FHIR IG Statistics: StructureDefinition/zib-MedicationAgreement

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{
  "resourceType": "StructureDefinition",
  "id": "zib-MedicationAgreement",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2017-12-14T13:51:40.78+01:00"
  },
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement",
  "version": "1.0",
  "name": "ZIB-Medication-Agreement",
  "title": "HCIM Medication Agreement",
  "status": "retired",
  "date": "2016-12-12T16:41:08.39+00:00",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "email",
          "value": "info@nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This profile is based the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB)  nl.zorg.MedicatieAfspraak version 1.0, year 2017.",
  "purpose": "The goal of the medication agreement is to provide insight into the agreements reached between the prescriber and the patient on the use of medication.",
  "copyright": "CC0",
  "fhirVersion": "3.0.1",
  "mapping": [
    {
      "identity": "hcim-medicationagreement-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/MedicationAgreement-v1.0(2017EN)",
      "name": "HCIM MedicationAgreement-v1.0(2017EN)"
    },
    {
      "identity": "Medication-Process-v09",
      "uri": "https://decor.nictiz.nl/medicatieproces/mp-html-20170829T141253/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.3-2016-06-01T000000.html",
      "name": "Medication Process v09",
      "comment": "Language of Medication Process is Dutch."
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "MedicationRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationRequest",
        "path": "MedicationRequest",
        "short": "MedicationAgreement",
        "definition": "A medication agreement is a prescriber’s proposal for a patient to use medication. An agreement to discontinue the use of medication is also a medication agreement.",
        "alias": [
          "Medicatieafspraak"
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.9580"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension",
        "path": "MedicationRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.extension:periodOfUse",
        "path": "MedicationRequest.extension",
        "sliceName": "periodOfUse",
        "short": "PeriodOfUse",
        "definition": "Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original medication agreement. The end date indicates from when the medication is to be discontinued. \r\n\r\nEnd date: The time at which the period of use ends (or ended or will end). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date.",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.19936"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:usageDuration",
        "path": "MedicationRequest.extension",
        "sliceName": "usageDuration",
        "short": "Duration",
        "definition": "Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days.",
        "alias": [
          "Duur"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.19936"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:additionalInformation",
        "path": "MedicationRequest.extension",
        "sliceName": "additionalInformation",
        "short": "MedicationAgreementAdditionalInformation",
        "definition": "Additional information includes details on the structure of the agreement made that are relevant for pharmacovigilance and fulfillment by the pharmacist. This can be used e.g. to indicate that there was a conscious decision to deviate from the norm or that the agreement is to be structured in a certain way.",
        "alias": [
          "MedicatieafspraakAanvullendeInformatie"
        ],
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.23283"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:additionalInformation.value[x]",
        "path": "MedicationRequest.extension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "example": [
          {
            "label": "Example of MedicationAgreementAdditionalInformation",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050",
                  "code": "1",
                  "display": "Bewust hoge dosering"
                }
              ]
            }
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "MedicatieafspraakAanvullendeInformatieCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000",
            "display": "MedicatieafspraakAanvullendeInformatieCodelijst"
          }
        }
      },
      {
        "id": "MedicationRequest.extension:medicationTreatment",
        "path": "MedicationRequest.extension",
        "sliceName": "medicationTreatment",
        "short": "Medication Treatment",
        "definition": "This extension is to describe which overarching medication treatment this information is part of. This is done by the use of an identifier of that medication treatment.",
        "comment": "No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided.",
        "alias": [
          "Medicamenteuze behandeling"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment"
          }
        ],
        "mapping": [
          {
            "identity": "Medication-Process-v09",
            "map": "mp-dataelement900-22092"
          }
        ]
      },
      {
        "id": "MedicationRequest.modifierExtension",
        "path": "MedicationRequest.modifierExtension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.modifierExtension:stopType",
        "path": "MedicationRequest.modifierExtension",
        "sliceName": "stopType",
        "definition": "The manner in which (and indicator that) this medication is discontinued (temporarily or permanently).",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.19954"
          }
        ]
      },
      {
        "id": "MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept",
        "path": "MedicationRequest.modifierExtension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "binding": {
          "strength": "required"
        }
      },
      {
        "id": "MedicationRequest.identifier",
        "path": "MedicationRequest.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.identifier:MedicationAgreementIdentifier",
        "path": "MedicationRequest.identifier",
        "sliceName": "MedicationAgreementIdentifier",
        "max": "1"
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "short": "CanceledIndicator",
        "definition": "A code specifying the current state of the order. Generally this will be active or completed state.",
        "alias": [
          "GeannuleerdIndicator"
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.23033"
          }
        ]
      },
      {
        "id": "MedicationRequest.category",
        "path": "MedicationRequest.category",
        "min": 1
      },
      {
        "id": "MedicationRequest.category.coding",
        "path": "MedicationRequest.category.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.category.coding:MedicationAgreementCode",
        "path": "MedicationRequest.category.coding",
        "sliceName": "MedicationAgreementCode",
        "short": "MedicationAgreementCode",
        "definition": "Category code used for indexing/retrieval of the ZIB MedicationAgreeement. The snomed code is stated in the Medication Process v09."
      },
      {
        "id": "MedicationRequest.category.coding:MedicationAgreementCode.system",
        "path": "MedicationRequest.category.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "MedicationRequest.category.coding:MedicationAgreementCode.code",
        "path": "MedicationRequest.category.coding.code",
        "fixedCode": "16076005"
      },
      {
        "id": "MedicationRequest.category.coding:MedicationAgreementCode.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationRequest.category.coding.display",
        "fixedString": "Prescription (procedure)"
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "short": "AgreedMedicine",
        "definition": "The medicine agreed upon to be used.",
        "alias": [
          "Afgesprokengeneesmiddel"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.19925"
          }
        ]
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          }
        ]
      },
      {
        "id": "MedicationRequest.supportingInformation",
        "path": "MedicationRequest.supportingInformation",
        "short": "MedicationAgreementAdditionalInformation",
        "definition": "Additional information includes details on the structure of the agreement made. This can be used e.g. to indicate that there was a conscious decision to deviate from the norm or that the agreement is to be structured in a certain way. \r\nAlso used for reference to observations regarding bodyweight and bodyheight.",
        "alias": [
          "MedicatieAfspraakAanvullendeInformatie",
          "Lichaamslengte",
          "Lichaamsgewicht"
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.23283"
          },
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.23023"
          },
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.23028"
          }
        ]
      },
      {
        "id": "MedicationRequest.authoredOn",
        "path": "MedicationRequest.authoredOn",
        "short": "MedicationAgreementDateTime",
        "definition": "The time at which the agreement was made. \r\n \r\nAppointment date + time are required (order of the appointments must be clear in cases with multiple appointments on one day)",
        "alias": [
          "Afspraakdatum"
        ],
        "min": 1,
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.19757"
          }
        ]
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "short": "Prescriber",
        "definition": "The health professional that entered the medication agreement with the patient.",
        "alias": [
          "Voorschrijver"
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.1030"
          }
        ]
      },
      {
        "id": "MedicationRequest.requester.agent",
        "path": "MedicationRequest.requester.agent",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          }
        ]
      },
      {
        "id": "MedicationRequest.recorder",
        "path": "MedicationRequest.recorder",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonCode",
        "path": "MedicationRequest.reasonCode",
        "short": "MedicationAgreementReason",
        "definition": "Reason for this agreement. This can be the reason to start, change or stop the medication treatment.",
        "alias": [
          "RedenMedicatieafspraak"
        ],
        "example": [
          {
            "label": "Example of MedicationAgreementReason",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "urn:oid: 2.16.840.1.113883.6.96",
                  "code": "305335007",
                  "display": "Admission to establishment (procedure)"
                }
              ]
            }
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "RedenMedicatieAfspraak",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2--20171231000000",
            "display": "RedenMedicatieafspraak"
          }
        },
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.22094"
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonReference",
        "path": "MedicationRequest.reasonReference",
        "short": "PrescriptionReason",
        "definition": "The medical reason for the prescription or for use of the medication. This can be used to enter a medical indication which was the direct cause for prescription or for use of the medication in question. \r\n\r\nIt can concern every type of problem (or condition) of the patient, almost all diagnoses, complaints or symptoms. \r\n\r\nPlease note: The BST401T file of the G standard contains a “special reference” to indicate that “exchange of the reason for prescription is essential”.",
        "alias": [
          "RedenVanVoorschrijven"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Concern"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.23133"
          }
        ]
      },
      {
        "id": "MedicationRequest.note",
        "path": "MedicationRequest.note",
        "short": "Comment",
        "definition": "Explanation for the medication agreement. \r\n \r\nThis explanation can contain e.g. information on why a prescriber makes a medication agreement that deviates from the norm.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.22273"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "definition": "Instructions for the use of the medication, e.g. dose and route of administration",
        "type": [
          {
            "code": "Dosage",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicationagreement-v1.0-2017EN",
            "map": "NL-CM:9.6.23240"
          }
        ]
      }
    ]
  }
}