RIVO-Noord Zorgviewer Implementation Guide
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RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.25.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Toedieningsafspraak

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/Toedieningsafspraak Version: 1.25.0
Active as of 2026-06-02 Computable Name: Toedieningsafspraak

Medicatie Toedingingsafspraak

Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Toedieningsafspraak

View Definition

ViewDefinition voor Toedieningsafspraak

UI Wireframe

Toedieningsafspraak

>< Bron Start Eind Medicatie Dosering & instructies Toedieningsweg Stop type
+ MP9 10-11-2022 IBUPROFEN TABLET 600MG Vanaf 11 nov 2022, gedurende 3 weken, 1 maal per dag 1 stuk, oraal oraal
Afspraakdatum
11-11-2022
Verstrekker
Healthcare provider (organization), Apotheek de Gulle Gaper
Type
toedieningsafspraak

Kolomdefinities

Kolom label FHIR Path Expression FHIR Type Zib element Toelichting of regels
Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Start extension('http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period').valuePeriod.start dateTime Gebruiksperiode::TijdsInterval/startDatumTijd
Eind extension('http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period').valuePeriod.end dateTime Gebruiksperiode::TijdsInterval/eindDatumTijd
Medicatie medication.display string Afgesprokengeneesmiddel::Product
Dosering & instructies extension('http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction').valueString | dosageInstruction.text string Gebruiksinstructie/Omschrijving, Gebruiksinstructie/AanvullendeInstructie N.B. Als text niet beschikbaar dan samenstellen uit discrete informatie en markeren met een icoontje ⓘ
Toedieningsweg iif(exists(dosageInstruction.route.text), dosageInstruction.route.text, dosageInstruction.route.coding.display) string Gebruiksinstructie/Toedieningsweg
Stop type '' string StopType niet beschikbaar
UITKLAPVELD
+Medicatie vorm medication.resolve().form.coding.display string Afgesprokengeneesmiddel::FarmaceutischProduct/FarmaceutischeVorm
+Afspraakdatum extension('http://nictiz.nl/fhir/StructureDefinition/ext-AdministrationAgreement.AdministrationAgreementDateTime').valueDateTime dateTime MedicatieafspraakDatumTijd
+Verstrekker performer.actor.display string Verstrekker::Zorgverlener
+Type 'toedieningsafspraak' string nvt

Request

  1. Opvragen (search) medicatie gebruik

    GET <ontsluiten-bronsysteem-base>/MedicationDispense?category=http://snomed.info/sct|422037009&_include=MedicationDispense:medication&patient=<fhir_patient_id>

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Changes since version 1.24.0:

  • New Content

    • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationDispense C 0..* Zib AdministrationAgreement AdministrationAgreement
    Constraints: mdd-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension Content/Rules for all slices
    .... extension:authoredOn 0..1 dateTime AdministrationAgreementDateTime
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AuthoredOn
    Constraints: ext-1
    .... extension:agreementReason 0..1 string AgreementReason
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AgreementReason
    Constraints: ext-1
    .... extension:periodOfUse 0..* Period PeriodOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
    Constraints: ext-1
    .... extension:usageDuration 0..1 Duration Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    .... extension:additionalInformation 0..1 (Complex) AdministrationAgreementAdditionalInformation
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
    Constraints: ext-1
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: ToedieningsafspraakAanvullendeInformatieCodelijst (extensible): AdministrationAgreementAdditionalInformation
    Example Example of AdditionalInformation: {"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"}]}
    .... extension:medicationTreatment 0..1 Identifier Medication Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:stopType ?! 0..1 (Complex) AdministrationAgreementStopType
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
    Constraints: ext-1
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: Stoptype (required): StopType
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... category S 1..1 CodeableConcept Type of medication dispense
    Binding: MedicationDispenseCategory (preferred): A code describing where the dispensed medication is expected to be consumed or administered
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:code
    ..... coding:administrationAgreementCode Σ 0..1 Coding AdministrationAgreementCode
    ...... system Σ 0..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 422037009
    ... Slices for medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) MedicineForAdministrationAgreement
    ..... display SΣ 0..1 string Text alternative for the resource
    ... dosageInstruction 0..* Zib InstructionsForUse InstructionsForUse
    .... text SΣ 0..1 string Description
    .... Slices for asNeededCodeableConcept Content/Rules for all slices
    ..... asNeededCodeableConcept:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
    Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
    .... route Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... Slices for dose[x] Σ 0..1 Dose
    Slice: Unordered, Open by type:$this
    ..... doseRange Range
    ..... doseQuantity Quantity(SimpleQuantity)
    ..... dose[x]:doseQuantity ΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    Constraints: qty-3, sqty-1
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationDispense.extension:additionalInformation.​value[x]:valueCodeableConcept Base extensible ToedieningsafspraakAanvullendeInformatieCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.modifierExtension:stopType.​value[x]:valueCodeableConcept Base required Stoptype 📦2016-06-17T10:13:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.status Base required MedicationDispenseStatus 📦3.0.2 FHIR Std.
    MedicationDispense.category Base preferred MedicationDispenseCategory 📦3.0.2 FHIR Std.
    MedicationDispense.dosageInstruction.​asNeededCodeableConcept:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationDispense.extension:authoredOn, MedicationDispense.extension:agreementReason, MedicationDispense.extension:periodOfUse, MedicationDispense.extension:usageDuration, MedicationDispense.extension:additionalInformation, MedicationDispense.extension:medicationTreatment, MedicationDispense.modifierExtension:stopType, MedicationDispense.modifierExtension:repeatPeriodCyclicalSchedule Must have either extensions or value[x], not both extension.exists() != value.exists()
    mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
    qty-3 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
    sqty-1 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity The comparator is not used on a SimpleQuantity comparator.empty()

    This structure is derived from Zib AdministrationAgreement

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationDispense 0..* Zib AdministrationAgreement AdministrationAgreement
    ... category S 1..1 CodeableConcept Type of medication dispense
    ​... medicationReference S 1..1 Reference(Medication) MedicineForAdministrationAgreement
    ​.... display S 0..1 string Text alternative for the resource
    ... dosageInstruction
    .... text S 0..1 string Description
    .... route
    ..... text S 0..1 string Plain text representation of the concept

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationDispense C 0..* Zib AdministrationAgreement AdministrationAgreement
    Constraints: mdd-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: Common Languages (extensible): A human language.
    Additional BindingsPurpose
    All Languages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:authoredOn 0..1 dateTime AdministrationAgreementDateTime
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AuthoredOn
    Constraints: ext-1
    .... extension:agreementReason 0..1 string AgreementReason
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AgreementReason
    Constraints: ext-1
    .... extension:periodOfUse 0..* Period PeriodOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
    Constraints: ext-1
    .... extension:usageDuration 0..1 Duration Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    .... extension:additionalInformation 0..1 (Complex) AdministrationAgreementAdditionalInformation
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: ToedieningsafspraakAanvullendeInformatieCodelijst (extensible): AdministrationAgreementAdditionalInformation
    Example Example of AdditionalInformation: {"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"}]}
    .... extension:medicationTreatment 0..1 Identifier Medication Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:stopType ?! 0..1 (Complex) AdministrationAgreementStopType
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: Stoptype (required): StopType
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... identifier 0..* Identifier External identifier
    ... partOf 0..* Reference(Procedure) Event that dispense is part of
    ... status ?!Σ 0..1 code CanceledIndicator
    Binding: MedicationDispenseStatus (required): A coded concept specifying the state of the dispense event.
    ... category S 1..1 CodeableConcept Type of medication dispense
    Binding: MedicationDispenseCategory (preferred): A code describing where the dispensed medication is expected to be consumed or administered
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:code
    ..... coding:administrationAgreementCode Σ 0..1 Coding AdministrationAgreementCode
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 0..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 422037009
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    .... text Σ 0..1 string Plain text representation of the concept
    ... Slices for medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) MedicineForAdministrationAgreement
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display SΣ 0..1 string Text alternative for the resource
    ... subject Σ 0..1 Reference(nl-core-patient | Group) Who the dispense is for
    ... context 0..1 Reference(HCIM Encounter | nl-core-episodeofcare) Encounter / Episode associated with event
    ... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
    ... performer 0..* BackboneElement Supplier
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... actor 1..1 Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | Device | nl-core-relatedperson) Individual who was performing
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    ..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display Σ 0..1 string Text alternative for the resource
    .... onBehalfOf 0..1 Reference(nl-core-organization) Organization organization was acting for
    ... authorizingPrescription 0..* Reference(HCIM MedicationAgreement) MedicationAgreement
    ... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
    Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
    ... quantity 0..1 SimpleQuantity Amount dispensed
    ... daysSupply 0..1 SimpleQuantity Amount of medication expressed as a timing amount
    ... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
    ... whenHandedOver 0..1 dateTime When product was given out
    ... destination 0..1 Reference(Location) Where the medication was sent
    ... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
    ... note 0..* Annotation Comment
    ... dosageInstruction 0..* Zib InstructionsForUse InstructionsForUse
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... sequence Σ 0..1 integer SequenceNumber
    .... text SΣ 0..1 string Description
    .... additionalInstruction Σ 0..* CodeableConcept AdditionalInstructions
    Binding: Aanvullende gebruiksinstructie (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
    .... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
    .... timing Σ 0..1 Zib AdministrationSchedule AdministeringSchedule
    .... Slices for asNeededCodeableConcept Content/Rules for all slices
    ..... asNeededCodeableConcept:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
    Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
    .... site Σ 0..1 CodeableConcept Body site to administer to
    Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
    .... route Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... method Σ 0..1 CodeableConcept Technique for administering medication
    Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
    .... Slices for dose[x] Σ 0..1 Dose
    Slice: Unordered, Open by type:$this
    ..... doseRange Range
    ..... doseQuantity Quantity(SimpleQuantity)
    ..... dose[x]:doseQuantity ΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    Constraints: qty-3, sqty-1
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... low ΣC 0..1 SimpleQuantity Low limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ...... high ΣC 0..1 SimpleQuantity High limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    .... maxDosePerPeriod Σ 0..1 Ratio MaximumDose
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... numerator Σ 0..1 Quantity Numerator value
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... denominator Σ 0..1 Quantity Denominator value
    .... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
    .... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
    .... rate[x] Σ 0..1 AdministeringSpeed
    ..... rateRatio Ratio
    ..... rateRange Range
    ..... rateQuantity Quantity(SimpleQuantity)
    ... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
    .... type 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
    Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription
    .... reason 0..* CodeableConcept Why was substitution made
    Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed
    .... responsibleParty 0..* Reference(Practitioner) Who is responsible for the substitution
    ... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
    ... notDone 0..1 boolean Whether the dispense was or was not performed
    ... notDoneReason[x] 0..1 Why a dispense was not performed
    .... notDoneReasonCodeableConcept CodeableConcept
    .... notDoneReasonReference Reference(DetectedIssue)
    ... eventHistory 0..* Reference(Provenance) A list of releveant lifecycle events

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationDispense.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    MedicationDispense.extension:additionalInformation.​value[x]:valueCodeableConcept Base extensible ToedieningsafspraakAanvullendeInformatieCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.modifierExtension:stopType.​value[x]:valueCodeableConcept Base required Stoptype 📦2016-06-17T10:13:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.status Base required MedicationDispenseStatus 📦3.0.2 FHIR Std.
    MedicationDispense.category Base preferred MedicationDispenseCategory 📦3.0.2 FHIR Std.
    MedicationDispense.type Base example ActPharmacySupplyType 📦2014-03-26 FHIR Std.
    MedicationDispense.dosageInstruction.​additionalInstruction Base extensible Aanvullende gebruiksinstructie 📦2016-04-07T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​asNeededCodeableConcept:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦3.0.2 FHIR Std.
    MedicationDispense.dosageInstruction.​route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📦3.0.2 FHIR Std.
    MedicationDispense.dosageInstruction.​dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​dose[x]:doseRange.low Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​dose[x]:doseRange.high Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​maxDosePerPeriod.numerator Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦2014-03-26 FHIR Std.
    MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦2014-03-26 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationDispense.extension:authoredOn, MedicationDispense.extension:agreementReason, MedicationDispense.extension:periodOfUse, MedicationDispense.extension:usageDuration, MedicationDispense.extension:additionalInformation, MedicationDispense.extension:medicationTreatment, MedicationDispense.modifierExtension:stopType, MedicationDispense.modifierExtension:repeatPeriodCyclicalSchedule, MedicationDispense.performer.actor.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
    qty-3 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
    sqty-1 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity The comparator is not used on a SimpleQuantity comparator.empty()

    This structure is derived from Zib AdministrationAgreement

    Summary

    Must-Support: 5 elements

    Structures

    This structure refers to these other structures:

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationDispense C 0..* Zib AdministrationAgreement AdministrationAgreement
    Constraints: mdd-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension Content/Rules for all slices
    .... extension:authoredOn 0..1 dateTime AdministrationAgreementDateTime
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AuthoredOn
    Constraints: ext-1
    .... extension:agreementReason 0..1 string AgreementReason
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AgreementReason
    Constraints: ext-1
    .... extension:periodOfUse 0..* Period PeriodOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
    Constraints: ext-1
    .... extension:usageDuration 0..1 Duration Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    .... extension:additionalInformation 0..1 (Complex) AdministrationAgreementAdditionalInformation
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
    Constraints: ext-1
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: ToedieningsafspraakAanvullendeInformatieCodelijst (extensible): AdministrationAgreementAdditionalInformation
    Example Example of AdditionalInformation: {"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"}]}
    .... extension:medicationTreatment 0..1 Identifier Medication Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:stopType ?! 0..1 (Complex) AdministrationAgreementStopType
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
    Constraints: ext-1
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: Stoptype (required): StopType
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... category S 1..1 CodeableConcept Type of medication dispense
    Binding: MedicationDispenseCategory (preferred): A code describing where the dispensed medication is expected to be consumed or administered
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:code
    ..... coding:administrationAgreementCode Σ 0..1 Coding AdministrationAgreementCode
    ...... system Σ 0..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 422037009
    ... Slices for medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) MedicineForAdministrationAgreement
    ..... display SΣ 0..1 string Text alternative for the resource
    ... dosageInstruction 0..* Zib InstructionsForUse InstructionsForUse
    .... text SΣ 0..1 string Description
    .... Slices for asNeededCodeableConcept Content/Rules for all slices
    ..... asNeededCodeableConcept:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
    Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
    .... route Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... Slices for dose[x] Σ 0..1 Dose
    Slice: Unordered, Open by type:$this
    ..... doseRange Range
    ..... doseQuantity Quantity(SimpleQuantity)
    ..... dose[x]:doseQuantity ΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    Constraints: qty-3, sqty-1
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationDispense.extension:additionalInformation.​value[x]:valueCodeableConcept Base extensible ToedieningsafspraakAanvullendeInformatieCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.modifierExtension:stopType.​value[x]:valueCodeableConcept Base required Stoptype 📦2016-06-17T10:13:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.status Base required MedicationDispenseStatus 📦3.0.2 FHIR Std.
    MedicationDispense.category Base preferred MedicationDispenseCategory 📦3.0.2 FHIR Std.
    MedicationDispense.dosageInstruction.​asNeededCodeableConcept:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationDispense.extension:authoredOn, MedicationDispense.extension:agreementReason, MedicationDispense.extension:periodOfUse, MedicationDispense.extension:usageDuration, MedicationDispense.extension:additionalInformation, MedicationDispense.extension:medicationTreatment, MedicationDispense.modifierExtension:stopType, MedicationDispense.modifierExtension:repeatPeriodCyclicalSchedule Must have either extensions or value[x], not both extension.exists() != value.exists()
    mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
    qty-3 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
    sqty-1 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity The comparator is not used on a SimpleQuantity comparator.empty()

    Differential View

    This structure is derived from Zib AdministrationAgreement

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationDispense 0..* Zib AdministrationAgreement AdministrationAgreement
    ... category S 1..1 CodeableConcept Type of medication dispense
    ​... medicationReference S 1..1 Reference(Medication) MedicineForAdministrationAgreement
    ​.... display S 0..1 string Text alternative for the resource
    ... dosageInstruction
    .... text S 0..1 string Description
    .... route
    ..... text S 0..1 string Plain text representation of the concept

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. MedicationDispense C 0..* Zib AdministrationAgreement AdministrationAgreement
    Constraints: mdd-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: Common Languages (extensible): A human language.
    Additional BindingsPurpose
    All Languages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:authoredOn 0..1 dateTime AdministrationAgreementDateTime
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AuthoredOn
    Constraints: ext-1
    .... extension:agreementReason 0..1 string AgreementReason
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AgreementReason
    Constraints: ext-1
    .... extension:periodOfUse 0..* Period PeriodOfUse
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
    Constraints: ext-1
    .... extension:usageDuration 0..1 Duration Duration
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
    Constraints: ext-1
    .... extension:additionalInformation 0..1 (Complex) AdministrationAgreementAdditionalInformation
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: ToedieningsafspraakAanvullendeInformatieCodelijst (extensible): AdministrationAgreementAdditionalInformation
    Example Example of AdditionalInformation: {"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"}]}
    .... extension:medicationTreatment 0..1 Identifier Medication Treatment
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
    Constraints: ext-1
    ... Slices for modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    Slice: Unordered, Open by value:url
    .... modifierExtension:stopType ?! 0..1 (Complex) AdministrationAgreementStopType
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
    Constraints: ext-1
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..0 Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
    ..... Slices for value[x] Content/Rules for all slices
    ...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
    Binding: Stoptype (required): StopType
    .... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Duration RepeatPeriodCyclicalSchedule
    URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
    Constraints: ext-1
    ... identifier 0..* Identifier External identifier
    ... partOf 0..* Reference(Procedure) Event that dispense is part of
    ... status ?!Σ 0..1 code CanceledIndicator
    Binding: MedicationDispenseStatus (required): A coded concept specifying the state of the dispense event.
    ... category S 1..1 CodeableConcept Type of medication dispense
    Binding: MedicationDispenseCategory (preferred): A code describing where the dispensed medication is expected to be consumed or administered
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:code
    ..... coding:administrationAgreementCode Σ 0..1 Coding AdministrationAgreementCode
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 0..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    Fixed Value: 422037009
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    .... text Σ 0..1 string Plain text representation of the concept
    ... Slices for medicationReference Content/Rules for all slices
    .... medicationReference:medicationReference SΣ 1..1 Reference(Medication) MedicineForAdministrationAgreement
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display SΣ 0..1 string Text alternative for the resource
    ... subject Σ 0..1 Reference(nl-core-patient | Group) Who the dispense is for
    ... context 0..1 Reference(HCIM Encounter | nl-core-episodeofcare) Encounter / Episode associated with event
    ... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
    ... performer 0..* BackboneElement Supplier
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... actor 1..1 Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | Device | nl-core-relatedperson) Individual who was performing
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    ..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display Σ 0..1 string Text alternative for the resource
    .... onBehalfOf 0..1 Reference(nl-core-organization) Organization organization was acting for
    ... authorizingPrescription 0..* Reference(HCIM MedicationAgreement) MedicationAgreement
    ... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
    Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
    ... quantity 0..1 SimpleQuantity Amount dispensed
    ... daysSupply 0..1 SimpleQuantity Amount of medication expressed as a timing amount
    ... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
    ... whenHandedOver 0..1 dateTime When product was given out
    ... destination 0..1 Reference(Location) Where the medication was sent
    ... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
    ... note 0..* Annotation Comment
    ... dosageInstruction 0..* Zib InstructionsForUse InstructionsForUse
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... sequence Σ 0..1 integer SequenceNumber
    .... text SΣ 0..1 string Description
    .... additionalInstruction Σ 0..* CodeableConcept AdditionalInstructions
    Binding: Aanvullende gebruiksinstructie (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
    .... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
    .... timing Σ 0..1 Zib AdministrationSchedule AdministeringSchedule
    .... Slices for asNeededCodeableConcept Content/Rules for all slices
    ..... asNeededCodeableConcept:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
    Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
    .... site Σ 0..1 CodeableConcept Body site to administer to
    Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
    .... route Σ 0..1 CodeableConcept RouteOfAdministration
    Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst
    Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... method Σ 0..1 CodeableConcept Technique for administering medication
    Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
    .... Slices for dose[x] Σ 0..1 Dose
    Slice: Unordered, Open by type:$this
    ..... doseRange Range
    ..... doseQuantity Quantity(SimpleQuantity)
    ..... dose[x]:doseQuantity ΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    Constraints: qty-3, sqty-1
    ..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... low ΣC 0..1 SimpleQuantity Low limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ...... high ΣC 0..1 SimpleQuantity High limit
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    .... maxDosePerPeriod Σ 0..1 Ratio MaximumDose
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... numerator Σ 0..1 Quantity Numerator value
    Binding: G-Standaard Eenhedentabel (required): GstdTabel902
    ..... denominator Σ 0..1 Quantity Denominator value
    .... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
    .... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
    .... rate[x] Σ 0..1 AdministeringSpeed
    ..... rateRatio Ratio
    ..... rateRange Range
    ..... rateQuantity Quantity(SimpleQuantity)
    ... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
    .... type 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
    Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription
    .... reason 0..* CodeableConcept Why was substitution made
    Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed
    .... responsibleParty 0..* Reference(Practitioner) Who is responsible for the substitution
    ... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
    ... notDone 0..1 boolean Whether the dispense was or was not performed
    ... notDoneReason[x] 0..1 Why a dispense was not performed
    .... notDoneReasonCodeableConcept CodeableConcept
    .... notDoneReasonReference Reference(DetectedIssue)
    ... eventHistory 0..* Reference(Provenance) A list of releveant lifecycle events

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    MedicationDispense.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    MedicationDispense.extension:additionalInformation.​value[x]:valueCodeableConcept Base extensible ToedieningsafspraakAanvullendeInformatieCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.modifierExtension:stopType.​value[x]:valueCodeableConcept Base required Stoptype 📦2016-06-17T10:13:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.status Base required MedicationDispenseStatus 📦3.0.2 FHIR Std.
    MedicationDispense.category Base preferred MedicationDispenseCategory 📦3.0.2 FHIR Std.
    MedicationDispense.type Base example ActPharmacySupplyType 📦2014-03-26 FHIR Std.
    MedicationDispense.dosageInstruction.​additionalInstruction Base extensible Aanvullende gebruiksinstructie 📦2016-04-07T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​asNeededCodeableConcept:asNeededCodeableConcept Base extensible ZonodigCriteriumCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦3.0.2 FHIR Std.
    MedicationDispense.dosageInstruction.​route Base extensible MedicatieToedieningswegCodelijst 📦2017-12-31T00:00:00 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📦3.0.2 FHIR Std.
    MedicationDispense.dosageInstruction.​dose[x]:doseQuantity Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​dose[x]:doseRange.low Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​dose[x]:doseRange.high Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.dosageInstruction.​maxDosePerPeriod.numerator Base required G-Standaard Eenhedentabel 📦2016-08-30T20:24:53 Nictiz FHIR NL STU3 Zib2017 v2.3
    MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦2014-03-26 FHIR Std.
    MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦2014-03-26 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-1 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error MedicationDispense.extension:authoredOn, MedicationDispense.extension:agreementReason, MedicationDispense.extension:periodOfUse, MedicationDispense.extension:usageDuration, MedicationDispense.extension:additionalInformation, MedicationDispense.extension:medicationTreatment, MedicationDispense.modifierExtension:stopType, MedicationDispense.modifierExtension:repeatPeriodCyclicalSchedule, MedicationDispense.performer.actor.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
    qty-3 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
    sqty-1 error MedicationDispense.dosageInstruction.dose[x]:doseQuantity The comparator is not used on a SimpleQuantity comparator.empty()

    This structure is derived from Zib AdministrationAgreement

    Summary

    Must-Support: 5 elements

    Structures

    This structure refers to these other structures:

     

    Other representations of profile: CSV, Excel, Schematron