MedMij:V1.0 Sandbox3
Inhoud
- 1 Voorbeelden doseringen
- 1.1 Opbouw- of afbouwschema
- 1.2 Opbouw of afbouw met vaste tijden
- 1.3 Opbouw verschillende sterktes (prednisolon)
- 1.4 Afbouwschema met parallelle MBH (diazepam)
- 1.5 Parallelle MBH met verschillende toedieningsweg (paracetamol)
- 1.6 Afbouwschema met één PRK (diazepam)
- 1.7 Vast en zo nodig (paracetamol)
- 1.8 Onregelmatig schema, met pauze periode
- 1.9 Onregelmatig schema (novorapid)
- 1.10 Meervoudig product: trigynon
- 1.11 Meervoudig product: trisequens
- 1.12 Eenmalig gebruik (vaccin)
- 1.13 Andere voorbeelden
1 Voorbeelden doseringen
Deze paragraaf bevat uitgewerkte voorbeelden voor het concept “Gebruiksinstructie” uit de dataset van de Informatiestandaard Medicatieproces. Deze uitwerking is bedoeld als illustratie van de mogelijkheden die de nieuwe structuur biedt. De voorbeelden zijn ontleend aan zowel ambulante als instellingsmedicatie en dus niet altijd voor iedereen direct relevant. De software dient hierbij de eindgebruiker adequaat te ondersteunen.
1.1 Opbouw- of afbouwschema
1.1.1 Voorbeeld
Doxycycline 100mg tablet 1dd2 gedurende 1 dag vanaf 16-7, gevolgd door 1dd1 gedurende 4 dagen 17-7 t/m 20-7
1.1.2 Optie met twee opeenvolgende MA’s
- MBH11 - MA11-1
- Ingangsdatum: “16/7 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “16/7 23:59”
- Gebruiksinstructie/Omschrijving: “vanaf 16/7 gedurende 1 dag 1 maal per dag 2 stuks”
- Gebruiksinstructie/Doseerinstructie/Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode)
- Gebruiksinstructie/Doseerinstructie/Dosering/Keerdosis: “2 stuks”
- Gebruiksinstructie/Doseerinstructie/Dosering/Toedieningsschema/Frequentie: “1 maal per dag”
- MBH11 - MA11-2
- Ingangsdatum: “17/7 00:00”
- Gebruiksduur: “4 dagen” OF Einddatum: “20/7 23:59”
- Gebruiksinstructie/Omschrijving: “vanaf 17/7 gedurende 4 dagen 1 maal per dag 1 stuk”
- Gebruiksinstructie/Doseerinstructie/Doseerduur: “4 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode)
- Gebruiksinstructie/Doseerinstructie/Dosering/Keerdosis: “1 stuk”
- Gebruiksinstructie/Doseerinstructie/Dosering/Toedieningsschema/Frequentie: “1 maal per dag”
1.1.2.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-11-MA-11-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">Vanaf 16/7/2018 gedurende 1 dag 1 maal per dag 2 stuks</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20180716000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="19844" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard PRK">
<translation code="22179" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20180716111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="2" unit="1">
<translation value="2" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-11"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-11-MA-11-2" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 17/7 gedurende 4 dagen 1 maal per dag 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20180717000000"/>
<width value="4" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="19844" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard PRK">
<translation code="22179" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20180716111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-11"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.1.2.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="7"/>
<entry>
<fullUrl value="urn:uuid:18725dd1-2eb4-11e9-8690-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:18725ffe-2eb4-11e9-8690-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:18725ffd-2eb4-11e9-8690-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:18725ffe-2eb4-11e9-8690-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.19844"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="19844"/>
<display value="DOXYCYCLINE TABLET 100MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="22179"/>
<display value="DOXYCYCLINE TABLET 100MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:18725ffa-2eb4-11e9-8690-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2018-07-16T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-11"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-11-MA-11-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.19844"/>
<display value="DOXYCYCLINE TABLET 100MG DOXYCYCLINE TABLET 100MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:18725dd1-2eb4-11e9-8690-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2018-07-16T11:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:18725ffd-2eb4-11e9-8690-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="Vanaf 16/7/2018 gedurende 1 dag 1 maal per dag 2 stuks"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:18726024-2eb4-11e9-8690-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2018-07-17T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-11"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-11-MA-11-2"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.19844"/>
<display value="DOXYCYCLINE TABLET 100MG DOXYCYCLINE TABLET 100MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:18725dd1-2eb4-11e9-8690-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2018-07-16T11:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:18725ffd-2eb4-11e9-8690-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="vanaf 17/7 gedurende 4 dagen 1 maal per dag 1 stuk"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.1.3 Optie met één MA met daarin een ‘afbouwschema’
- MBH12 – MA12-1
- Ingangsdatum: “16/7 00:00”
- Gebruiksduur: “5 dagen” OF Einddatum: “20/7 23:59”
- Gebruiksinstructie/Omschrijving: “vanaf 16/7 gedurende 1 dag 1 maal per dag 2 stuks gevolgd door gedurende 4 dagen 1 maal per dag 1 stuk”
- Gebruiksinstructie/Doseerinstructie[1]
- Volgnummer: “1”
- Doseerduur: “1 dag”
- Dosering/Keerdosis: “2 stuks”
- Dosering/Toedieningsschema/Frequentie: “1 maal per dag”
- Gebruiksinstructie/Doseerinstructie[2]
- Volgnummer: “2”
- Doseerduur: “4 dagen”
- Dosering/Keerdosis: “1 stuk”
- Dosering/Toedieningsschema/Frequentie: “1 maal per dag”
1.1.3.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-12-MA-12-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 16/7/2018 gedurende 1 dag 1 maal per dag 2 stuks gevolgd door gedurende 4 dagen 1 maal per dag 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20180716000000"/>
<width value="5" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="19844" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard PRK">
<translation code="22179" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20180716111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="2" unit="1">
<translation value="2" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="2"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="4" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-12"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.1.3.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:98f8b311-2eb3-11e9-1266-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:98f8b53e-2eb3-11e9-1266-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:98f8b53d-2eb3-11e9-1266-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:98f8b53e-2eb3-11e9-1266-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.19844"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="19844"/>
<display value="DOXYCYCLINE TABLET 100MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="22179"/>
<display value="DOXYCYCLINE TABLET 100MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:98f8b53a-2eb3-11e9-1266-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2018-07-16T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-12"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-12-MA-12-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.19844"/>
<display value="DOXYCYCLINE TABLET 100MG DOXYCYCLINE TABLET 100MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:98f8b311-2eb3-11e9-1266-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2018-07-16T11:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:98f8b53d-2eb3-11e9-1266-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 16/7/2018 gedurende 1 dag 1 maal per dag 2 stuks gevolgd door gedurende 4 dagen 1 maal per dag 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="2"/>
<text value="vanaf 16/7/2018 gedurende 1 dag 1 maal per dag 2 stuks gevolgd door gedurende 4 dagen 1 maal per dag 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.2 Opbouw of afbouw met vaste tijden
1.2.1 Voorbeeld
Furosemide 20mg tablet 3dd. 2 om 8, 14 en 20 uur van 17-7 t/m 20-7, gevolgd door 2dd 1 vanaf 21-7.
1.2.2 Optie met 1 MA
- MBH21 – MA21-1
- Ingangsdatum: “17/7 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Gebruiksinstructie/Omschrijving: “vanaf 17/7 gedurende 4 dagen om 8, 14 en 20 uur 1 stuk, gevolgd door tot nader order 2 maal per dag 1 stuk”
- Gebruiksinstructie/Doseerinstructie[1]
- Volgnummer: “1”
- Doseerduur: “4 dagen”
- Dosering[1]
- Keerdosis: “1 stuk”
- Toedieningsschema/Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd[1]: “08:00 uur”
- Dosering[2]
- Keerdosis: “1 stuk”
- Toedieningsschema/Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd[2]: “14:00 uur”
- Dosering[3]
- Keerdosis: “1 stuk”
- Toedieningsschema/Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd[3]: “20:00 uur”
- Gebruiksinstructie/Doseerinstructie[2]
- Volgnummer: “2”
- Doseerduur: “-”
- Dosering/Keerdosis: “1 stuk”
- Dosering/Toedieningsschema/Frequentie: “2 maal per dag”
1.2.2.1 in XMLHL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-21-MA-21-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 17/7/2018 gedurende 4 dagen om 8, 14 en 20 uur 1 stuk, gevolgd door tot nader order 2 maal per dag 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20180717000000"/>
<high nullFlavor="NI"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="3387" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="FUROSEMIDE TABLET 20MG" codeSystemName="G-Standaard PRK">
<translation code="10995" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="FUROSEMIDE TABLET 20MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20180717111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="4" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20180717080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="4" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20180717140000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="4" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20180717200000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="2"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="2"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-21"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.2.2.2 in XMLHL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/Bundle-MedicationOverview"/>
</meta>
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:6afb15b1-2ee1-11e9-3647-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6afb17dd-2ee1-11e9-3647-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6afb17dc-2ee1-11e9-3647-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:6afb17dd-2ee1-11e9-3647-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.3387"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="3387"/>
<display value="FUROSEMIDE TABLET 20MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="10995"/>
<display value="FUROSEMIDE TABLET 20MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
</Bundle>
|
1.3 Opbouw verschillende sterktes (prednisolon)
1.3.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.3.2 Optie met opeenvolgende MA’s
- MBH31 – MA31-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “5 dagen” OF Einddatum: “28/10 23:59”
- Afgesproken geneesmiddel: PREDNISOLON 10MG CAPSULE (PRK 49638)
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt gedurende 5 dagen om 8:00 1 stuk”
- Gebruiksinstructie/Doseerinstructie/Doseerduur: “5 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Gebruiksinstructie/Doseerinstructie/Dosering/Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- MBH31 – MA31-2
- Ingangsdatum: “29/10 00:00”
- Gebruiksduur: “5 dagen” OF Einddatum: “2/11 23:59”
- Afgesproken geneesmiddel: PREDNISOLON 15MG CAPSULE (PRK 49646)
- Gebruiksinstructie/Omschrijving: “vanaf 29 okt gedurende 5 dagen om 8:00 1 stuk”
- Gebruiksinstructie/Doseerinstructie/Doseerduur: “5 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Gebruiksinstructie/Doseerinstructie/Dosering/Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- MBH31 – MA31-3
- Ingangsdatum: “3/11 00:00”
- Gebruiksduur: “5 dagen” OF Einddatum: “7/11 23:59”
- Afgesproken geneesmiddel: PREDNISOLON 20MG CAPSULE (PRK 49654)
- Gebruiksinstructie/Omschrijving: “vanaf 3 nov gedurende 5 dagen om 8:00 1 stuk”
- Gebruiksinstructie/Doseerinstructie/Doseerduur: “5 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Gebruiksinstructie/Doseerinstructie/Dosering/Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- MBH31 – MA31-4
- Ingangsdatum: “8/11 00:00”
- Gebruiksduur: “5 dagen” OF Einddatum: “12/11 23:59”
- Afgesproken geneesmiddel: PREDNISOLON 25MG CAPSULE (PRK 49662)
- Gebruiksinstructie/Omschrijving: “vanaf 8 nov gedurende 5 dagen om 8:00 1 stuk”
- Gebruiksinstructie/Doseerinstructie/Doseerduur: “5 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Gebruiksinstructie/Doseerinstructie/Dosering/Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- MBH31 – MA31-5
- Ingangsdatum: “13/11 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: PREDNISOLON 30MG CAPSULE (PRK 49670)
- Gebruiksinstructie/Omschrijving: “vanaf 13 nov tot nader order om 8:00 1 stuk”
- Gebruiksinstructie/Doseerinstructie/Doseerduur: “-” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Gebruiksinstructie/Doseerinstructie/Dosering/Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
1.3.2.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-31-MA-31-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016, gedurende 5 dagen, om 8:00 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="5" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="49638" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PREDNISOLON CAPSULE 10MG" codeSystemName="G-Standaard PRK">
<translation code="103438" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PREDNISOLON CAPSULE 10MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023161500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-31"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-31-MA-31-2" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 29 okt 2016, gedurende 5 dagen, om 8:00 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161029000000"/>
<width value="5" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="49646" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PREDNISOLON CAPSULE 15MG" codeSystemName="G-Standaard PRK">
<translation code="103446" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PREDNISOLON CAPSULE 15MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023161500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161029080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-31"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-31-MA-31-3" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 3 nov 2016, gedurende 5 dagen, om 8:00 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161103000000"/>
<width value="5" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="49654" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PREDNISOLON CAPSULE 20MG" codeSystemName="G-Standaard PRK">
<translation code="103454" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PREDNISOLON CAPSULE 20MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023161500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161103080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-31"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-31-MA-31-4" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 8 nov 2016, gedurende 5 dagen, om 8:00 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161108000000"/>
<width value="5" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="49662" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PREDNISOLON CAPSULE 25MG" codeSystemName="G-Standaard PRK">
<translation code="103462" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PREDNISOLON CAPSULE 25MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023161500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161108080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-31"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-31-MA-31-5" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 13 nov 2016, tot nader order, om 8:00 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161113000000"/>
<high nullFlavor="NI"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="49670" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PREDNISOLON CAPSULE 30MG" codeSystemName="G-Standaard PRK">
<translation code="103470" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PREDNISOLON CAPSULE 30MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023161500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161113080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-31"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.3.2.2 in XML HL7 FHIR
| XML contents |
|---|
<?xml version="1.0" encoding="UTF-8"?>
<?xml-model href="http://hl7.org/fhir/STU3/bundle.sch" type="application/xml" schematypens="http://purl.oclc.org/dsdl/schematron"?>
<Bundle xmlns="http://hl7.org/fhir"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="14"/>
<entry>
<fullUrl value="urn:uuid:6fbb6a91-2faa-11e9-5613-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6fbb6cbe-2faa-11e9-5613-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6fbb6cbd-2faa-11e9-5613-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:6fbb6cbe-2faa-11e9-5613-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.49638"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="49638"/>
<display value="PREDNISOLON CAPSULE 10MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="103438"/>
<display value="PREDNISOLON CAPSULE 10MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.49646"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="49646"/>
<display value="PREDNISOLON CAPSULE 15MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="103446"/>
<display value="PREDNISOLON CAPSULE 15MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.49654"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="49654"/>
<display value="PREDNISOLON CAPSULE 20MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="103454"/>
<display value="PREDNISOLON CAPSULE 20MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.49662"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="49662"/>
<display value="PREDNISOLON CAPSULE 25MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="103462"/>
<display value="PREDNISOLON CAPSULE 25MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.49670"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="49670"/>
<display value="PREDNISOLON CAPSULE 30MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="103470"/>
<display value="PREDNISOLON CAPSULE 30MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6fbb6cba-2faa-11e9-5613-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-31"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-31-MA-31-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.49638"/>
<display value="PREDNISOLON CAPSULE 10MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:6fbb6a91-2faa-11e9-5613-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T16:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:6fbb6cbd-2faa-11e9-5613-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="vanaf 24 okt 2016, gedurende 5 dagen, om 8:00 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6fbb6ce1-2faa-11e9-5613-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-29T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-31"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-31-MA-31-2"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.49646"/>
<display value="PREDNISOLON CAPSULE 15MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:6fbb6a91-2faa-11e9-5613-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T16:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:6fbb6cbd-2faa-11e9-5613-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="vanaf 29 okt 2016, gedurende 5 dagen, om 8:00 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6fbb6d08-2faa-11e9-5613-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-11-03T00:00:00+01:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-31"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-31-MA-31-3"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.49654"/>
<display value="PREDNISOLON CAPSULE 20MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:6fbb6a91-2faa-11e9-5613-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T16:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:6fbb6cbd-2faa-11e9-5613-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="vanaf 3 nov 2016, gedurende 5 dagen, om 8:00 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6fbb8247-2faa-11e9-5613-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-11-08T00:00:00+01:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-31"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-31-MA-31-4"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.49662"/>
<display value="PREDNISOLON CAPSULE 25MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:6fbb6a91-2faa-11e9-5613-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T16:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:6fbb6cbd-2faa-11e9-5613-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="vanaf 8 nov 2016, gedurende 5 dagen, om 8:00 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6fbb826e-2faa-11e9-5613-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-11-13T00:00:00+01:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-31"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-31-MA-31-5"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.49670"/>
<display value="PREDNISOLON CAPSULE 30MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:6fbb6a91-2faa-11e9-5613-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T16:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:6fbb6cbd-2faa-11e9-5613-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="vanaf 13 nov 2016, tot nader order, om 8:00 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.3.3 Optie met één MA
Kan alleen wanneer voorgeschreven kan worden op hoger niveau dan GPK omdat in GPK al de sterkte zit (met voorschrijven op werkzame stof zonder sterkte wordt het mogelijk om voor te schrijven in mg). Het mogelijk maken van voorschrijven op hoger niveau ligt bij KNMP/Z-index.
1.4 Afbouwschema met parallelle MBH (diazepam)
1.4.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.4.2 Optie met opeenvolgende MA’s
Vanwege de vertaling naar verschillende sterktes op dezelfde dag, zijn hier parallelle MA’s nodig met verschillende PRK’s. Dit kan niet in 1 Medicamenteuze behandeling, dus moeten er 2 parallelle medicamenteuze behandelingen gemaakt worden voor 24 oktober. Vanaf 25 oktober kan het wel verder in 1 medicamenteuze behandeling.
- MBH41 – MA41-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “24/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 10MG (PRK 7455)
- Gebruiksinstructie/Omschrijving: “op 24 okt om 8:00 en 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- MBH42 – MA42-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “24/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 5MG (PRK 7447)
- Gebruiksinstructie/Omschrijving: “op 24 okt om 12:00 en 18:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Dosering
Hieronder is gekozen voor een nieuwe MBH43, maar dit kan technisch ook met nieuwe opvolgende MA’s onder MBH42. Het kan natuurlijk ook met opvolgende doseerinstructies onder dezelfde MA, zie hiervoor de volgende paragraaf.
- MBH43 – MA43-1
- Ingangsdatum: “25/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “25/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 5MG (PRK 7447)
- Gebruiksinstructie/Omschrijving: “op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- MBH43 – MA43-2
- Ingangsdatum: “26/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “26/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 5MG (PRK 7447)
- Gebruiksinstructie/Omschrijving: “op 26 okt om 8:00, 12:00 en 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- MBH43 – MA43-3
- Ingangsdatum: “27/10 00:00”
- Gebruiksduur: “2 dagen” OF Einddatum: “28/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 5MG (PRK 7447)
- Gebruiksinstructie/Omschrijving: “vanaf 27 okt gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “2 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- MBH43 – MA43-4
- Ingangsdatum: “29/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “29/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 5MG (PRK 7447)
- Gebruiksinstructie/Omschrijving: “op 29 okt om 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
1.4.2.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-41-MA-41-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 24 okt om 8:00 en 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7455" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard PRK">
<translation code="20672" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023142333"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-41"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-42-MA-42-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 24 okt om 12:00 en 18:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7447" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard PRK">
<translation code="20664" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023142333"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024180000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-42"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-43-MA-43-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161025000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7447" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard PRK">
<translation code="20664" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023142333"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024180000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-43"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-43-MA-43-2" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 26 okt om 8:00, 12:00 en 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161026000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7447" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard PRK">
<translation code="20664" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023142333"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-43"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-43-MA-43-3" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 27 okt gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161027000000"/>
<width value="2" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7447" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard PRK">
<translation code="20664" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023142333"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-43"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-43-MA-43-4" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 29 okt om 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161029000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7447" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard PRK">
<translation code="20664" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023142333"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-43"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.4.2.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="12"/>
<entry>
<fullUrl value="urn:uuid:51feb521-2faf-11e9-1737-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51feb74e-2faf-11e9-1737-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51feb74d-2faf-11e9-1737-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:51feb74e-2faf-11e9-1737-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="20672"/>
<display value="DIAZEPAM TABLET 10MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="20664"/>
<display value="DIAZEPAM TABLET 5MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51feb74a-2faf-11e9-1737-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-41"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-41-MA-41-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:51feb521-2faf-11e9-1737-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T14:23:33+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:51feb74d-2faf-11e9-1737-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="op 24 okt om 8:00 en 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51feb774-2faf-11e9-1737-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-42"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-42-MA-42-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:51feb521-2faf-11e9-1737-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T14:23:33+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:51feb74d-2faf-11e9-1737-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="op 24 okt om 12:00 en 18:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="12:00:00"/>
<timeOfDay value="18:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51feccb6-2faf-11e9-1737-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-25T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-43"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-43-MA-43-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:51feb521-2faf-11e9-1737-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T14:23:33+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:51feb74d-2faf-11e9-1737-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="18:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51fecce0-2faf-11e9-1737-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-26T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-43"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-43-MA-43-2"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:51feb521-2faf-11e9-1737-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T14:23:33+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:51feb74d-2faf-11e9-1737-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="op 26 okt om 8:00, 12:00 en 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51fecd09-2faf-11e9-1737-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-27T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="2"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-43"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-43-MA-43-3"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:51feb521-2faf-11e9-1737-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T14:23:33+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:51feb74d-2faf-11e9-1737-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="vanaf 27 okt gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51fecd31-2faf-11e9-1737-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-29T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-43"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-43-MA-43-4"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:51feb521-2faf-11e9-1737-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T14:23:33+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:51feb74d-2faf-11e9-1737-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="op 29 okt om 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.4.3 Uitwerking met één MA onder MBH43
Omdat het doseerschema in MBH43 één product op PRK-niveau gebruikt kan dit ook met één MA. De uitwerking hiervan staat hieronder.
- MBH43 – MA43-1
- Ingangsdatum: “25/10 00:00”
- Gebruiksduur: “5 dagen” OF Einddatum: “29/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 5MG (PRK 7447)
- Gebruiksinstructie/Omschrijving: “op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, daarna gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 22:00 1 stuk”
- Gebruiksinstructie/Doseerinstructie[1]/
- Volgnummer: “1”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Gebruiksinstructie/Doseerinstructie[2]/
- Volgnummer: “2”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Gebruiksinstructie/Doseerinstructie[3]/
- Volgnummer: “3”
- Doseerduur: “2 dagen”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Gebruiksinstructie/Doseerinstructie[4]/
- Volgnummer: “4”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “22:00 uur”
1.4.3.1 in XML HL7 CDA
| XML contents |
|---|
<!-- Medicatieafspraak MA 43-1-->
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-43-MA-43-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, daarna gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 22:00 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161025000000"/>
<width value="5" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7447" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard PRK">
<translation code="20664" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 5MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023142333"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024180000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="2"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="3"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="2" unit="d"/>
</effectiveTime>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="4"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-43"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.4.3.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:a1a44e41-2fb0-11e9-2570-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a1a4506e-2fb0-11e9-2570-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a1a4506d-2fb0-11e9-2570-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:a1a4506e-2fb0-11e9-2570-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="20664"/>
<display value="DIAZEPAM TABLET 5MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a1a4506a-2fb0-11e9-2570-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-25T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-43"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-43-MA-43-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7447"/>
<display value="DIAZEPAM TABLET 5MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:a1a44e41-2fb0-11e9-2570-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T14:23:33+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:a1a4506d-2fb0-11e9-2570-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, daarna gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 22:00 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="18:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="2"/>
<text value="op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, daarna gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 22:00 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="3"/>
<text value="op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, daarna gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 22:00 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="2"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="08:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="4"/>
<text value="op 25 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, daarna gedurende 2 dagen om 8:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 22:00 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.4.4 Uitwerking met één MA in één MBH
Een optie met één MA zou eenvoudiger zijn (dan kan het in één MA in één MBH), maar dit kan pas wanneer er op generieker niveau kan worden voorgeschreven. Zie paragraaf 3.3. Een voorbeeld van hoe dit er dan uit zou zijn is ter illustratie toch hieronder opgenomen.
- MBH410 – MA410-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “6 dagen” OF Einddatum: “29/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM
- Gebruiksinstructie/Omschrijving: “op 25 okt om 8:00 10mg, om 12:00 en 18:00 5mg en om 22:00 10 mg, daarna gedurende 1 dag om 8:00, 12:00, 18:00 en 22:00 uur 5mg, daarna gedurende 2 dagen om 8:00 en 22:00 uur 5mg, daarna gedurende 1 dag om 22:00 5mg”
- Gebruiksinstructie/Doseerinstructie[1]/
- Volgnummer: “1”
- Doseerduur: “1 dag”
- Dosering[1]
- Keerdosis: “10 mg”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering[2]
- Keerdosis: “5 mg”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Gebruiksinstructie/Doseerinstructie[2]/
- Volgnummer: “2”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “5 mg”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Gebruiksinstructie/Doseerinstructie[3]/
- Volgnummer: “3”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “5 mg”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- Gebruiksinstructie/Doseerinstructie[4]
- Volgnummer: “4”
- Doseerduur: “2 dagen”
- Dosering
- Keerdosis: “5 mg”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- Gebruiksinstructie/Doseerinstructie[5]/
- Volgnummer: “5”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “5 mg”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
1.5 Parallelle MBH met verschillende toedieningsweg (paracetamol)
Dit voorbeeld is conceptueel eigenlijk hetzelfde als het voorbeeld in het vorige hoofdstuk. Het verschil is wel dat door de verschillende toedieningswegen dit niet op te lossen is door op werkzame stof voor te schrijven. Er is namelijk maar één toedieningsweg mogelijk per medicatieafspraak. Dus zijn hiervoor twee parallelle MBH’s nodig.
1.5.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.5.2 Uitwerking
- MBH51 – MA51-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: PARACETAMOL TABLET 500MG (PRK 67903)
- Toedieningsweg: oraal
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt tot nader order 4 maal per dag 1 tablet”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Frequentie: “4 Maal per dag”
- Dosering
- MBH52 – MA52-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: PARACETAMOL ZETPIL 500MG (PRK 19720)
- Toedieningsweg: rectaal
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt tot nader order 2 maal per dag 1 zetpil”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Frequentie: “2 maal per dag”
- Dosering
1.5.2.1 XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-51-MA-51-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016, tot nader order 4 maal per dag 1 tablet</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024130000"/>
<high nullFlavor="NI"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="67903" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard PRK">
<translation code="2194" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161024130000"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="4"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-51"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-521-MA-52-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016, tot nader order 4 maal per dag 1 tablet</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024130000"/>
<high nullFlavor="NI"/>
</effectiveTime>
<routeCode code="12" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="rectaal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="67903" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard PRK">
<translation code="2194" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161024130000"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="2"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-52"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.5.2.2 XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="7"/>
<entry>
<fullUrl value="urn:uuid:19e0fb51-305c-11e9-1753-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:19e0fd7d-305c-11e9-1753-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:19e0fd7c-305c-11e9-1753-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:19e0fd7d-305c-11e9-1753-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="2194"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:19e0fd7a-305c-11e9-1753-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T13:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-51"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-51-MA-51-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:19e0fb51-305c-11e9-1753-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-24T13:00:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:19e0fd7c-305c-11e9-1753-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order 4 maal per dag 1 tablet"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="4"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:19e0fda7-305c-11e9-1753-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T13:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-52"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-521-MA-52-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:19e0fb51-305c-11e9-1753-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-24T13:00:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:19e0fd7c-305c-11e9-1753-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order 4 maal per dag 1 tablet"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="12"/>
<display value="rectaal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.6 Afbouwschema met één PRK (diazepam)
1.6.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.6.2 Uitwerking met opeenvolgende MA’s
- MBH61 – MA61-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “24/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 10MG (PRK 7455)
- Gebruiksinstructie/Omschrijving: “op 24 okt om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- MBH61 – MA61-2
- Ingangsdatum: “25/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “25/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 10MG (PRK 7455)
- Gebruiksinstructie/Omschrijving: “op 25 okt om 8:00, 12:00 en 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- MBH61 – MA61-3
- Ingangsdatum: “26/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “26/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 10MG (PRK 7455)
- Gebruiksinstructie/Omschrijving: “op 26 okt om 8:00 en 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur””
- Dosering
- MBH61 – MA61-4
- Ingangsdatum: “27/10 00:00”
- Gebruiksduur: “1 dag” OF Einddatum: “27/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 10MG (PRK 7455)
- Gebruiksinstructie/Omschrijving: “op 26 okt om 22:00 uur 1 stuk”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “1 dag” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering[1]
1.6.2.1 XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-61-MA-61-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 24 okt 2016 om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7455" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard PRK">
<translation code="20672" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024180000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-61"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-61-MA-61-2" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 25 okt 2016 om 8:00, 12:00 en 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161025000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7455" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard PRK">
<translation code="20672" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161024130000"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-61"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-61-MA-61-3" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 26 okt 2016 om 8:00 en 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161026000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7455" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard PRK">
<translation code="20672" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161024130000"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-61"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-61-MA-61-4" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">op 27 okt 2016 om 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161027000000"/>
<width value="1" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7455" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard PRK">
<translation code="20672" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161024130000"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-61"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.6.2.2 XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="9"/>
<entry>
<fullUrl value="urn:uuid:f5381591-33a3-11e9-9274-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f53817bd-33a3-11e9-9274-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="20672"/>
<display value="DIAZEPAM TABLET 10MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f53817ba-33a3-11e9-9274-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-61"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-61-MA-61-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:f5381591-33a3-11e9-9274-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:f53817bd-33a3-11e9-9274-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="op 24 okt 2016 om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="18:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f53817e5-33a3-11e9-9274-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-25T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-61"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-61-MA-61-2"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:f5381591-33a3-11e9-9274-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-24T13:00:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:f53817bd-33a3-11e9-9274-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="op 25 okt 2016 om 8:00, 12:00 en 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f5382d27-33a3-11e9-9274-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-26T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-61"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-61-MA-61-3"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:f5381591-33a3-11e9-9274-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-24T13:00:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:f53817bd-33a3-11e9-9274-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="op 26 okt 2016 om 8:00 en 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f5382d50-33a3-11e9-9274-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-27T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-61"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-61-MA-61-4"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:f5381591-33a3-11e9-9274-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-24T13:00:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:f53817bd-33a3-11e9-9274-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="op 27 okt 2016 om 22:00 uur 1 stuk"/>
<timing>
<repeat>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.6.3 Uitwerking met één MA
- MBH610 – MA610-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “4 dagen” OF Einddatum: “27/10 23:59”
- Afgesproken geneesmiddel: DIAZEPAM TABLET 10MG (PRK 7455)
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt gedurende 4 dagen, eerst gedurende 1 dag om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 8:00 en 22:00 uur 1 stuk, daarna gedurende 1 dag om 22:00 1 stuk”
- Gebruiksinstructie/Doseerinstructie[1]/
- Volgnummer: “1”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- Gebruiksinstructie/Doseerinstructie[2]/
- Volgnummer: “2”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- Gebruiksinstructie/Doseerinstructie[3]/
- Volgnummer: “3”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
- Gebruiksinstructie/Doseerinstructie[4]/
- Volgnummer: “4”
- Doseerduur: “1 dag”
- Dosering
- Keerdosis: “1 stuk”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering
1.6.3.1 XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-610-MA-610-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016, gedurende 4 dagen, eerst gedurende 1 dag om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 22:00 uur 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="4" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="7455" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard PRK">
<translation code="20672" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DIAZEPAM TABLET 10MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024180000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="2"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="3"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="I" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="4"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="IVL_TS">
<width value="1" unit="d"/>
</effectiveTime>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-610"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.6.3.2 XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:e54c0b91-33a4-11e9-9464-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e54c0dbd-33a4-11e9-9464-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="20672"/>
<display value="DIAZEPAM TABLET 10MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e54c0dba-33a4-11e9-9464-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-610"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-610-MA-610-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.7455"/>
<display value="DIAZEPAM TABLET 10MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:e54c0b91-33a4-11e9-9464-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:e54c0dbd-33a4-11e9-9464-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, gedurende 4 dagen, eerst gedurende 1 dag om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 22:00 uur 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="18:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="2"/>
<text value="vanaf 24 okt 2016, gedurende 4 dagen, eerst gedurende 1 dag om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 22:00 uur 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="08:00:00"/>
<timeOfDay value="12:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="3"/>
<text value="vanaf 24 okt 2016, gedurende 4 dagen, eerst gedurende 1 dag om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 22:00 uur 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="08:00:00"/>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="4"/>
<text value="vanaf 24 okt 2016, gedurende 4 dagen, eerst gedurende 1 dag om 8:00, 12:00, 18:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00, 12:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 8:00 en 22:00 uur 1 stuk, dan gedurende 1 dag om 22:00 uur 1 stuk"/>
<timing>
<repeat>
<boundsDuration>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.7 Vast en zo nodig (paracetamol)
1.7.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.7.2 Uitwerking
Gekozen is voor een uitwerking zonder vaste tijdstippen, vanuit de aanname dat dit vooral voor deelrondes in een instelling van toepassing is, maar eigenlijk niet klinisch relevant. Het kan echter ook met de vaste tijden uitgewerkt worden, zie daarvoor de voorbeelden in de eerdere hoofdstukken.
- MBH710 – MA710-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: PARACETAMOL 500MG TABLET (PRK 67903)
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt tot nader order 4 maal per dag 1 tablet en zo nodig 2 maal per dag 1 tablet extra”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, de doseerinstructie wordt begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 stuk”
- Frequentie: “4 Maal per dag”
- Dosering[2]
- Keerdosis: “1 stuk”
- Frequentie: “2 Maal per dag”
- Zo nodig/Criterium: “Zo nodig” (code 1137)
- Dosering[1]
1.7.2.1 XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-710-MA-710-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016, tot nader order, 4 maal per dag 1 tablet en zo nodig 2 maal per dag 1 tablet extra</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="4" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="67903" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard PRK">
<translation code="2194" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="4"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="2"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
<precondition>
<criterion>
<code code="1137" codeSystem="2.16.840.1.113883.2.4.4.5" displayName="zo nodig"/>
</criterion>
</precondition>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-710"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.7.2.2 XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:9af694a1-35b3-11e9-1930-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9af696cd-35b3-11e9-1930-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="2194"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9af696ca-35b3-11e9-1930-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-710"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-710-MA-710-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:9af694a1-35b3-11e9-1930-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:9af696cd-35b3-11e9-1930-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order, 4 maal per dag 1 tablet en zo nodig 2 maal per dag 1 tablet extra"/>
<timing>
<repeat>
<frequency value="4"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order, 4 maal per dag 1 tablet en zo nodig 2 maal per dag 1 tablet extra"/>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededCodeableConcept>
<coding>
<system value="https://referentiemodel.nhg.org/tabellen/nhg-tabel-25-gebruiksvoorschrift#aanvullend-numeriek"/>
<code value="1137"/>
<display value="zo nodig"/>
</coding>
</asNeededCodeableConcept>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.7.3 Uitwerking alternatief: 4 tot 6 maal per dag
- MBH7101 – MA7101-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: PARACETAMOL 500MG TABLET (PRK 67903)
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt tot nader order 4 tot 6 maal per dag 1 tablet”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, de doseerinstructie wordt begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 stuk”
- Frequentie: “4 tot 6 Maal per dag”
- Dosering[1]
1.7.3.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-7101-MA-7101-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016, tot nader order, 4 tot 6 maal per dag 1 tablet</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="4" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="67903" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard PRK">
<translation code="2194" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT">
<hl7nl:uncertainRange>
<hl7nl:low xsi:type="hl7nl:INT" value="4"/>
<hl7nl:high xsi:type="hl7nl:INT" value="6"/>
</hl7nl:uncertainRange>
</hl7nl:numerator>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-7101"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.7.3.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:e89487d1-35bd-11e9-7771-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e89489fd-35bd-11e9-7771-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="2194"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e89489fa-35bd-11e9-7771-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-7101"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-7101-MA-7101-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:e89487d1-35bd-11e9-7771-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:e89489fd-35bd-11e9-7771-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order, 4 tot 6 maal per dag 1 tablet"/>
<timing>
<repeat>
<frequency value="4"/>
<frequencyMax value="6"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.7.4 Uitwerking alternatief: 4 maal per dag 1 à 2 tabletten, max 6 per dag
- MBH7102 – MA7102-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: PARACETAMOL 500MG TABLET (PRK 67903)
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt tot nader order 4 maal per dag 1 à 2 tabletten, maximaal 6 tabletten per dag”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, de doseerinstructie wordt begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 tot 2 stuks”
- Frequentie: “4 maal per dag”
- Zo nodig/Maximale dosering: “6 stuks per dag”
- Dosering[1]
1.7.4.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-7102-MA-7102-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016 tot nader order 4 maal per dag 1 à 2 tabletten, maximaal 6 tabletten per dag</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="4" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="67903" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard PRK">
<translation code="2194" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="4"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</low>
<high value="2" unit="1">
<translation value="2" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</high>
</doseQuantity>
<maxDoseQuantity>
<numerator value="6" unit="1">
<translation value="6" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</numerator>
<denominator value="1" unit="d"/>
</maxDoseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-7102"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.7.4.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:557cbd01-35bd-11e9-1191-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:557cbf2d-35bd-11e9-1191-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="2194"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:557cbf2a-35bd-11e9-1191-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-7102"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-7102-MA-7102-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:557cbd01-35bd-11e9-1191-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:557cbf2d-35bd-11e9-1191-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016 tot nader order 4 maal per dag 1 à 2 tabletten, maximaal 6 tabletten per dag"/>
<timing>
<repeat>
<frequency value="4"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
<maxDosePerPeriod>
<numerator>
<value value="6"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.7.5 Uitwerking alternatief: 4 tot 6 maal per dag 1 à 2 tabletten, max 6 per dag
- MBH7103 – MA7103-1
- Ingangsdatum: “24/10 00:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: PARACETAMOL 500MG TABLET (PRK 67903)
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt tot nader order 4 tot 6 maal per dag 1 à 2 tabletten, maximaal 6 tabletten per dag”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, de doseerinstructie wordt begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 tot 2 stuks”
- Frequentie: “4 tot 6 maal per dag”
- Zo nodig/Maximale dosering: “6 stuks per dag”
- Dosering[1]
1.7.5.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-7103-MA-7103-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016 tot nader order 4 à 6 maal per dag 1 à 2 tabletten, maximaal 6 tabletten per dag</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="4" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="67903" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard PRK">
<translation code="2194" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT">
<hl7nl:uncertainRange>
<hl7nl:low xsi:type="hl7nl:INT" value="4"/>
<hl7nl:high xsi:type="hl7nl:INT" value="6"/>
</hl7nl:uncertainRange>
</hl7nl:numerator>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</low>
<high value="2" unit="1">
<translation value="2" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</high>
</doseQuantity>
<maxDoseQuantity>
<numerator value="6" unit="1">
<translation value="6" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</numerator>
<denominator value="1" unit="d"/>
</maxDoseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-7103"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.7.5.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:6dae1971-35c0-11e9-1004-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6dae1b9d-35c0-11e9-1004-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="2194"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6dae1b9a-35c0-11e9-1004-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-7103"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-7103-MA-7103-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:6dae1971-35c0-11e9-1004-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:6dae1b9d-35c0-11e9-1004-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016 tot nader order 4 à 6 maal per dag 1 à 2 tabletten, maximaal 6 tabletten per dag"/>
<timing>
<repeat>
<frequency value="4"/>
<frequencyMax value="6"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
<maxDosePerPeriod>
<numerator>
<value value="6"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.8 Onregelmatig schema, met pauze periode
Het gaat hier om een onregelmatig schema waarbij soms wél en dan weer een periode géén medicatie genomen moet worden. En dat in één medicatieafspraak. Dat resulteert in verschillende opeenvolgende doseringen, waarvan sommige een doseerhoeveelheid van 0 hebben.
TODO uitwerken
1.9 Onregelmatig schema (novorapid)
1.9.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.9.2 Uitwerking
- MBH910 – MA910-1
- Ingangsdatum: “24/10 18:00”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: NOVORAPID FLEXPEN INJVLST 100E/ML PEN 3ML (HPK 1524194)
- Gebruiksinstructie/Omschrijving: “vanaf 24 okt tot nader order om 8:00 uur 0,12 ml, om 12:00 uur 0,15 ml, om 18:00 uur 0,19 ml en om 22:00 uur 0,02 ml.”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, de doseerinstructie wordt begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “0.12 ml”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Dosering[2]
- Keerdosis: “0.15 ml”
- Toedieningsschema/Toedientijd: “12:00 uur”
- Dosering[3]
- Keerdosis: “0.19 ml”
- Toedieningsschema/Toedientijd: “18:00 uur”
- Dosering[4]
- Keerdosis: “0.02 ml”
- Toedieningsschema/Toedientijd: “22:00 uur”
- Dosering[1]
1.9.2.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-910-MA-910-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 24 okt 2016, tot nader order, om 8:00 uur 0,12 ml, om 12:00 uur 0,15 ml, om 18:00 uur 0,19 ml en om 22:00 uur 0,02 ml.</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161024000000"/>
<width value="4" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="1524194" codeSystem="2.16.840.1.113883.2.4.4.7" displayName="NOVORAPID FLEXPEN INJVLST 100E/ML PEN 3ML" codeSystemName="G-Standaard HPK">
<translation code="121355" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="INSULINE ASPART INJVLST 100E/ML" codeSystemName="G-Standaard PRK"/>
<translation code="108251" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="INSULINE ASPART INJVLST 100E/ML" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161023174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024080000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="0.12" unit="ml">
<translation value="0.12" code="233" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="milliliter"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024120000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="0.15" unit="ml">
<translation value="0.15" code="233" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="milliliter"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024180000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="0.19" unit="ml">
<translation value="0.19" code="233" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="milliliter"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:low value="20161024220000"/>
</hl7nl:phase>
<hl7nl:period unit="d" value="1"/>
</effectiveTime>
<doseQuantity>
<center value="0.02" unit="ml">
<translation value="0.02" code="233" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="milliliter"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-910"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.9.2.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:bf84ae41-35bf-11e9-1277-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bf84b06d-35bf-11e9-1277-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.7.1524194"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.7"/>
<code value="1524194"/>
<display value="NOVORAPID FLEXPEN INJVLST 100E/ML PEN 3ML"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="121355"/>
<display value="INSULINE ASPART INJVLST 100E/ML"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="108251"/>
<display value="INSULINE ASPART INJVLST 100E/ML"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bf84b06a-35bf-11e9-1277-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-24T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="4"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-910"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-910-MA-910-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.7.1524194"/>
<display value="NOVORAPID FLEXPEN INJVLST 100E/ML PEN 3ML"/>
</medicationReference>
<subject>
<reference value="urn:uuid:bf84ae41-35bf-11e9-1277-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-23T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:bf84b06d-35bf-11e9-1277-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order, om 8:00 uur 0,12 ml, om 12:00 uur 0,15 ml, om 18:00 uur 0,19 ml en om 22:00 uur 0,02 ml."/>
<timing>
<repeat>
<timeOfDay value="08:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="0.12"/>
<unit value="milliliter"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="233"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order, om 8:00 uur 0,12 ml, om 12:00 uur 0,15 ml, om 18:00 uur 0,19 ml en om 22:00 uur 0,02 ml."/>
<timing>
<repeat>
<timeOfDay value="12:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="0.15"/>
<unit value="milliliter"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="233"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order, om 8:00 uur 0,12 ml, om 12:00 uur 0,15 ml, om 18:00 uur 0,19 ml en om 22:00 uur 0,02 ml."/>
<timing>
<repeat>
<timeOfDay value="18:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="0.19"/>
<unit value="milliliter"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="233"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 24 okt 2016, tot nader order, om 8:00 uur 0,12 ml, om 12:00 uur 0,15 ml, om 18:00 uur 0,19 ml en om 22:00 uur 0,02 ml."/>
<timing>
<repeat>
<timeOfDay value="22:00:00"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="0.02"/>
<unit value="milliliter"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="233"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.10 Meervoudig product: trigynon
Een voorbeeld van ander een cyclisch schema is opgenomen in paragraaf 13.1.
1.10.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.10.2 Uitwerking
- MBH1011 – MA1011-1
- Ingangsdatum: “26/10 00:00”
- Gebruiksduur: “6 dagen” EN Einddatum: “31/10 23:59”
- Afgesproken geneesmiddel: ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/ 50UG (PRK 87742) –> dragee BRUIN
- Gebruiksinstructie/Omschrijving: “vanaf 26 okt, gedurende 6 dagen 1 maal per dag 1 stuk om 08:00 uur, dit iedere 21 dagen herhalen”
- Gebruiksinstructie/herhaalperiode: 28 dagen
- Gebruiksinstructie/Doseerinstructie
- Doseerduur: “6 dagen”
- Dosering[1]
- Keerdosis: “1 stuk”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Dosering[1]
- MBH1012 – MA1012-1
- Ingangsdatum: “1/11 00:00”
- Gebruiksduur: “5 dagen” OF Einddatum: “5/11 23:59”
- Afgesproken geneesmiddel: ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 40/75UG (PRK 87769) –> dragee WIT
- Gebruiksinstructie/Omschrijving: “vanaf 31 okt, gedurende 5 dagen 1 maal per dag 1 stuk om 08:00 uur”
- Gebruiksinstructie/herhaalperiode: 28 dagen
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “5 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 stuk”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Dosering[1]
- MBH1013 – MA1013-1
- Ingangsdatum: “6/11 00:00”
- Gebruiksduur: “10 dagen” OF Einddatum: “15/11 23:59”
- Afgesproken geneesmiddel: ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/125UG (PRK 87750) –> dragee GEEL
- Gebruiksinstructie/Omschrijving: “vanaf 5 nov, gedurende 10 dagen 1 maal per dag 1 stuk om 08:00 uur”
- Gebruiksinstructie/herhaalperiode: 28 dagen
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “10 dagen” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 stuk”
- Frequentie: “1 maal per dag”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Dosering[1]
1.10.2.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-1011-MA-1011-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 26 okt 2016, gedurende 6 dagen 1 maal per dag 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161026000000"/>
<width value="6" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="87742" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/ 50UG" codeSystemName="G-Standaard PRK">
<translation code="74608" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/ 50UG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161025174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:period value="28" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-1011"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-1012-MA-1012-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 1 nov 2016, gedurende 5 dagen 1 maal per dag 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161101000000"/>
<width value="5" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="87769" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 40/75UG" codeSystemName="G-Standaard PRK">
<translation code="74594" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 40/75UG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161025174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:period value="28" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-1012"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-1013-MA-1013-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 6 nov 2016, gedurende 10 dagen 1 maal per dag 1 stuk</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20161106000000"/>
<width value="10" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="87750" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/125UG" codeSystemName="G-Standaard PRK">
<translation code="74586" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/125UG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20161025174500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:period value="28" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-1013"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.10.2.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="10"/>
<entry>
<fullUrl value="urn:uuid:0dd5e5b1-35e7-11e9-1731-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"/>
<value value="000001111"/>
</identifier>
<name>
<family value="van Pulver">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="van"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Pulver"/>
</extension>
</family>
<given value="Peter">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0dd5e7dd-35e7-11e9-1731-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.87742"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="87742"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/ 50UG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="74608"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/ 50UG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.87769"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="87769"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 40/75UG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="74594"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 40/75UG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.87750"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="87750"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/125UG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="74586"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/125UG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0dd5e7da-35e7-11e9-1731-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-10-26T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="6"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-1011"/>
</valueIdentifier>
</extension>
<modifierExtension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule">
<valueDuration>
<value value="28"/>
<unit value="d"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</modifierExtension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-1011-MA-1011-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.87742"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/ 50UG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:0dd5e5b1-35e7-11e9-1731-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-25T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:0dd5e7dd-35e7-11e9-1731-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 26 okt 2016, gedurende 6 dagen 1 maal per dag 1 stuk"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0dd5e808-35e7-11e9-1731-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-11-01T00:00:00+01:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-1012"/>
</valueIdentifier>
</extension>
<modifierExtension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule">
<valueDuration>
<value value="28"/>
<unit value="d"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</modifierExtension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-1012-MA-1012-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.87769"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 40/75UG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:0dd5e5b1-35e7-11e9-1731-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-25T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:0dd5e7dd-35e7-11e9-1731-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 1 nov 2016, gedurende 5 dagen 1 maal per dag 1 stuk"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0dd5fd4e-35e7-11e9-1731-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2016-11-06T00:00:00+01:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="10"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-1013"/>
</valueIdentifier>
</extension>
<modifierExtension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule">
<valueDuration>
<value value="28"/>
<unit value="d"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</modifierExtension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-1013-MA-1013-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.87750"/>
<display value="ETHINYLESTRADIOL/LEVONORGESTREL DRAGEE 30/125UG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:0dd5e5b1-35e7-11e9-1731-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2016-10-25T17:45:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:0dd5e7dd-35e7-11e9-1731-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 6 nov 2016, gedurende 10 dagen 1 maal per dag 1 stuk"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.11 Meervoudig product: trisequens
1.11.1 Voorbeeld
Vanuit een instelling onderstaand voorbeeld.
1.11.2 Uitwerking
Zie hoofdstuk 8, dit is vergelijkbaar.
1.12 Eenmalig gebruik (vaccin)
1.12.1 Voorbeeld
1.12.2 Uitwerking
- MBH101 – MA101-1
- Ingangsdatum: “-”
- Gebruiksduur: “-” EN Einddatum: “-”
- Afgesproken geneesmiddel: TETANUSVACCIN INJSUSP 80IE/ML FL 0,5ML (PRK 72273)
- Gebruiksinstructie/Omschrijving: “eenmalig om 08:00 uur 1 stuk gebruiken”
- Gebruiksinstructie/Doseerinstructie/
- Doseerduur: “-” (deze is hier redundant, kan ook weggelaten worden, dan word je begrensd door de gehele gebruiksperiode van de MA)
- Dosering[1]
- Keerdosis: “1 stuk”
- Frequentie: “1 maal”
- Toedieningsschema/Toedientijd: “08:00 uur”
- Dosering[1]
1.13 Andere voorbeelden
1.13.1 Voorbeeld met rustperiode
1.13.1.1 Pilschema
- MA1
- Gebruiksduur: “-”
- Gebruiksinstructie/Omschrijving: “tot nader order steeds 21 dagen 1 maal per dag 1 stuk, gevolgd door 7 dagen rust, dit iedere 28 dagen herhalen”
- Gebruiksinstructie/Herhaalperiode cyclisch schema: “28 dagen”
- Gebruiksinstructie/Doseerinstructie[1]
- Volgnummer: “1”
- Doseerduur: “21 dagen”
- Dosering/Keerdosis: “1 stuk”
- Dosering/Toedieningsschema/Frequentie: “1 maal per dag”
| XML contents |
|---|
<comp xsi:type="hl7nl:PIVL_TS" isFlexible="false" operator="A">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="21" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="28" unit="d"/>
</comp>
|
1.13.1.2 Andere rustperiode
3 weken 1dd 2 stuks, 1 week rust, dan 2 weken 1dd 1 stuk
- MA1
- Gebruiksduur: “6 weken”
- Gebruiksinstructie/Omschrijving: “gedurende 6 weken, eerst 3 weken 1 maal per dag 2 stuks, gevolgd door 1 week rust, gevolgd door 2 weken 1 maal per dag 1 stuk”
- Gebruiksinstructie/Doseerinstructie[1]
- Volgnummer: “1”
- Doseerduur: “3 weken”
- Dosering
- Keerdosis: “2 stuks”
- Toedieningsschema/Frequentie: “1 maal per dag”
- Gebruiksinstructie/Doseerinstructie[2]
- Volgnummer: “2”
- Doseerduur: “1 week”
- Dosering
- Keerdosis: [niet opnemen]
- Toedieningsschema: [niet opnemen]
- Gebruiksinstructie/Doseerinstructie[3]
- Volgnummer: “3”
- Doseerduur: “2 weken”
- Dosering/Keerdosis: “1 stuk”
- Dosering/Toedieningsschema/Frequentie: “1 maal per dag”
1.13.1.3 gedurende 18 weken, 1 stuk, dan steeds 20 dagen rust
- MA1
- Gebruiksduur: “18 weken”
- Gebruiksinstructie/Omschrijving: “gedurende 18 weken, 1 dag 1 stuk, gevolgd door 20 dagen rust, dit iedere 21 dagen herhalen”
- Gebruiksinstructie/Herhaalperiode cyclisch schema: “21 dagen”
- Gebruiksinstructie/Doseerinstructie[1]
- Volgnummer: “1”
- Doseerduur: “1 dag”
- Dosering/Keerdosis: “1 stuk”
- Dosering/Toedieningsschema/Frequentie: “1 maal per dag”
| XML contents |
|---|
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9148"/>
<id extension="#MB_zwvnde_kuur_01_MA_01" root="1.2.3.999.77.5.3.2"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<!-- mp-9581 Omschrijving -->
<text mediaType="text/plain">Gedurende 18 weken, starten op nader te bepalen datum met 1 injectie, dan 20 dagen rust. Dit vijf keer herhalen.</text>
<effectiveTime xsi:type="IVL_TS">
<width value="18" unit="wk"/>
</effectiveTime>
<routeCode code="12" displayName="RECTAAL" codeSystem="2.16.840.1.113883.2.4.4.9" codeSystemName="G-Standaard tabel voor toedieningswegen: subtabel 0007"/>
<!-- Afgesproken geneesmiddel -->
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9070"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="30694" codeSystem="2.16.840.1.113883.2.4.4.10" codeSystemName="G-Standaard PRK" displayName="DOXORUBICINE INJVLST 2MG/ML FL 5ML"/>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9066"/>
<time value="20170623"/>
<assignedAuthor>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9113"/>
<!-- Zorgverlener identificatie -->
<id root="2.16.528.1.1007.3.1" extension="012345678"/>
<!-- Specialisme -->
<code code="01.016" displayName="Internist" codeSystem="2.16.840.1.113883.2.4.15.111" codeSystemName="RoleCodeNL - zorgverlenertype (natuurlijke personen)"/>
<assignedPerson>
<!-- ZorgverlenerNaam -->
<name>Dr Jansen</name>
</assignedPerson>
<!-- Zorgaanbieder -->
<representedOrganization>
<!-- Zorgaanbieder identificatie -->
<id root="1.2.3.4" extension="URAnummer"/>
<name>Ziekenhuis zus en zo</name>
</representedOrganization>
</assignedAuthor>
</author>
<!--Doseerinstructie-->
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="SXPR_TS" operator="A">
<comp xsi:type="hl7nl:PIVL_TS" isFlexible="false" operator="A">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="1"/>
<hl7nl:denominator xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="1" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="21" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<center value="1">
<translation value="1" code="245" displayName="Stuk" codeSystem="2.16.840.1.113883.2.4.4.1.900.2"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<!--Relatie naar medicamenteuze behandeling-->
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="1.2.3.999.77.5.3.1" extension="#MB_zwvnde_kuur_01"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
|
1.13.2 Dagdelen, met verschillende keerdosis
Neem iedere dag ’s morgens 2 stuks, ’s avonds 1 stuk
- MA1
- Gebruiksduur: “-”
- Gebruiksinstructie/Omschrijving: “tot nader order ’s morgens 2 stuks en ’s avonds 1 stuk”
- Noot: Als de frequentie anders is dan 1 maal per dag moet je de frequentie opnemen in de omschrijving. Wanneer de frequentie 1 maal per dag is dan mag je deze weglaten omdat dit verwarrend kan zijn wanneer er meerdere doseringen zijn.
- Gebruiksinstructie/Doseerinstructie
- Dosering[1]
- Keerdosis: “2 stuks”
- Toedieningsschema/Frequentie: “1 maal per dag”
- Toedieningsschema/Dagdeel: “’s morgens”
- Dosering[2]
- Keerdosis: “1 stuk”
- Toedieningsschema/Frequentie: “1 maal per dag”
- Toedieningsschema/Dagdeel: “’s avonds”
- Dosering[1]
1.13.2.1 in XML HL7 CDA
| XML contents |
|---|
<component typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-12-MA-12-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">tot nader order ’s morgens 2 stuks en ’s avonds 1 stuk</text>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="67903" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard PRK">
<translation code="2194" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="PARACETAMOL TABLET 500MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20180716111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true" alignment="HD">
<hl7nl:phase>
<hl7nl:low value="1970010106"/>
<hl7nl:high value="1970010112"/>
</hl7nl:phase>
<hl7nl:period value="1" unit="d"/>
</effectiveTime>
<doseQuantity>
<center value="2" unit="1">
<translation value="2" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true" alignment="HD">
<hl7nl:phase>
<hl7nl:low value="1970010118"/>
<hl7nl:high value="1970010200"/>
</hl7nl:phase>
<hl7nl:period value="1" unit="d"/>
</effectiveTime>
<doseQuantity>
<center value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</center>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-12"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
</component>
|
1.13.2.2 in XML HL7 FHIR
| XML contents |
|---|
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir http://hl7.org/fhir/STU3/bundle.xsd">
<type value="searchset"/>
<total value="6"/>
<entry>
<fullUrl value="urn:uuid:b471cb01-2eb7-11e9-1700-28f10e481d92"/>
<resource>
<Patient>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
</meta>
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
<valueCode value="NL1"/>
</extension>
<family value="XXX_Verweij">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="XXX_Verweij"/>
</extension>
</family>
<given value="Antonius">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="BR"/>
</extension>
</given>
</name>
<gender value="male"/>
<birthDate value="1964-08-02"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b471cd2c-2eb7-11e9-1700-28f10e481d92"/>
<resource>
<Practitioner>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"/>
</meta>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<resource>
<Organization>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization"/>
</meta>
<identifier>
<system value="http://fhir.nl/fhir/NamingSystem/ura"/>
<value value="00001111"/>
</identifier>
<name value="Huisartsenpraktijk Pulver & Partners"/>
<address>
<line value="Dorpsstraat 1">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Dorpsstraat"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
</line>
<city value="Ons Dorp"/>
<postalCode value="1234AA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b471cd2b-2eb7-11e9-1700-28f10e481d92"/>
<resource>
<PractitionerRole>
<meta>
<profile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"/>
</meta>
<practitioner>
<reference value="urn:uuid:b471cd2c-2eb7-11e9-1700-28f10e481d92"/>
<display value="Peter van Pulver"/>
</practitioner>
<organization>
<reference value="urn:oid:2.16.528.1.1007.3.3.1111"/>
<display value="Huisartsenpraktijk Pulver & Partners"/>
</organization>
<specialty>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
<code value="0100"/>
<display value="Huisartsen, niet nader gespecificeerd"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<resource>
<Medication>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.10"/>
<code value="67903"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="2194"/>
<display value="PARACETAMOL TABLET 500MG"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b471cd29-2eb7-11e9-1700-28f10e481d92"/>
<resource>
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-12"/>
</valueIdentifier>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-12-MA-12-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.67903"/>
<display value="PARACETAMOL TABLET 500MG PARACETAMOL TABLET 500MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:b471cb01-2eb7-11e9-1700-28f10e481d92"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2018-07-16T11:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/missing-type-reference">
<valueReference>
<reference value="urn:uuid:b471cd2b-2eb7-11e9-1700-28f10e481d92"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<text value="tot nader order ’s morgens 2 stuks en ’s avonds 1 stuk"/>
<timing>
<repeat>
<when value="MORN"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
<dosageInstruction>
<text value="tot nader order ’s morgens 2 stuks en ’s avonds 1 stuk"/>
<timing>
<repeat>
<when value="EVE"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseQuantity>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</doseQuantity>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
</Bundle>
|
1.13.3 Cyclisch schema, met rustperiode en verschillende keerdosis
Vanaf 25/9/2019 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door een schema van 3x daags 1 tot 3 tabletten gedurende 5 dagen.
1.13.3.1 met 3 herhalingen
Vanaf 25/9/2019 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door een schema van 3x daags 1 tot 3 tabletten gedurende 5 dagen. Dit gehele schema wordt 3 keer herhaald.
- MA1
- Gebruiksduur: “30 dagen (want 3 herhalingen van 10 dagen)”
- Gebruiksinstructie/Omschrijving: “vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.”
- Gebruiksinstructie/herhaalperiode cyclisch schema: 10 dagen
- Gebruiksinstructie/Doseerinstructie [1]
- Volgnummer: 1
- Doseerduur: 3 dagen
- Dosering
- Keerdosis: “1 à 2 stuks”
- Toedieningsschema/Frequentie: “2 maal per dag”
- Gebruiksinstructie/Doseerinstructie [2]
- Volgnummer: 2
- Doseerduur: 2 dagen
- Gebruiksinstructie/Doseerinstructie [3]
- Volgnummer: 3
- Doseerduur: 5 dagen
- Dosering
- Keerdosis: “1 tot 3 stuks”
- Toedieningsschema/Frequentie: “3 maal per dag”
1.13.3.1.1 in XML HL7 CDA
| XML contents |
|---|
<substanceAdministration xmlns:xd="http://www.oxygenxml.com/ns/doc/xsl" classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-cyclisch-1-MA-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door een schema van 3x daags 1 tablet tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20190925000000"/>
<width value="30" unit="d"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="19844" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard PRK">
<translation code="22179" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20190925111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="2"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="3" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="10" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</low>
<high value="2" unit="1">
<translation value="2" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</high>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="2"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="2" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="10" unit="d"/>
</effectiveTime>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="3"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="3"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="5" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="10" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</low>
<high value="3" unit="1">
<translation value="3" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</high>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-cyclisch-1"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
|
1.13.3.1.2 in XML HL7 FHIR
| XML contents |
|---|
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2019-09-25T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="30"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-cyclisch-1"/>
</valueIdentifier>
</extension>
<modifierExtension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule">
<valueDuration>
<value value="10"/>
<unit value="d"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</modifierExtension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-cyclisch-1-MA-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.19844"/>
<display value="DOXYCYCLINE TABLET 100MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:b890318d-e04a-11e9-1134-020000000000"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2019-09-25T11:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference">
<valueReference>
<reference value="urn:uuid:b89035d5-e04a-11e9-1134-020000000000"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door een schema van 3x daags 1 tablet tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="3"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
</dosageInstruction>
<dosageInstruction>
<sequence value="2"/>
<text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door een schema van 3x daags 1 tablet tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="2"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
</repeat>
</timing>
</dosageInstruction>
<dosageInstruction>
<sequence value="3"/>
<text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door een schema van 3x daags 1 tablet tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="3"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="3"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
</dosageInstruction>
</MedicationRequest>
|
1.13.3.2 zonder einddatum
Dit is hetzelfde voorbeeld, maar dan zonder einddatum gebruik.
Vanaf 25/9/2019, tot nader order, 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen. Dit iedere 10 dagen herhalen.
- MA1
- Gebruiksduur: “tot nader order”
- Gebruiksinstructie/Omschrijving: “vanaf 25/9/2019, tot nader order, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.”
- Gebruiksinstructie/herhaalperiode cyclisch schema: 10 dagen
- Gebruiksinstructie/Doseerinstructie [1]
- Volgnummer: 1
- Doseerduur: 3 dagen
- Dosering
- Keerdosis: “1 à 2 stuks”
- Toedieningsschema/Frequentie: “2 maal per dag”
- Gebruiksinstructie/Doseerinstructie [2]
- Volgnummer: 2
- Doseerduur: 2 dagen
- Gebruiksinstructie/Doseerinstructie [3]
- Volgnummer: 3
- Doseerduur: 5 dagen
- Dosering
- Keerdosis: “1 tot 3 stuks”
- Toedieningsschema/Frequentie: “3 maal per dag”
1.13.3.3 in XML HL7 CDA
| XML contents |
|---|
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9235"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9233"/>
<id extension="MBH-cyclisch-2-MA-1" root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005" displayName="Medicatieafspraak" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 25/9/2019, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</text>
<effectiveTime xsi:type="IVL_TS">
<low value="20190925000000"/>
<high nullFlavor="NI"/>
</effectiveTime>
<routeCode code="9" codeSystem="2.16.840.1.113883.2.4.4.9" displayName="oraal" codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="19844" codeSystem="2.16.840.1.113883.2.4.4.10" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard PRK">
<translation code="22179" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="DOXYCYCLINE TABLET 100MG" codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20190925111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100" codeSystem="2.16.840.1.113883.2.4.6.7" displayName="Huisartsen, niet nader gespecificeerd" codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="2"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="3" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="10" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</low>
<high value="2" unit="1">
<translation value="2" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</high>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="2"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="2" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="10" unit="d"/>
</effectiveTime>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="3"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9149"/>
<effectiveTime operator="A" xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency>
<hl7nl:numerator xsi:type="hl7nl:INT" value="3"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase>
<hl7nl:width xsi:type="hl7nl:PQ" value="5" unit="d"/>
</hl7nl:phase>
<hl7nl:period value="10" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</low>
<high value="3" unit="1">
<translation value="3" code="245" codeSystem="2.16.840.1.113883.2.4.4.1.900.2" displayName="stuk"/>
</high>
</doseQuantity>
<consumable xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-cyclisch-2"/>
<code code="1" displayName="Medicamenteuze behandeling" codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
|
1.13.3.4 in XML HL7 FHIR
| XML contents |
|---|
<MedicationRequest>
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2019-09-25T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-cyclisch-2"/>
</valueIdentifier>
</extension>
<modifierExtension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule">
<valueDuration>
<value value="10"/>
<unit value="d"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</modifierExtension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-cyclisch-2-MA-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<medicationReference>
<reference value="urn:oid:2.16.840.1.113883.2.4.4.10.19844"/>
<display value="DOXYCYCLINE TABLET 100MG"/>
</medicationReference>
<subject>
<reference value="urn:uuid:f8cf39cd-e04b-11e9-9711-020000000000"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<authoredOn value="2019-09-25T11:15:00+02:00"/>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference">
<valueReference>
<reference value="urn:uuid:f8cf3e14-e04b-11e9-9711-020000000000"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 25/9/2019, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="3"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
</dosageInstruction>
<dosageInstruction>
<sequence value="2"/>
<text value="vanaf 25/9/2019, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="2"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
</repeat>
</timing>
</dosageInstruction>
<dosageInstruction>
<sequence value="3"/>
<text value="vanaf 25/9/2019, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="3"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="3"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
</dosageInstruction>
</MedicationRequest>
|
