{
  "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 Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicationDispense, in a development version that will be released in pre-publication 2022-1. This profile also contains augmentations to the zib with elements found in the transactions of MP9, to provide a profile better suited for implementation purposes.",
  "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-20220402T205710/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-01-05T132845.html",
    "name": "MP9 v2.0.0",
    "identity": "Medication-Process-v9-2-0-0"
  } ],
  "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": "MedicationDispense",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "mp MedicationDispense",
  "package_version": "1.0.0",
  "status": "active",
  "id": "f32c9cc6-85c9-4c02-ba17-fdda2645e2b7",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/mp-MedicationDispense",
  "version": "1.0.0",
  "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",
      "min": 0,
      "path": "MedicationDispense.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationDispense.extension:medicationDispenseAdditionalInformation",
      "min": 0,
      "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-dataelement920-357",
        "comment": "MedicationDispenseAdditionalInformation",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationDispense.extension:requestDate",
      "min": 0,
      "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",
      "min": 0,
      "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",
      "min": 0,
      "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-dataelement920-42",
        "comment": "Identification",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationDispense.identifier",
      "path": "MedicationDispense.identifier",
      "alias": [ "Identificatie" ],
      "short": "Identification",
      "mapping": [ {
        "map": "mp-dataelement920-361",
        "comment": "Identification",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "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 is present and 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.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/nl-core-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",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" ]
      } ],
      "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"
}