error'."
}, {
"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:AdministrationAgreementCode",
"max": "1",
"path": "MedicationDispense.category.coding",
"short": "AdministrationAgreementCode",
"sliceName": "AdministrationAgreementCode",
"definition": "Category snomed code used for indexing/retrieval of the ZIB AdministrationAgremeent. The snomed code 422037009 for this resource is stated in the Medication Process v09."
}, {
"id": "MedicationDispense.category.coding:AdministrationAgreementCode.system",
"path": "MedicationDispense.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "MedicationDispense.category.coding:AdministrationAgreementCode.code",
"path": "MedicationDispense.category.coding.code",
"fixedCode": "422037009"
}, {
"id": "MedicationDispense.category.coding:AdministrationAgreementCode.display",
"path": "MedicationDispense.category.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"fixedString": "Provider medication administration instructions (procedure)"
}, {
"id": "MedicationDispense.medication[x]",
"path": "MedicationDispense.medication[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
} ],
"alias": [ "GeneesmiddelBijToedieningsAfspraak", "Product" ],
"short": "MedicineForAdministrationAgreement",
"mapping": [ {
"map": "NL-CM:9.8.20237",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"definition": "Medicine in the AdministrationAgreement."
}, {
"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.supportingInformation",
"path": "MedicationDispense.supportingInformation",
"alias": [ "Medicatieafspraak" ],
"short": "MedicationAgreement",
"mapping": [ {
"map": "NL-CM:9.8.22394",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"definition": "Relationship to the medication agreement on which the administration agreement is based."
}, {
"id": "MedicationDispense.performer",
"path": "MedicationDispense.performer",
"alias": [ "Verstrekker" ],
"short": "Supplier",
"mapping": [ {
"map": "NL-CM:9.8.22097",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"definition": "The supplier (pharmacist) that entered the administration agreement."
}, {
"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://hl7.org/fhir/StructureDefinition/Device"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
} ]
}, {
"id": "MedicationDispense.performer.onBehalfOf",
"path": "MedicationDispense.performer.onBehalfOf",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
} ]
}, {
"id": "MedicationDispense.note",
"path": "MedicationDispense.note",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:9.8.22275",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ],
"definition": "Comments on the administration agreement."
}, {
"id": "MedicationDispense.dosageInstruction",
"path": "MedicationDispense.dosageInstruction",
"type": [ {
"code": "Dosage",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse"
} ],
"mapping": [ {
"map": "NL-CM:9.8.22098",
"identity": "hcim-administrationagreement-v1.0-2017EN"
} ]
}, {
"id": "MedicationDispense.dosageInstruction.dose[x]",
"path": "MedicationDispense.dosageInstruction.dose[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense"
}