Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: HCIM Dispense

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.

The goal of the dispense is to provide insight into which products are delivered by the pharmacist to the patient (or their representative)

Usages:

• Refer to this Profile: HCIM MedicationAdministration

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	MedicationDispense
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:distributionForm		0..1	(Complex)	DistributionForm URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingDistributievormCodelijst (extensible): VerstrekkingDistributievormCodelijst
extension:requestDate		0..1	dateTime	RequestDate URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
extension:additionalInformation		0..1	(Complex)	DispenseAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingAanvullendeInformatieCodelijst (extensible): VerstrekkingAanvullendeInformatieCodelijst Example Example of DispenseAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052","code":"1","display":"Aantal bewust gewijzigd"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(HCIM Procedure)	Event that dispense is part of
category		1..1	CodeableConcept	Type of medication dispense
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:DispenseCode		0..*	Coding	DispenseCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 373784005
display		0..1	string	Representation defined by the system
Slices for medicationReference				Content/Rules for all slices
medicationReference:medicationReference		1..1	Reference(HCIM PharmaceuticalProduct)	DispensedMedicine
subject		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
performer		0..*	BackboneElement	Supplier
actor		1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson)	Individual who was performing
Slices for extension		0..*	Extension	Extension 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
onBehalfOf		0..1	Reference(nl-core-organization)	Organization organization was acting for
authorizingPrescription		0..1	Reference(HCIM DispenseRequest)	DispenseRequest
quantity		0..1	SimpleQuantity	DispensedAmount
daysSupply		0..1	SimpleQuantity	DurationOfUse
whenHandedOver		0..1	dateTime	DispenseDateTime Example Example of DispenseDateTime: 2017-05-17
destination		0..1	Reference(nl-core-location)	DispenseLocation
receiver		0..*	Reference(nl-core-patient | nl-core-practitioner)	Who collected the medication
Slices for extension		0..*	Extension	Extension 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
note		0..*	Annotation	Comment
dosageInstruction		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.extension:distributionForm.valueCodeableConcept:valueCodeableConcept	extensible	MedicatieverstrekkingDistributievormCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000 From this IG
MedicationDispense.extension:additionalInformation.valueCodeableConcept:valueCodeableConcept	extensible	MedicatieverstrekkingAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000 From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	MedicationDispense Constraints: mdd-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:distributionForm		0..1	(Complex)	DistributionForm URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingDistributievormCodelijst (extensible): VerstrekkingDistributievormCodelijst
extension:requestDate		0..1	dateTime	RequestDate URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
extension:additionalInformation		0..1	(Complex)	DispenseAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingAanvullendeInformatieCodelijst (extensible): VerstrekkingAanvullendeInformatieCodelijst Example Example of DispenseAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052","code":"1","display":"Aantal bewust gewijzigd"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(HCIM Procedure)	Event that dispense is part of
status	?!Σ	0..1	code	preparation | in-progress | on-hold | completed | entered-in-error | stopped Binding: MedicationDispenseStatus (required): A coded concept specifying the state of the dispense event.
category		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:DispenseCode	Σ	0..*	Coding	DispenseCode
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: 373784005
display	Σ	0..1	string	Representation defined by the system
Slices for medication[x]	Σ	1..1	Reference()	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	DispensedMedicine
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
performer		0..*	BackboneElement	Supplier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor		1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson)	Individual who was performing
Slices for extension		0..*	Extension	Extension 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
onBehalfOf		0..1	Reference(nl-core-organization)	Organization organization was acting for
authorizingPrescription		0..1	Reference(HCIM DispenseRequest)	DispenseRequest
quantity		0..1	SimpleQuantity	DispensedAmount
daysSupply		0..1	SimpleQuantity	DurationOfUse
whenHandedOver		0..1	dateTime	DispenseDateTime Example Example of DispenseDateTime: 2017-05-17
destination		0..1	Reference(nl-core-location)	DispenseLocation
receiver		0..*	Reference(nl-core-patient | nl-core-practitioner)	Who collected the medication
Slices for extension		0..*	Extension	Extension 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
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.extension:distributionForm.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingDistributievormCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000 From this IG
MedicationDispense.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000 From this IG
MedicationDispense.status	required	MedicationDispenseStatus http://hl7.org/fhir/ValueSet/medication-dispense-status|3.0.2 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispenseCategory http://hl7.org/fhir/ValueSet/medication-dispense-category|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	MedicationDispense 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 Bindings Purpose 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	Extension Slice: Unordered, Open by value:url
extension:distributionForm		0..1	(Complex)	DistributionForm URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingDistributievormCodelijst (extensible): VerstrekkingDistributievormCodelijst
extension:requestDate		0..1	dateTime	RequestDate URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
extension:additionalInformation		0..1	(Complex)	DispenseAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingAanvullendeInformatieCodelijst (extensible): VerstrekkingAanvullendeInformatieCodelijst Example Example of DispenseAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052","code":"1","display":"Aantal bewust gewijzigd"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(HCIM Procedure)	Event that dispense is part of
status	?!Σ	0..1	code	preparation | in-progress | on-hold | completed | entered-in-error | stopped Binding: MedicationDispenseStatus (required): A coded concept specifying the state of the dispense event.
category		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:DispenseCode	Σ	0..*	Coding	DispenseCode
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: 373784005
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 medication[x]	Σ	1..1	Reference()	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	DispensedMedicine
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 | HCIM MedicalDevice Product | nl-core-relatedperson)	Individual who was performing
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension 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
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..1	Reference(HCIM DispenseRequest)	DispenseRequest
type		0..1	CodeableConcept	​Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType|2014-03-26 (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	DispensedAmount
daysSupply		0..1	SimpleQuantity	DurationOfUse
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver		0..1	dateTime	DispenseDateTime Example Example of DispenseDateTime: 2017-05-17
destination		0..1	Reference(nl-core-location)	DispenseLocation
receiver		0..*	Reference(nl-core-patient | nl-core-practitioner)	Who collected the medication
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension 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
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
note		0..*	Annotation	Comment
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|2014-03-26 (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|2014-03-26 (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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationDispense.extension:distributionForm.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingDistributievormCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000 From this IG
MedicationDispense.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000 From this IG
MedicationDispense.status	required	MedicationDispenseStatus http://hl7.org/fhir/ValueSet/medication-dispense-status|3.0.2 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispenseCategory http://hl7.org/fhir/ValueSet/medication-dispense-category|3.0.2 From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType|2014-03-26 From the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode|2014-03-26 From the FHIR Standard
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason|2014-03-26 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	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

This structure is derived from MedicationDispense

Summary

Mandatory: 1 element
Fixed: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• HCIM Procedure (http://nictiz.nl/fhir/StructureDefinition/zib-Procedure)
• HCIM PharmaceuticalProduct (http://nictiz.nl/fhir/StructureDefinition/zib-Product)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• HCIM DispenseRequest (http://nictiz.nl/fhir/StructureDefinition/zib-DispenseRequest)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
• http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.category.coding

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	MedicationDispense
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:distributionForm		0..1	(Complex)	DistributionForm URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingDistributievormCodelijst (extensible): VerstrekkingDistributievormCodelijst
extension:requestDate		0..1	dateTime	RequestDate URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
extension:additionalInformation		0..1	(Complex)	DispenseAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingAanvullendeInformatieCodelijst (extensible): VerstrekkingAanvullendeInformatieCodelijst Example Example of DispenseAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052","code":"1","display":"Aantal bewust gewijzigd"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(HCIM Procedure)	Event that dispense is part of
category		1..1	CodeableConcept	Type of medication dispense
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:DispenseCode		0..*	Coding	DispenseCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 373784005
display		0..1	string	Representation defined by the system
Slices for medicationReference				Content/Rules for all slices
medicationReference:medicationReference		1..1	Reference(HCIM PharmaceuticalProduct)	DispensedMedicine
subject		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
performer		0..*	BackboneElement	Supplier
actor		1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson)	Individual who was performing
Slices for extension		0..*	Extension	Extension 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
onBehalfOf		0..1	Reference(nl-core-organization)	Organization organization was acting for
authorizingPrescription		0..1	Reference(HCIM DispenseRequest)	DispenseRequest
quantity		0..1	SimpleQuantity	DispensedAmount
daysSupply		0..1	SimpleQuantity	DurationOfUse
whenHandedOver		0..1	dateTime	DispenseDateTime Example Example of DispenseDateTime: 2017-05-17
destination		0..1	Reference(nl-core-location)	DispenseLocation
receiver		0..*	Reference(nl-core-patient | nl-core-practitioner)	Who collected the medication
Slices for extension		0..*	Extension	Extension 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
note		0..*	Annotation	Comment
dosageInstruction		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.extension:distributionForm.valueCodeableConcept:valueCodeableConcept	extensible	MedicatieverstrekkingDistributievormCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000 From this IG
MedicationDispense.extension:additionalInformation.valueCodeableConcept:valueCodeableConcept	extensible	MedicatieverstrekkingAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000 From this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	MedicationDispense Constraints: mdd-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:distributionForm		0..1	(Complex)	DistributionForm URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingDistributievormCodelijst (extensible): VerstrekkingDistributievormCodelijst
extension:requestDate		0..1	dateTime	RequestDate URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
extension:additionalInformation		0..1	(Complex)	DispenseAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingAanvullendeInformatieCodelijst (extensible): VerstrekkingAanvullendeInformatieCodelijst Example Example of DispenseAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052","code":"1","display":"Aantal bewust gewijzigd"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(HCIM Procedure)	Event that dispense is part of
status	?!Σ	0..1	code	preparation | in-progress | on-hold | completed | entered-in-error | stopped Binding: MedicationDispenseStatus (required): A coded concept specifying the state of the dispense event.
category		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:DispenseCode	Σ	0..*	Coding	DispenseCode
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: 373784005
display	Σ	0..1	string	Representation defined by the system
Slices for medication[x]	Σ	1..1	Reference()	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	DispensedMedicine
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
performer		0..*	BackboneElement	Supplier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor		1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson)	Individual who was performing
Slices for extension		0..*	Extension	Extension 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
onBehalfOf		0..1	Reference(nl-core-organization)	Organization organization was acting for
authorizingPrescription		0..1	Reference(HCIM DispenseRequest)	DispenseRequest
quantity		0..1	SimpleQuantity	DispensedAmount
daysSupply		0..1	SimpleQuantity	DurationOfUse
whenHandedOver		0..1	dateTime	DispenseDateTime Example Example of DispenseDateTime: 2017-05-17
destination		0..1	Reference(nl-core-location)	DispenseLocation
receiver		0..*	Reference(nl-core-patient | nl-core-practitioner)	Who collected the medication
Slices for extension		0..*	Extension	Extension 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
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.extension:distributionForm.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingDistributievormCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000 From this IG
MedicationDispense.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000 From this IG
MedicationDispense.status	required	MedicationDispenseStatus http://hl7.org/fhir/ValueSet/medication-dispense-status|3.0.2 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispenseCategory http://hl7.org/fhir/ValueSet/medication-dispense-category|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	MedicationDispense 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 Bindings Purpose 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	Extension Slice: Unordered, Open by value:url
extension:distributionForm		0..1	(Complex)	DistributionForm URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingDistributievormCodelijst (extensible): VerstrekkingDistributievormCodelijst
extension:requestDate		0..1	dateTime	RequestDate URL: http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
extension:additionalInformation		0..1	(Complex)	DispenseAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieverstrekkingAanvullendeInformatieCodelijst (extensible): VerstrekkingAanvullendeInformatieCodelijst Example Example of DispenseAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2052","code":"1","display":"Aantal bewust gewijzigd"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(HCIM Procedure)	Event that dispense is part of
status	?!Σ	0..1	code	preparation | in-progress | on-hold | completed | entered-in-error | stopped Binding: MedicationDispenseStatus (required): A coded concept specifying the state of the dispense event.
category		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:DispenseCode	Σ	0..*	Coding	DispenseCode
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: 373784005
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 medication[x]	Σ	1..1	Reference()	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	DispensedMedicine
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 | HCIM MedicalDevice Product | nl-core-relatedperson)	Individual who was performing
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension 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
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..1	Reference(HCIM DispenseRequest)	DispenseRequest
type		0..1	CodeableConcept	​Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType|2014-03-26 (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	DispensedAmount
daysSupply		0..1	SimpleQuantity	DurationOfUse
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver		0..1	dateTime	DispenseDateTime Example Example of DispenseDateTime: 2017-05-17
destination		0..1	Reference(nl-core-location)	DispenseLocation
receiver		0..*	Reference(nl-core-patient | nl-core-practitioner)	Who collected the medication
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension 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
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
note		0..*	Annotation	Comment
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|2014-03-26 (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|2014-03-26 (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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationDispense.extension:distributionForm.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingDistributievormCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.1--20171231000000 From this IG
MedicationDispense.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieverstrekkingAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.9.2--20171231000000 From this IG
MedicationDispense.status	required	MedicationDispenseStatus http://hl7.org/fhir/ValueSet/medication-dispense-status|3.0.2 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispenseCategory http://hl7.org/fhir/ValueSet/medication-dispense-category|3.0.2 From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType|2014-03-26 From the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode|2014-03-26 From the FHIR Standard
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason|2014-03-26 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	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

This structure is derived from MedicationDispense

Summary

Mandatory: 1 element
Fixed: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• HCIM Procedure (http://nictiz.nl/fhir/StructureDefinition/zib-Procedure)
• HCIM PharmaceuticalProduct (http://nictiz.nl/fhir/StructureDefinition/zib-Product)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• HCIM DispenseRequest (http://nictiz.nl/fhir/StructureDefinition/zib-DispenseRequest)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-DistributionForm
• http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-RequestDate
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.category.coding

Other representations of profile: CSV, Excel, Schematron