<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="This profile is based on the Dutch Health and Care Information (HCIM) models (Dutch: Zorginformatiebouwsteen or ZIB) InstructionsForUse-AdministeringSchedule version 1.1, year 2017." /> <purpose value="InstructionsForUse-AdministeringSchedule gives an insight into the manner a drug is to be used." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <uri value="https://zibs.nl/wiki/InstructionsForUse-v1.1(2017EN)" /> <name value="HCIM InstructionsForUse-v1.1(2017EN)" /> </mapping> <mapping> <identity value="hcim-range-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/Range-v1.0(2017EN)" /> <name value="HCIM Range-v1.0(2017EN)" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <type value="Timing" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Timing" /> <derivation value="constraint" /> <snapshot> <element id="Timing"> <path value="Timing" /> <short value="AdministeringSchedule" /> <definition value="Specifications of the times at which the medication is to be administered. This is indicated as follows: Time(s) (16:00) or indications (“before meals”) at which the medication is to be taken each day. A specific number of times the medication is to be taken each day ("3x a day"), indicated with the frequency A time interval between consecutive doses (“Every 2 hours”, “every 3 days”), indicated with the word Interval. Combined periods with an interval and duration (“1 daily for three out of four weeks: the pill schedule”) If a certain medication is not to be taken daily, the aforementioned can be combined with daily indications: One or more week days on which the medication is to be administered (e.g. “Monday, Wednesday, Friday”) ”3x a week”, “2x a month”. The specified administration “infinite” is automatically to be repeated until: The end date and time has been reached The total administration duration has been reached (14 days) A specific amount of administrations has been reached (“20 doses”, “one-time only”), to be entered in the NumberOfDoses concept." /> <comment value="A timing schedule can be either a list of events - intervals on which the event occurs, or a single event with repeating criteria or just repeating criteria with no actual event. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure." /> <alias value="Toedieningsschema" /> <min value="0" /> <max value="*" /> <base> <path value="Element" /> <min value="0" /> <max value="*" /> </base> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="QSET<TS> (GTS)" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19948" /> <comment value="AdministeringSchedule" /> </mapping> </element> <element id="Timing.id"> <path value="Timing.id" /> <representation value="xmlAttr" /> <short value="xml:id (or equivalent in JSON)" /> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Timing.extension"> <path value="Timing.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Timing.event"> <path value="Timing.event" /> <short value="When the event occurs" /> <definition value="Identifies specific times when the event occurs." /> <requirements value="In an MAR, for instance, you need to take a general specification, and turn it into a precise specification." /> <min value="0" /> <max value="*" /> <base> <path value="Timing.event" /> <min value="0" /> <max value="*" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="QLIST<TS>" /> </mapping> </element> <element id="Timing.repeat"> <path value="Timing.repeat" /> <short value="When the event is to occur" /> <definition value="A set of rules that describe when the event is scheduled." /> <requirements value="Many timing schedules are determined by regular repetitions." /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Element" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="tim-9" /> <severity value="error" /> <human value="If there's an offset, there must be a when (and not C, CM, CD, CV)" /> <expression value="offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))" /> <xpath value="not(exists(f:offset)) or exists(f:when)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-5" /> <severity value="error" /> <human value="period SHALL be a non-negative value" /> <expression value="period.exists() implies period >= 0" /> <xpath value="f:period/@value >= 0 or not(f:period/@value)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-6" /> <severity value="error" /> <human value="If there's a periodMax, there must be a period" /> <expression value="periodMax.empty() or period.exists()" /> <xpath value="not(exists(f:periodMax)) or exists(f:period)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-7" /> <severity value="error" /> <human value="If there's a durationMax, there must be a duration" /> <expression value="durationMax.empty() or duration.exists()" /> <xpath value="not(exists(f:durationMax)) or exists(f:duration)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-8" /> <severity value="error" /> <human value="If there's a countMax, there must be a count" /> <expression value="countMax.empty() or count.exists()" /> <xpath value="not(exists(f:countMax)) or exists(f:count)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-1" /> <severity value="error" /> <human value="if there's a duration, there needs to be duration units" /> <expression value="duration.empty() or durationUnit.exists()" /> <xpath value="not(exists(f:duration)) or exists(f:durationUnit)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-10" /> <severity value="error" /> <human value="If there's a timeOfDay, there cannot be be a when, or vice versa" /> <expression value="timeOfDay.empty() or when.empty()" /> <xpath value="not(exists(f:timeOfDay)) or not(exists(f:when))" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-2" /> <severity value="error" /> <human value="if there's a period, there needs to be period units" /> <expression value="period.empty() or periodUnit.exists()" /> <xpath value="not(exists(f:period)) or exists(f:periodUnit)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <constraint> <key value="tim-4" /> <severity value="error" /> <human value="duration SHALL be a non-negative value" /> <expression value="duration.exists() implies duration >= 0" /> <xpath value="f:duration/@value >= 0 or not(f:duration/@value)" /> <source value="http://hl7.org/fhir/StructureDefinition/Timing" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="Implies PIVL or EIVL" /> </mapping> </element> <element id="Timing.repeat.id"> <path value="Timing.repeat.id" /> <representation value="xmlAttr" /> <short value="xml:id (or equivalent in JSON)" /> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Timing.repeat.extension"> <path value="Timing.repeat.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Timing.repeat.bounds[x]"> <path value="Timing.repeat.bounds[x]" /> <short value="DoseDuration" /> <definition value="The intended time duration for these dosing instructions." /> <alias value="Doseerduur" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.bounds[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Duration" /> </type> <type> <code value="Range" /> </type> <type> <code value="Period" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="IVL(TS) used in a QSI" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.22506" /> <comment value="DoseDuration" /> </mapping> </element> <element id="Timing.repeat.count"> <path value="Timing.repeat.count" /> <short value="Number of times to repeat" /> <definition value="A total count of the desired number of repetitions." /> <comment value="If you have both bounds and count, then this should be understood as within the bounds period, until count times happens." /> <requirements value="Repetitions may be limited by end time or total occurrences." /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.count" /> <min value="0" /> <max value="1" /> </base> <type> <code value="integer" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.count" /> </mapping> </element> <element id="Timing.repeat.countMax"> <path value="Timing.repeat.countMax" /> <short value="Maximum number of times to repeat" /> <definition value="A maximum value for the count of the desired repetitions (e.g. do something 6-8 times)." /> <comment value="32 bit number; for values larger than this, use decimal" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.countMax" /> <min value="0" /> <max value="1" /> </base> <type> <code value="integer" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.count" /> </mapping> </element> <element id="Timing.repeat.duration"> <path value="Timing.repeat.duration" /> <short value="Duration of administration" /> <definition value="Defines the amount of time during which medication is being administered. This is used especially in the context of administering liquids." /> <comment value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)." /> <requirements value="Some activities are not instantaneous and need to be maintained for a period of time." /> <alias value="Toedieninsgduur" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.duration" /> <min value="0" /> <max value="1" /> </base> <type> <code value="decimal" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.23141" /> <comment value="DurationOfAdministration" /> </mapping> </element> <element id="Timing.repeat.durationMax"> <path value="Timing.repeat.durationMax" /> <short value="How long when it happens (Max)" /> <definition value="The upper limit of how long this thing happens for when it happens." /> <comment value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)." /> <requirements value="Some activities are not instantaneous and need to be maintained for a period of time." /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.durationMax" /> <min value="0" /> <max value="1" /> </base> <type> <code value="decimal" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase" /> </mapping> </element> <element id="Timing.repeat.durationUnit"> <path value="Timing.repeat.durationUnit" /> <short value="Duration unit of administration" /> <definition value="Defines the unit for the amount of time during which medication is being administered. This is used especially in the context of administering liquids." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <alias value="Toedieninsgduur" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.durationUnit" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="UnitsOfTime" /> </extension> <strength value="required" /> <description value="A unit of time (units from UCUM)." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/units-of-time" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase.unit" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.23141" /> <comment value="DurationOfAdministration" /> </mapping> </element> <element id="Timing.repeat.frequency"> <path value="Timing.repeat.frequency" /> <short value="Frequency" /> <definition value="The frequency indicates the number of dose moments per time unit, usually per day. If this frequency is included, then the Interval will not have been included. Usually, frequency comprises both amount and time unit (3 times a day), but it can occur without the time unit (single use). In that case, a reasonable distribution over the day is expected, but exact times are not given. This is left to the patient. It is the most common manner of extramural prescription. In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics). The time unit of the frequency must be the same as how it is indicated in the textual description of the dose. Example: for a '2x a day...' dose: amount = 2 time unit = 'day'. for a '3x a week...' dose: amount = 3 time unit = 'week'." /> <comment value="32 bit number; for values larger than this, use decimal" /> <alias value="frequentie" /> <alias value="frequentie vaste waarde" /> <alias value="frequentie min" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.frequency" /> <min value="0" /> <max value="1" /> </base> <type> <code value="integer" /> </type> <defaultValueInteger value="1" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19949" /> <comment value="Frequency" /> </mapping> <mapping> <identity value="hcim-range-v1.0-2017EN" /> <map value="NL-CM:20.1.2" /> <comment value="Minimal frequency" /> </mapping> <mapping> <identity value="hcim-range-v1.0-2017EN" /> <map value="NL-CM:20.1.4" /> <comment value="nominalValue. Nominal frequency: This element can not be used in combination with a minimum and maximum value" /> </mapping> </element> <element id="Timing.repeat.frequencyMax"> <path value="Timing.repeat.frequencyMax" /> <short value="maximumValue" /> <definition value="If present, indicates that the frequency is a range - so to repeat between [frequency (min)] and [frequencyMax] times within the period or period range." /> <comment value="32 bit number; for values larger than this, use decimal" /> <alias value="maximumWaarde" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.frequencyMax" /> <min value="0" /> <max value="1" /> </base> <type> <code value="integer" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase" /> </mapping> <mapping> <identity value="hcim-range-v1.0-2017EN" /> <map value="NL-CM:20.1.3" /> <comment value="maximumValue" /> </mapping> </element> <element id="Timing.repeat.period"> <path value="Timing.repeat.period" /> <short value="Interval" /> <definition value="Interval indicates the time between dose times. If this is included, then the <i>Frequency </i>will not have been included. Examples: every 4 hours, every 3 weeks. The times can now be chosen freely, but distribution throughout the day is more precise, and the interval between times is important (e.g. in the case of antibiotics) In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics)" /> <comment value="In FHIR, the HCIM concepts Interval and Frequency are represented with the elements Timing.repeat.frequency, Timing.repeat.period and Timing.repeat.periodUnit." /> <alias value="Interval" /> <alias value="Frequentie" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.period" /> <min value="0" /> <max value="1" /> </base> <type> <code value="decimal" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19949" /> <comment value="Frequency. When frequency is used, set "exact" to false" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19950" /> <comment value="Interval. When interval is used, set "exact" to true" /> </mapping> </element> <element id="Timing.repeat.periodMax"> <path value="Timing.repeat.periodMax" /> <short value="Upper limit of period (3-4 hours)" /> <definition value="If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days." /> <comment value="Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.periodMax" /> <min value="0" /> <max value="1" /> </base> <type> <code value="decimal" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase" /> </mapping> </element> <element id="Timing.repeat.periodUnit"> <path value="Timing.repeat.periodUnit" /> <short value="s | min | h | d | wk | mo | a - unit of time (UCUM)" /> <definition value="Interval indicates the time between dose times. If this is included, then the <i>Frequency </i>will not have been included. Examples: every 4 hours, every 3 weeks. The times can now be chosen freely, but distribution throughout the day is more precise, and the interval between times is important (e.g. in the case of antibiotics) In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics)" /> <comment value="The unit of time for the information given in Timing.repeat.period. In FHIR, the HCIM concepts Interval and Frequency are represented with the elements Timing.repeat.frequency, Timing.repeat.period and Timing.repeat.periodUnit." /> <alias value="Interval" /> <alias value="Frequentie" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.periodUnit" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="UnitsOfTime" /> </extension> <strength value="required" /> <description value="A unit of time (units from UCUM)." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/units-of-time" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="PIVL.phase.unit" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19949" /> <comment value="Frequency. When frequency is used, set "exact" to false" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19950" /> <comment value="Interval. When interval is used, set "exact" to true" /> </mapping> </element> <element id="Timing.repeat.dayOfWeek"> <path value="Timing.repeat.dayOfWeek" /> <short value="WeekDay" /> <definition value="WeekDay indicates a pattern of doses on fixed week days." /> <comment value="Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday." /> <alias value="Weekdagen" /> <min value="0" /> <max value="*" /> <base> <path value="Timing.repeat.dayOfWeek" /> <min value="0" /> <max value="*" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DayOfWeek" /> </extension> <strength value="required" /> <valueSetReference> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueReference> <reference value="http://nictiz.nl/fhir/ConceptMap/WeekdagCodelijst-to-days-of-week" /> <display value="WeekdagCodelijst-to-days-of-week" /> </valueReference> </extension> <reference value="http://hl7.org/fhir/ValueSet/days-of-week" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19952" /> <comment value="WeekDay.See for details ConceptMap (http://nictiz.nl/fhir/ConceptMap/WeekdagCodelijst-to-days-of-week)" /> </mapping> </element> <element id="Timing.repeat.timeOfDay"> <path value="Timing.repeat.timeOfDay" /> <short value="AdministrationTime" /> <definition value="Specified time of day for action to take place." /> <comment value="If there's a timeOfDay, there cannot be a when, or vice versa." /> <alias value="Toedientijd" /> <min value="0" /> <max value="*" /> <base> <path value="Timing.repeat.timeOfDay" /> <min value="0" /> <max value="*" /> </base> <type> <code value="time" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19951" /> <comment value="AdministrationTime" /> </mapping> </element> <element id="Timing.repeat.when"> <path value="Timing.repeat.when" /> <short value="TimeOfDay" /> <definition value="Time of day: morning, afternoon, evening, night." /> <comment value="When more than one event is listed, the event is tied to the union of the specified events." /> <requirements value="Timings are frequently determined by occurrences such as waking, eating and sleep." /> <alias value="Dagdeel" /> <min value="0" /> <max value="*" /> <base> <path value="Timing.repeat.when" /> <min value="0" /> <max value="*" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EventTiming" /> </extension> <strength value="required" /> <description value="Real world event relating to the schedule." /> <valueSetReference> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueReference> <reference value="http://nictiz.nl/fhir/ConceptMap/DagdeelCodelijst-to-EventTiming" /> <display value="DagdeelCodelijst-to-EventTiming" /> </valueReference> </extension> <reference value="http://hl7.org/fhir/ValueSet/event-timing" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="EIVL.event" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19953" /> <comment value="TimeOfDay. See for details the ConceptMap (http://nictiz.nl/fhir/ConceptMap/DagdeelCodelijst-to-EventTiming)" /> </mapping> </element> <element id="Timing.repeat.offset"> <path value="Timing.repeat.offset" /> <short value="Minutes from event (before or after)" /> <definition value="The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event." /> <comment value="32 bit number; for values larger than this, use decimal" /> <min value="0" /> <max value="1" /> <base> <path value="Timing.repeat.offset" /> <min value="0" /> <max value="1" /> </base> <type> <code value="unsignedInt" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="EIVL.offset" /> </mapping> </element> <element id="Timing.code"> <path value="Timing.code" /> <short value="BID | TID | QID | AM | PM | QD | QOD | Q4H | Q6H +" /> <definition value="A code for the timing schedule. Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code)." /> <comment value="BID etc are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or the a structured representation should be used (in this case, specifying the two event times)." /> <min value="0" /> <max value="1" /> <base> <path value="Timing.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="TimingAbbreviation" /> </extension> <strength value="preferred" /> <description value="Code for a known / defined timing pattern." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/timing-abbreviation" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value="QSC.code" /> </mapping> </element> </snapshot> <differential> <element id="Timing"> <path value="Timing" /> <short value="AdministeringSchedule" /> <definition value="Specifications of the times at which the medication is to be administered. This is indicated as follows: Time(s) (16:00) or indications (“before meals”) at which the medication is to be taken each day. A specific number of times the medication is to be taken each day ("3x a day"), indicated with the frequency A time interval between consecutive doses (“Every 2 hours”, “every 3 days”), indicated with the word Interval. Combined periods with an interval and duration (“1 daily for three out of four weeks: the pill schedule”) If a certain medication is not to be taken daily, the aforementioned can be combined with daily indications: One or more week days on which the medication is to be administered (e.g. “Monday, Wednesday, Friday”) ”3x a week”, “2x a month”. The specified administration “infinite” is automatically to be repeated until: The end date and time has been reached The total administration duration has been reached (14 days) A specific amount of administrations has been reached (“20 doses”, “one-time only”), to be entered in the NumberOfDoses concept." /> <alias value="Toedieningsschema" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19948" /> <comment value="AdministeringSchedule" /> </mapping> </element> <element id="Timing.repeat.bounds[x]"> <path value="Timing.repeat.bounds[x]" /> <short value="DoseDuration" /> <definition value="The intended time duration for these dosing instructions." /> <alias value="Doseerduur" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.22506" /> <comment value="DoseDuration" /> </mapping> </element> <element id="Timing.repeat.duration"> <path value="Timing.repeat.duration" /> <short value="Duration of administration" /> <definition value="Defines the amount of time during which medication is being administered. This is used especially in the context of administering liquids." /> <alias value="Toedieninsgduur" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.23141" /> <comment value="DurationOfAdministration" /> </mapping> </element> <element id="Timing.repeat.durationUnit"> <path value="Timing.repeat.durationUnit" /> <short value="Duration unit of administration" /> <definition value="Defines the unit for the amount of time during which medication is being administered. This is used especially in the context of administering liquids." /> <alias value="Toedieninsgduur" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.23141" /> <comment value="DurationOfAdministration" /> </mapping> </element> <element id="Timing.repeat.frequency"> <path value="Timing.repeat.frequency" /> <short value="Frequency" /> <definition value="The frequency indicates the number of dose moments per time unit, usually per day. If this frequency is included, then the Interval will not have been included. Usually, frequency comprises both amount and time unit (3 times a day), but it can occur without the time unit (single use). In that case, a reasonable distribution over the day is expected, but exact times are not given. This is left to the patient. It is the most common manner of extramural prescription. In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics). The time unit of the frequency must be the same as how it is indicated in the textual description of the dose. Example: for a '2x a day...' dose: amount = 2 time unit = 'day'. for a '3x a week...' dose: amount = 3 time unit = 'week'." /> <alias value="frequentie" /> <alias value="frequentie vaste waarde" /> <alias value="frequentie min" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19949" /> <comment value="Frequency" /> </mapping> <mapping> <identity value="hcim-range-v1.0-2017EN" /> <map value="NL-CM:20.1.2" /> <comment value="Minimal frequency" /> </mapping> <mapping> <identity value="hcim-range-v1.0-2017EN" /> <map value="NL-CM:20.1.4" /> <comment value="nominalValue. Nominal frequency: This element can not be used in combination with a minimum and maximum value" /> </mapping> </element> <element id="Timing.repeat.frequencyMax"> <path value="Timing.repeat.frequencyMax" /> <short value="maximumValue" /> <definition value="If present, indicates that the frequency is a range - so to repeat between [frequency (min)] and [frequencyMax] times within the period or period range." /> <alias value="maximumWaarde" /> <mapping> <identity value="hcim-range-v1.0-2017EN" /> <map value="NL-CM:20.1.3" /> <comment value="maximumValue" /> </mapping> </element> <element id="Timing.repeat.period"> <path value="Timing.repeat.period" /> <short value="Interval" /> <definition value="Interval indicates the time between dose times. If this is included, then the <i>Frequency </i>will not have been included. Examples: every 4 hours, every 3 weeks. The times can now be chosen freely, but distribution throughout the day is more precise, and the interval between times is important (e.g. in the case of antibiotics) In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics)" /> <comment value="In FHIR, the HCIM concepts Interval and Frequency are represented with the elements Timing.repeat.frequency, Timing.repeat.period and Timing.repeat.periodUnit." /> <alias value="Interval" /> <alias value="Frequentie" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19949" /> <comment value="Frequency. When frequency is used, set "exact" to false" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19950" /> <comment value="Interval. When interval is used, set "exact" to true" /> </mapping> </element> <element id="Timing.repeat.periodUnit"> <path value="Timing.repeat.periodUnit" /> <definition value="Interval indicates the time between dose times. If this is included, then the <i>Frequency </i>will not have been included. Examples: every 4 hours, every 3 weeks. The times can now be chosen freely, but distribution throughout the day is more precise, and the interval between times is important (e.g. in the case of antibiotics) In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics)" /> <comment value="The unit of time for the information given in Timing.repeat.period. In FHIR, the HCIM concepts Interval and Frequency are represented with the elements Timing.repeat.frequency, Timing.repeat.period and Timing.repeat.periodUnit." /> <alias value="Interval" /> <alias value="Frequentie" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19949" /> <comment value="Frequency. When frequency is used, set "exact" to false" /> </mapping> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19950" /> <comment value="Interval. When interval is used, set "exact" to true" /> </mapping> </element> <element id="Timing.repeat.dayOfWeek"> <path value="Timing.repeat.dayOfWeek" /> <short value="WeekDay" /> <definition value="WeekDay indicates a pattern of doses on fixed week days." /> <comment value="Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday." /> <alias value="Weekdagen" /> <binding> <strength value="required" /> <valueSetReference> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueReference> <reference value="http://nictiz.nl/fhir/ConceptMap/WeekdagCodelijst-to-days-of-week" /> <display value="WeekdagCodelijst-to-days-of-week" /> </valueReference> </extension> </valueSetReference> </binding> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19952" /> <comment value="WeekDay.See for details ConceptMap (http://nictiz.nl/fhir/ConceptMap/WeekdagCodelijst-to-days-of-week)" /> </mapping> </element> <element id="Timing.repeat.timeOfDay"> <path value="Timing.repeat.timeOfDay" /> <short value="AdministrationTime" /> <comment value="If there's a timeOfDay, there cannot be a when, or vice versa." /> <alias value="Toedientijd" /> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19951" /> <comment value="AdministrationTime" /> </mapping> </element> <element id="Timing.repeat.when"> <path value="Timing.repeat.when" /> <short value="TimeOfDay" /> <definition value="Time of day: morning, afternoon, evening, night." /> <alias value="Dagdeel" /> <binding> <strength value="required" /> <valueSetReference> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueReference> <reference value="http://nictiz.nl/fhir/ConceptMap/DagdeelCodelijst-to-EventTiming" /> <display value="DagdeelCodelijst-to-EventTiming" /> </valueReference> </extension> </valueSetReference> </binding> <mapping> <identity value="hcim-instructionsforuse-v1.1-2017EN" /> <map value="NL-CM:9.12.19953" /> <comment value="TimeOfDay. See for details the ConceptMap (http://nictiz.nl/fhir/ConceptMap/DagdeelCodelijst-to-EventTiming)" /> </mapping> </element> </differential> </StructureDefinition>