{
  "description": "The prescribed substance is usually medication. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Food and blood products do not strictly 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. If one of the composite parts is liquid, the dosage will be given in milliliters; otherwise it will be given in ‘units’.\\r\\n\\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) ingredient(s) of the medication.\\r\\n\\r\\n**Magistral prescriptions** 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.\\r\\nThis is a partial information model.",
  "_filename": "imm-PharmaceuticalProduct.json",
  "package_name": "nictiz.fhir.nl.r4.immunization",
  "date": "2024-06-20",
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "4.0.1",
  "purpose": "This Medication resource represents the PharmaceuticalProduct building block for implementations following the information standard [Vaccination-Immunization](https://informatiestandaarden.nictiz.nl/wiki/imm:Landingspagina_Vaccinatie_Immunisatie). This profile is derived from [mp-PharmaceuticalProduct](http://nictiz.nl/fhir/StructureDefinition/mp-PharmaceuticalProduct) to provide a version better suited for use in Vaccination-Immunization use cases. 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 Vaccination-Immunization data set.",
  "name": "ImmPharmaceuticalProduct",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/PharmaceuticalProduct-v2.1.2(2020EN)",
    "name": "zib PharmaceuticalProduct-v2.1.2(2020EN)",
    "identity": "zib-pharmaceuticalproduct-v2.1.2-2020EN"
  }, {
    "uri": "https://decor.nictiz.nl/pub/immunisatie/imm-html-20240604T065227/ds-2.16.840.1.113883.2.4.3.11.60.131.1.1-2021-11-18T100634.html",
    "name": "ART-DECOR Dataset Vaccination-Immunization 2.0.0-alpha.3 20240604",
    "identity": "imm-dataset-200-alpha3-20240604"
  }, {
    "uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20231017T223005/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.2 20231017",
    "identity": "mp-dataset-mp9-300-beta2-20231017"
  }, {
    "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"
  } ],
  "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": "Medication",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "imm PharmaceuticalProduct",
  "package_version": "2.0.0-alpha.3",
  "status": "draft",
  "id": "f5ec4633-2969-4e50-8932-745ae1931863",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/imm-PharmaceuticalProduct",
  "version": "2.0.0-alpha.3",
  "differential": {
    "element": [ {
      "id": "Medication",
      "path": "Medication",
      "mapping": [ {
        "map": "imm-dataelement-317",
        "comment": "PharmaceuticalProduct",
        "identity": "imm-dataset-200-alpha3-20240604"
      } ]
    }, {
      "id": "Medication.identifier",
      "path": "Medication.identifier",
      "alias": [ "Serienummer" ],
      "short": "SerialNumber",
      "mapping": [ {
        "map": "imm-dataelement-146",
        "comment": "SerialNumber",
        "identity": "imm-dataset-200-alpha3-20240604"
      } ],
      "definition": "The serial number uniquely identifies the source of information of the dose itself. The number is constructed according to the GS1 standard AI(21)."
    }, {
      "id": "Medication.code",
      "path": "Medication.code",
      "short": "ProductCode",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.131.11.7--20240507084413"
      },
      "comment": "A G-Standaard code is preferred over a SNOMED CT code. If both codes are available, a SNOMED CT code can be used as an alternative coding.\r\n\r\nEg. SNOMED CT code “871878002 | vaccin met uitsluitend antigenen van Corynebacterium diphtheriae, Bordetella pertussis, Clostridium tetani en humaan poliovirus (farmaceutisch product)” can be used as an alternative code for GPK code \"130745 | DKTP VACCIN (TRIAXIS POLIO)\". These concepts may differ slightly in the sense that the SNOMED code often is more generic compared to the G-Standaard code, but it may not be a different product.",
      "mapping": [ {
        "map": "imm-dataelement-318",
        "comment": "ProductCode",
        "identity": "imm-dataset-200-alpha3-20240604"
      } ],
      "definition": "Coding medication in the Netherlands is done on the basis of the G-standaard (issued by Z-index), which is filled under the direction of Royal Dutch Pharmacists Association (KNMP). The coded medication can be expressed as:\r\n* ZI number\r\n* Trade product code (HPK)\r\n* Prescription code (PRK)\r\n* Generic product code (GPK)\r\n* SNOMED CT code\r\n\r\nThe ZI number represents the trade product and the package size. The HPK is the trade product as registered and marketed by the manufacturer.The PRK contains all GPK information supplemented with information needed to prescribe the right product. This level is intended to facilitate generic prescription of drugs. The GPK defines the pharmaceutical characteristics of a product: ingredients, strengths, units, pharmaceutical form and route of administration.Further information about the G-Standaard levels see https://www.z-index.nl. So-called 90.000.000 numbers are used in local IT systems. The 90.000.000 number is used in accordance with national agreements.\r\n\r\nSNOMED CT can be used as an alternative coding for a pharmaceutical product, for example it is used to describe the vaccinations from the Dutch National Immunisation Programme more generically based on the combination of substances (for example DKTP vaccine). With historical vaccines, a G-Standaard code is not always present, but it is recommended to record it for current processing. The SNOMED CT code for the same product can also be registered as an alternative."
    }, {
      "id": "Medication.batch.lotNumber",
      "path": "Medication.batch.lotNumber",
      "alias": [ "Batchnummer" ],
      "short": "Batch/lotNumber",
      "mapping": [ {
        "map": "imm-dataelement-145",
        "comment": "Batch/lotNumber",
        "identity": "imm-dataset-200-alpha3-20240604"
      } ],
      "definition": "The batch/lot number provides a unique identification of the origin of information such as the production batch or machine number. The number is constructed according to the GS1 standard AI(10)."
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "https://www.nictiz.nl",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/mp-PharmaceuticalProduct"
}