<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 model (Dutch: Zorginformatiebouwsteen or ZIB) MedicationDispense version 2.0, year 2017. A dispense is the delivery of an amount of medicine to the patient, their administrator or their representative." /> <purpose value="The goal of the dispense is to provide insight into which products are delivered by the pharmacist to the patient (or their representative)" /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <uri value="https://zibs.nl/wiki/MedicationDispense-v2.0(2017EN)" /> <name value="HCIM MedicationDispense-v2.0(2017EN)" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/Dispense-v1.0(2017EN)" /> <name value="HCIM Dispense-v1.0(2017EN)" /> <comment value="This HCIM has been replaced with MedicationDispense-v2.0(2017EN) that only changes the HCIM name. This mapping is added becasue the old name is mostly used throughout the implementation guides." /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-v1.0(2017EN)" /> </mapping> <mapping> <identity value="Medication-Process-v09" /> <uri value="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 value="Medication Process v09" /> <comment value="Language of Medication Process is Dutch." /> </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="Verstrekking" /> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.20270" /> <comment value="MedicationDispense" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.20270" /> <comment value="MedicationDispense" /> </mapping> </element> <element id="MedicationDispense.extension"> <path value="MedicationDispense.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationDispense.extension:distributionForm"> <path value="MedicationDispense.extension" /> <sliceName value="distributionForm" /> <short value="DistributionForm" /> <definition value="Distribution form." /> <comment value="For example through Baxter or seperate box." /> <alias value="Distributievorm" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm" /> </type> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.20927" /> <comment value="DistributionForm" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.20927" /> <comment value="DistributionForm" /> </mapping> </element> <element id="MedicationDispense.extension:distributionForm.valueCodeableConcept:valueCodeableConcept"> <path value="MedicationDispense.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="VerstrekkingDistributievormCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000" /> <display value="MedicatieverstrekkingDistributievormCodelijst" /> </valueSetReference> </binding> </element> <element id="MedicationDispense.extension:requestDate"> <path value="MedicationDispense.extension" /> <sliceName value="requestDate" /> <short value="RequestDate" /> <definition value="The time at which a pharmacist records an intended dispense." /> <alias value="Aanschrijfdatum" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate" /> </type> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.2250" /> <comment value="RequestDate" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.2250" /> <comment value="RequestDate" /> </mapping> </element> <element id="MedicationDispense.extension:additionalInformation"> <path value="MedicationDispense.extension" /> <sliceName value="additionalInformation" /> <short value="DispenseAdditionalInformation" /> <definition value="Additional information includes details on the structure of the dispense. This can be e.g. a reason for deviating from the dispense request. For now, this list is used. This list will be replaced by a thesaurus in the G standard at a later stage." /> <alias value="VerstrekkingAanvullendeInformatie" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation" /> </type> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.23285" /> <comment value="MedicationDispenseAdditionalInformation" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.23285" /> <comment value="MedicationDispenseAdditionalInformation" /> </mapping> </element> <element id="MedicationDispense.extension:additionalInformation.valueCodeableConcept:valueCodeableConcept"> <path value="MedicationDispense.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <example> <label value="Example of DispenseAdditionalInformation" /> <valueCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052" /> <code value="1" /> <display value="Aantal bewust gewijzigd" /> </coding> </valueCodeableConcept> </example> <binding> <strength value="extensible" /> <description value="VerstrekkingAanvullendeInformatieCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000" /> <display value="MedicatieverstrekkingAanvullendeInformatieCodelijst" /> </valueSetReference> </binding> </element> <element id="MedicationDispense.extension:medicationTreatment"> <path value="MedicationDispense.extension" /> <sliceName value="medicationTreatment" /> <short value="Medication Treatment" /> <definition value="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 value="No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided." /> <alias value="Medicamenteuze behandeling" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment" /> </type> <mapping> <identity value="Medication-Process-v09" /> <map value="mp-dataelement900-22092" /> <comment value="Medicamenteuze behandeling" /> </mapping> </element> <element id="MedicationDispense.identifier"> <path value="MedicationDispense.identifier" /> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.6" /> <comment value="IdentificationNumber" /> </mapping> </element> <element id="MedicationDispense.partOf"> <path value="MedicationDispense.partOf" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Procedure" /> </type> </element> <element id="MedicationDispense.category"> <path value="MedicationDispense.category" /> <min value="1" /> </element> <element id="MedicationDispense.category.coding"> <path value="MedicationDispense.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationDispense.category.coding:DispenseCode"> <path value="MedicationDispense.category.coding" /> <sliceName value="DispenseCode" /> <short value="DispenseCode" /> <definition value="Category SNOMED code used for indexing/retrieval of the HCIM Dispense. The SNOMED code 373784005 for this resource is stated in the Medication Process v09." /> </element> <element id="MedicationDispense.category.coding:DispenseCode.system"> <path value="MedicationDispense.category.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="MedicationDispense.category.coding:DispenseCode.code"> <path value="MedicationDispense.category.coding.code" /> <fixedCode value="373784005" /> </element> <element id="MedicationDispense.category.coding:DispenseCode.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="MedicationDispense.category.coding.display" /> <defaultValueString value="Dispensing medication (procedure)" /> </element> <element id="MedicationDispense.medication[x]:medicationReference"> <path value="MedicationDispense.medicationReference" /> <sliceName value="medicationReference" /> <short value="DispensedMedicine" /> <definition value="The dispensed medicine." /> <comment value="-" /> <alias value="VerstrekGeneesmiddel" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product" /> </type> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.22259" /> <comment value="DispensedMedicine" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <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://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.11" /> <comment value="Subject" /> </mapping> </element> <element id="MedicationDispense.context"> <path value="MedicationDispense.context" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare" /> </type> </element> <element id="MedicationDispense.performer"> <path value="MedicationDispense.performer" /> <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." /> <alias value="Verstrekker" /> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.20858" /> <comment value="Supplier" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.20858" /> <comment value="Supplier" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.7" /> <comment value="Author" /> </mapping> </element> <element id="MedicationDispense.performer.actor"> <path value="MedicationDispense.performer.actor" /> <comment value="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 value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> </element> <element id="MedicationDispense.performer.actor.extension"> <path value="MedicationDispense.performer.actor.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationDispense.performer.actor.extension:practitionerRole"> <path value="MedicationDispense.performer.actor.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="MedicationDispense.performer.onBehalfOf"> <path value="MedicationDispense.performer.onBehalfOf" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> </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://nictiz.nl/fhir/StructureDefinition/zib-DispenseRequest" /> </type> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.22396" /> <comment value="DispenseRequest" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <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 (measured based on the relevant product code) supplied." /> <alias value="VerstrekteHoeveelheid" /> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.20923" /> <comment value="DispensedAmount" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.20923" /> <comment value="DispensedAmount" /> </mapping> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply" /> <short value="DurationOfUse" /> <definition value="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="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.20924" /> <comment value="DurationOfUse" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.20924" /> <comment value="DurationOfUse" /> </mapping> </element> <element id="MedicationDispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver" /> <short value="DispenseDateTime" /> <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="VerstrekkingsDatumTijd" /> <example> <label value="Example of DispenseDateTime" /> <valueDateTime value="2017-05-17" /> </example> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.20272" /> <comment value="MedicationDispenseDateTime" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.20272" /> <comment value="MedicationDispenseDateTime" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.14" /> <comment value="DateTime" /> </mapping> </element> <element id="MedicationDispense.destination"> <path value="MedicationDispense.destination" /> <short value="DispenseLocation" /> <definition value="Dispense location." /> <alias value="Afleverlocatie" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-location" /> </type> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.20925" /> <comment value="DispenseLocation. Use Location.name." /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.20925" /> <comment value="DispenseLocation. Use Location.name." /> </mapping> </element> <element id="MedicationDispense.receiver"> <path value="MedicationDispense.receiver" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> </element> <element id="MedicationDispense.receiver.extension"> <path value="MedicationDispense.receiver.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationDispense.receiver.extension:practitionerRole"> <path value="MedicationDispense.receiver.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="MedicationDispense.note"> <path value="MedicationDispense.note" /> <short value="Comment" /> <definition value="Comments or additional information on the dispense. Additional information includes details on the structure of the dispense. This can be e.g. a reason for deviating from the dispense request." /> <alias value="Toelichting" /> <alias value="Aanvullende informatie" /> <mapping> <identity value="hcim-medicationdispense-v2.0-2017EN" /> <map value="NL-CM:9.9.22276" /> <comment value="Comment" /> </mapping> <mapping> <identity value="hcim-dispense-v1.0-2017EN" /> <map value="NL-CM:9.9.22276" /> <comment value="Comment" /> </mapping> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction" /> <definition value="Dosage instructions are part of an AdministrationAgreement" /> <max value="0" /> </element> </differential> </StructureDefinition>