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{
  "resourceType": "StructureDefinition",
  "id": "zib-AdministrationAgreement",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement",
  "version": "2.2.8",
  "name": "Zib AdministrationAgreement",
  "title": "HCIM AdministrationAgreement",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This profile is based on the Dutch Health and Care Information (HCIM) models (Dutch: Zorginformatiebouwsteen or ZIB) Toedieningsafspraak version 1.0, year 2017.",
  "purpose": "The goal of the administration agreement is to provide insight into the concrete instructions for administration/use of medication.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-administrationagreement-v1.0.1-2017EN",
      "uri": "https://zibs.nl/wiki/AdministrationAgreement-v1.0.1(2017EN)",
      "name": "HCIM AdministrationAgreement-v1.0.1(2017EN)"
    },
    {
      "identity": "hcim-instructionsforuse-v1.1-2017EN",
      "uri": "https://zibs.nl/wiki/InstructionsForUse-v1.1(2017EN)",
      "name": "HCIM InstructionsForUse-v1.1(2017EN)"
    },
    {
      "identity": "hcim-basicelements-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
      "name": "HCIM BasicElements-v1.0(2017EN)"
    },
    {
      "identity": "Medication-Process-v09",
      "uri": "https://decor.nictiz.nl/medicatieproces/mp-html-20181220T121121/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."
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "MedicationDispense",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationDispense",
        "path": "MedicationDispense",
        "short": "AdministrationAgreement",
        "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.",
        "alias": [
          "Toedieningsafspraak"
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.20132",
            "comment": "AdministrationAgreement"
          }
        ]
      },
      {
        "id": "MedicationDispense.extension",
        "path": "MedicationDispense.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationDispense.extension:authoredOn",
        "path": "MedicationDispense.extension",
        "sliceName": "authoredOn",
        "short": "AdministrationAgreementDateTime",
        "definition": "The time at which the agreement was made.",
        "alias": [
          "ToedieningsafspraakDatumTijd"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AuthoredOn"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.20133",
            "comment": "AdministrationAgreementDateTime"
          }
        ]
      },
      {
        "id": "MedicationDispense.extension:agreementReason",
        "path": "MedicationDispense.extension",
        "sliceName": "agreementReason",
        "short": "AgreementReason",
        "definition": "Reason for this agreement. This will often be the same reason as the one for the medication agreement.  This 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",
        "alias": [
          "RedenAfspraak"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AgreementReason"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22499",
            "comment": "AgreementReason"
          }
        ]
      },
      {
        "id": "MedicationDispense.extension:periodOfUse",
        "path": "MedicationDispense.extension",
        "sliceName": "periodOfUse",
        "short": "PeriodOfUse",
        "definition": "Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original administration agreement. The end date indicates from when the medication is to be discontinued.\r\n\r\nEnd date: The time at which the period of use ends (or ended or will end). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date.\r\n\r\nWith medication for an indefinite period only a start date is indicated.",
        "comment": "According to the HCIM TimeInterval, a time interval is defined by either a start and end time, a start time and duration, or a duration and end time. As this HCIM is expressed by the periodOfUse and usageDuration extensions in this profile, this means that precisely two elements out of `.valuePeriod.start`, `.valuePeriod.end` (both in the periodOfUse extension) and `.valueDuration` (in the usageDuration extension) should be present in order to correctly represent the time interval in which the agreement is used (and in particular not all three elements).",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22660",
            "comment": "Maps to the \"start date\" and \"end date\" portion of the \"PeriodOfUse\" element"
          }
        ]
      },
      {
        "id": "MedicationDispense.extension:usageDuration",
        "path": "MedicationDispense.extension",
        "sliceName": "usageDuration",
        "short": "Duration",
        "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.",
        "comment": "According to the HCIM TimeInterval, a time interval is defined by either a start and end time, a start time and duration, or a duration and end time. As this HCIM is expressed by the periodOfUse and usageDuration extensions in this profile, this means that precisely two elements out of `.valuePeriod.start`, `.valuePeriod.end` (both in the periodOfUse extension) and `.valueDuration` (in the usageDuration extension) should be present in order to correctly represent the time interval in which the agreement is used (and in particular not all three elements).",
        "alias": [
          "Gebruiksduur"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22660",
            "comment": "Maps to the \"duration\" portion of the \"PeriodOfUse\" element"
          }
        ]
      },
      {
        "id": "MedicationDispense.extension:additionalInformation",
        "path": "MedicationDispense.extension",
        "sliceName": "additionalInformation",
        "short": "AdministrationAgreementAdditionalInformation",
        "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.",
        "alias": [
          "ToedieningsafspraakAanvullendeInformatie"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.23284",
            "comment": "AdministrationAgreementAdditionalInformation"
          }
        ]
      },
      {
        "id": "MedicationDispense.extension:additionalInformation.valueCodeableConcept:valueCodeableConcept",
        "path": "MedicationDispense.extension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "example": [
          {
            "label": "Example of AdditionalInformation",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999",
                  "code": "4",
                  "display": "Medicatieafspraak gewijzigd: dosering"
                }
              ]
            }
          }
        ],
        "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",
            "display": "ToedieningsafspraakAanvullendeInformatieCodelijst"
          }
        }
      },
      {
        "id": "MedicationDispense.extension:medicationTreatment",
        "path": "MedicationDispense.extension",
        "sliceName": "medicationTreatment",
        "short": "Medication Treatment",
        "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.",
        "comment": "No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided.",
        "alias": [
          "Medicamenteuze behandeling"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment"
          }
        ],
        "mapping": [
          {
            "identity": "Medication-Process-v09",
            "map": "mp-dataelement900-22092",
            "comment": "Medicamenteuze behandeling"
          }
        ]
      },
      {
        "id": "MedicationDispense.modifierExtension",
        "path": "MedicationDispense.modifierExtension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationDispense.modifierExtension:stopType",
        "path": "MedicationDispense.modifierExtension",
        "sliceName": "stopType",
        "short": "AdministrationAgreementStopType",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22498",
            "comment": "AdministrationAgreementStopType"
          }
        ]
      },
      {
        "id": "MedicationDispense.modifierExtension:stopType.valueCodeableConcept:valueCodeableConcept",
        "path": "MedicationDispense.modifierExtension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "binding": {
          "strength": "required"
        }
      },
      {
        "id": "MedicationDispense.modifierExtension:repeatPeriodCyclicalSchedule",
        "path": "MedicationDispense.modifierExtension",
        "sliceName": "repeatPeriodCyclicalSchedule",
        "label": "HerhaalperiodeCyclischSchema",
        "short": "RepeatPeriodCyclicalSchedule",
        "definition": "The repeated period in a cyclical schedule (of one or more dosing instructions). A cyclic schedule is noted in days, the corresponding dosing duration is also in days.\r\n\r\nExamples of a cyclical schedule: contraceptive pill (21 days, 1 pill 1x a day, then skip for 7 days, repeat), repeat period here is 28 days.\r\nRepeatPeriodCyclicalSchedule",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-instructionsforuse-v1.1-2017EN",
            "map": "NL-CM:9.12.22505",
            "comment": "RepeatPeriodCyclicalSchedule"
          }
        ]
      },
      {
        "id": "MedicationDispense.identifier",
        "path": "MedicationDispense.identifier",
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.6",
            "comment": "IdentificationNumber"
          }
        ]
      },
      {
        "id": "MedicationDispense.status",
        "path": "MedicationDispense.status",
        "short": "CanceledIndicator",
        "definition": "In the event of an error correction, the value of this element shall be 'entered-in-error'.",
        "alias": [
          "GeannuleerdIndicator"
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.23034",
            "comment": "CanceledIndicator. Use status code entered-in-error when CanceledIndicator = true."
          }
        ]
      },
      {
        "id": "MedicationDispense.category",
        "path": "MedicationDispense.category",
        "min": 1
      },
      {
        "id": "MedicationDispense.category.coding",
        "path": "MedicationDispense.category.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationDispense.category.coding:administrationAgreementCode",
        "path": "MedicationDispense.category.coding",
        "sliceName": "administrationAgreementCode",
        "short": "AdministrationAgreementCode",
        "definition": "Category SNOMED code used for indexing/retrieval of the HCIM AdministrationAgreement. The SNOMED code 422037009 for this resource is stated in the Medication Process v09.",
        "max": "1"
      },
      {
        "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",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationDispense.category.coding.display",
        "defaultValueString": "Provider medication administration instructions (procedure)"
      },
      {
        "id": "MedicationDispense.medication[x]:medicationReference",
        "path": "MedicationDispense.medicationReference",
        "sliceName": "medicationReference",
        "short": "MedicineForAdministrationAgreement",
        "definition": "Medicine in the AdministrationAgreement.",
        "comment": "-",
        "alias": [
          "GeneesmiddelBijToedieningsAfspraak",
          "Product"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.20237",
            "comment": "MedicineForAdministrationAgreement"
          }
        ]
      },
      {
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.11",
            "comment": "Subject"
          }
        ]
      },
      {
        "id": "MedicationDispense.context",
        "path": "MedicationDispense.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
          }
        ]
      },
      {
        "id": "MedicationDispense.performer",
        "path": "MedicationDispense.performer",
        "short": "Supplier",
        "definition": "The supplier (pharmacist) that entered the administration agreement.",
        "alias": [
          "Verstrekker"
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22097",
            "comment": "Supplier"
          },
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.7",
            "comment": "Author"
          }
        ]
      },
      {
        "id": "MedicationDispense.performer.actor",
        "path": "MedicationDispense.performer.actor",
        "comment": "The health professional's speciality, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile.",
        "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.actor.extension",
        "path": "MedicationDispense.performer.actor.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationDispense.performer.actor.extension:practitionerRole",
        "path": "MedicationDispense.performer.actor.extension",
        "sliceName": "practitionerRole",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
          }
        ]
      },
      {
        "id": "MedicationDispense.performer.onBehalfOf",
        "path": "MedicationDispense.performer.onBehalfOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
          }
        ]
      },
      {
        "id": "MedicationDispense.authorizingPrescription",
        "path": "MedicationDispense.authorizingPrescription",
        "short": "MedicationAgreement",
        "definition": "Relationship to the medication agreement on which the administration agreement is based.",
        "alias": [
          "Medicatieafspraak"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22394",
            "comment": "MedicationAgreement"
          }
        ]
      },
      {
        "id": "MedicationDispense.note",
        "path": "MedicationDispense.note",
        "short": "Comment",
        "definition": "Comments on the administration agreement.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22275",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "MedicationDispense.dosageInstruction",
        "path": "MedicationDispense.dosageInstruction",
        "type": [
          {
            "code": "Dosage",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-administrationagreement-v1.0.1-2017EN",
            "map": "NL-CM:9.8.22098",
            "comment": "InstructionsForUse"
          },
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.14",
            "comment": "DateTime"
          }
        ]
      }
    ]
  }
}

name : Zib AdministrationAgreement

{

}