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

Zorginformatiebouwsteen

ZIB Medicatieafspraak

View Definition

• ViewDefinition voor MedicationRequest

Request

1. Opvragen (search) definities

   GET <ontsluiten-bronsysteem-base>/MedicationRequest?category=http://snomed.info/sct|16076005&_include=MedicationRequest:medication&patient=<fhir_patient_id>

Bronsysteem herkennen

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

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

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

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

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

This structure is derived from Zib MedicationAgreement

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
​ dateAsserted	S
​ dosage
​ text	S
​ route
​ text	S
category
text	S	0..1	string	Plain text representation of the concept
medicationReference
display	S	0..1	string	Text alternative for the resource
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode	Σ	0..*	Coding	MedicationAgreementCode
text	SΣ	0..1	string	Plain text representation of the concept
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode	Σ	0..*	Coding	MedicationAgreementCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber mps-1: onBehalfOf can only be specified if agent is practitioner or device
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	ΣC	0..1	Reference(nl-core-organization)	Organization agent is acting for
recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	positiveInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
allowed	?!	1..1	boolean	Whether substitution is allowed or not
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard
MedicationRequest.priority	required	MedicationRequestPriority http://hl7.org/fhir/ValueSet/medication-request-priority from the FHIR Standard
MedicationRequest.reasonCode	extensible	RedenMedicatieafspraakCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2--20171231000000
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mps-1	error	MedicationRequest.requester	onBehalfOf can only be specified if agent is practitioner or device : (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()

Differential View

This structure is derived from Zib MedicationAgreement

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
​ dateAsserted	S
​ dosage
​ text	S
​ route
​ text	S
category
text	S	0..1	string	Plain text representation of the concept
medicationReference
display	S	0..1	string	Text alternative for the resource
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode	Σ	0..*	Coding	MedicationAgreementCode
text	SΣ	0..1	string	Plain text representation of the concept
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode	Σ	0..*	Coding	MedicationAgreementCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber mps-1: onBehalfOf can only be specified if agent is practitioner or device
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	ΣC	0..1	Reference(nl-core-organization)	Organization agent is acting for
recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	positiveInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
allowed	?!	1..1	boolean	Whether substitution is allowed or not
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard
MedicationRequest.priority	required	MedicationRequestPriority http://hl7.org/fhir/ValueSet/medication-request-priority from the FHIR Standard
MedicationRequest.reasonCode	extensible	RedenMedicatieafspraakCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2--20171231000000
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mps-1	error	MedicationRequest.requester	onBehalfOf can only be specified if agent is practitioner or device : (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()

This structure is derived from Zib MedicationAgreement

Summary

Must-Support: 5 elements