<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="A medication dispense is the provision of a supply of a medicine to the patient, their representative or administrator." /> <purpose value="This MedicationDispense resource represents the MedicationDispense building block for implementations following the information standard [MP9](https://informatiestandaarden.nictiz.nl/wiki/Landingspagina_Medicatieproces). This profile is based on the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicationDispense, but has no dependency on the corresponding nl-core profile because it contains non-compatible changes. 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 MP9 data set." /> <copyright value="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." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <uri value="https://zibs.nl/wiki/MedicationDispense-v2.0.2(2020EN)" /> <name value="zib MedicationDispense-v2.0.2(2020EN)" /> </mapping> <mapping> <identity value="mp-dataset-mp9-300-rc1-20250522" /> <uri value="https://decor.nictiz.nl/pub/medicatieproces/mp-html-20250522T132618/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-06-30T000000.html" /> <name value="ART-DECOR Dataset MP9 3.0.0-rc.1 20250522" /> </mapping> <mapping> <identity value="mp-dataset-mp9-300-rc2-20260213" /> <uri value="https://decor.nictiz.nl/pub/medicatieproces/mp-html-20260213T112547/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-06-30T000000.html" /> <name value="ART-DECOR Dataset MP9 3.0.0-rc.2 20260213" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationDispense" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationDispense" /> <derivation value="constraint" /> <differential> <element id="MedicationDispense"> <path value="MedicationDispense" /> <short value="MedicationDispense" /> <alias value="Medicatieverstrekking" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20270" /> <comment value="MedicationDispense" /> </mapping> </element> <element id="MedicationDispense.extension:medicationDispenseAdditionalInformation"> <path value="MedicationDispense.extension" /> <sliceName value="medicationDispenseAdditionalInformation" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-MedicationDispense.MedicationDispenseAdditionalInformation" /> </type> </element> <element id="MedicationDispense.extension:medicationDispenseAdditionalInformation.value[x]"> <path value="MedicationDispense.extension.value[x]" /> <mapping> <identity value="mp-dataset-mp9-300-rc1-20250522" /> <map value="mp-dataelement9x-357" /> <comment value="MedicationDispenseAdditionalInformation" /> </mapping> <mapping> <identity value="mp-dataset-mp9-300-rc2-20260213" /> <map value="mp-dataelement9x-357" /> <comment value="MedicationDispenseAdditionalInformation" /> </mapping> </element> <element id="MedicationDispense.extension:requestDate"> <path value="MedicationDispense.extension" /> <sliceName value="requestDate" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-MedicationDispense.RequestDate" /> </type> </element> <element id="MedicationDispense.extension:requestDate.value[x]"> <path value="MedicationDispense.extension.value[x]" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.22500" /> <comment value="RequestDate" /> </mapping> </element> <element id="MedicationDispense.extension:distributionForm"> <path value="MedicationDispense.extension" /> <sliceName value="distributionForm" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-MedicationDispense.DistributionForm" /> </type> </element> <element id="MedicationDispense.extension:distributionForm.value[x]"> <path value="MedicationDispense.extension.value[x]" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20927" /> <comment value="DistributionForm" /> </mapping> </element> <element id="MedicationDispense.extension:pharmaceuticalTreatmentIdentifier"> <path value="MedicationDispense.extension" /> <sliceName value="pharmaceuticalTreatmentIdentifier" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier" /> </type> </element> <element id="MedicationDispense.extension:pharmaceuticalTreatmentIdentifier.value[x]"> <path value="MedicationDispense.extension.value[x]" /> <mapping> <identity value="mp-dataset-mp9-300-rc1-20250522" /> <map value="mp-dataelement9x-42" /> <comment value="Identification" /> </mapping> <mapping> <identity value="mp-dataset-mp9-300-rc2-20260213" /> <map value="mp-dataelement9x-42" /> <comment value="Identification" /> </mapping> </element> <element id="MedicationDispense.identifier"> <path value="MedicationDispense.identifier" /> <short value="Identification" /> <alias value="Identificatie" /> <mapping> <identity value="mp-dataset-mp9-300-rc1-20250522" /> <map value="mp-dataelement9x-361" /> <comment value="Identification" /> </mapping> <mapping> <identity value="mp-dataset-mp9-300-rc2-20260213" /> <map value="mp-dataelement9x-361" /> <comment value="Identification" /> </mapping> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status" /> <comment value="Sending systems that don't record an explicit status can use the following guidance to infer a value from the zib: * When MedicationDispenseDateTime exists and its value is in the past, `.status` will usually be set to _completed_. Moreover, it is expected that in most use cases only actual, executed, medication dispenses are exchanged which result in a _completed_ value." /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20272" /> <comment value="MedicationDispenseDateTime (implicit, main mapping is on `.whenHandedOver`)" /> </mapping> </element> <element id="MedicationDispense.category"> <path value="MedicationDispense.category" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="373784005" /> </coding> </patternCodeableConcept> </element> <element id="MedicationDispense.category.extension:additionalCategory"> <path value="MedicationDispense.category.extension" /> <sliceName value="additionalCategory" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory" /> </type> </element> <element id="MedicationDispense.category.extension:additionalCategory.value[x]"> <path value="MedicationDispense.category.extension.value[x]" /> <short value="Type of medication dispense" /> <definition value="Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient))" /> <binding> <strength value="preferred" /> <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-category" /> </binding> </element> <element id="MedicationDispense.medication[x]"> <path value="MedicationDispense.medication[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationDispense.medication[x]:medicationReference"> <path value="MedicationDispense.medication[x]" /> <sliceName value="medicationReference" /> <short value="DispensedMedicine" /> <definition value="The dispensed medicine." /> <alias value="VerstrektGeneesmiddel" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/mp-PharmaceuticalProduct" /> </type> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.22259" /> <comment value="DispensedMedicine" /> </mapping> </element> <element id="MedicationDispense.subject"> <path value="MedicationDispense.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> </type> </element> <element id="MedicationDispense.performer"> <path value="MedicationDispense.performer" /> <max value="1" /> </element> <element id="MedicationDispense.performer.actor"> <path value="MedicationDispense.performer.actor" /> <short value="Supplier" /> <definition value="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." /> <comment value="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." /> <alias value="Verstrekker" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization" /> </type> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20858" /> <comment value="Supplier" /> </mapping> </element> <element id="MedicationDispense.location"> <path value="MedicationDispense.location" /> <short value="Supplier" /> <definition value="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." /> <comment value="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." /> <alias value="Verstrekker" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" /> </type> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20858" /> <comment value="Supplier" /> </mapping> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription" /> <short value="DispenseRequest" /> <definition value="Relationship to the dispense request." /> <alias value="Verstrekkingsverzoek" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/mp-DispenseRequest" /> </type> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.22396" /> <comment value="DispenseRequest" /> </mapping> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity" /> <short value="DispensedAmount" /> <definition value="Number of units of the product that has been dispensed. The number of units is described in the unit associated with the product, which usually refers to a number of pieces or doses. For the unit, it is mandatory to use both a G-standard unit from file 902, thesaurus number 2, and a UCUM unit. A translation to NHG Table 25 “Usage Instruction” is optional, but may not replace the mandatory designation in G-standard and UCUM." /> <alias value="VerstrekteHoeveelheid" /> <type> <code value="Quantity" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/pattern-GstdSimpleQuantity" /> </type> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20923" /> <comment value="DispensedAmount [DEPRECATED]" /> </mapping> <mapping> <identity value="mp-dataset-mp9-300-rc2-20260213" /> <map value="mp-dataelement9x-358" /> <comment value="DispensedAmount" /> </mapping> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply" /> <short value="DurationOfUse" /> <definition value="The duration in days of the period in which the medication is expected to be used. The value depends on the dose and the dispensed amount." /> <alias value="Verbruiksduur" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20924" /> <comment value="DurationOfUse" /> </mapping> </element> <element id="MedicationDispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver" /> <short value="MedicationDispenseDateTime" /> <definition value="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." /> <alias value="MedicatieverstrekkingsDatumTijd" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20272" /> <comment value="MedicationDispenseDateTime" /> </mapping> </element> <element id="MedicationDispense.destination"> <path value="MedicationDispense.destination" /> <short value="DispenseLocation" /> <definition value="Dispense location" /> <comment value="The `Location.name` elements holds the DispenseLocation information." /> <alias value="Afleverlocatie" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.20925" /> <comment value="DispenseLocation. Use `Location.name`." /> </mapping> </element> <element id="MedicationDispense.note"> <path value="MedicationDispense.note" /> <max value="1" /> </element> <element id="MedicationDispense.note.text"> <path value="MedicationDispense.note.text" /> <short value="Comment" /> <definition value="Comments on the dispense." /> <alias value="Toelichting" /> <mapping> <identity value="zib-medicationdispense-v2.0.2-2020EN" /> <map value="NL-CM:9.9.22276" /> <comment value="Comment" /> </mapping> </element> </differential> </StructureDefinition>