Dit profiel is het resultaat van de vergelijking tussen de zib2017 STU3 en zibs2020 R4 FHIR Profiel, relevante informatiestandarden en de implementaties in de ontsloten systemen en instellingen. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Medicatieafspraak

View Definition

ViewDefinition voor MedicationRequest

UI Wireframe

Medicatie Afspraken

Kolomdefinities

Request

1. Opvragen (search) medicatie afspraken

   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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
extension:periodOfUse	S	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: 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"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare Constraints: ext-1
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
modifierExtension:stopType	?!S	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
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
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
text	SΣ	0..1	string	Plain text representation of the concept
Slices for medicationReference				Content/Rules for all slices
medicationReference:medicationReference	SΣ	1..1	Reference(Medication)	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	SΣ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
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)
Slices for extension				Content/Rules for all slices
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
display	SΣ	0..1	string	Text alternative for the resource
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
text	SΣ	0..1	string	Description
Slices for asNeededCodeableConcept				Content/Rules for all slices
asNeededCodeableConcept:asNeededCodeableConcept	Σ	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
route	Σ	0..1	CodeableConcept	RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
text	SΣ	0..1	string	Plain text representation of the concept
Slices for dose[x]	Σ	0..1		Dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	ΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	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	MedicationRequest.extension:periodOfUse, MedicationRequest.extension:usageDuration, MedicationRequest.extension:additionalInformation, MedicationRequest.extension:medicationTreatment, MedicationRequest.extension:nl-core-episodeofcare, MedicationRequest.modifierExtension:stopType, MedicationRequest.modifierExtension:repeatPeriodCyclicalSchedule, MedicationRequest.requester.agent.extension:practitionerRole	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()
qty-3	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from Zib MedicationAgreement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			Zib MedicationAgreement
Slices for extension				Content/Rules for all slices
extension:periodOfUse	S	0..1	Zib Medication Period Of Use	UsagePeriod
Slices for modifierExtension				Content/Rules for all slices
modifierExtension:stopType	S	0..1	Zib Medication StopType	StopType
category
text	S	0..1	string	Plain text representation of the concept
​ medicationReference	S	1..1	Reference(Medication)	AgreedMedicine
​ display	S	0..1	string	Text alternative for the resource
authoredOn	S	1..1	dateTime	MedicationAgreementDateTime
requester
agent
display	S	0..1	string	Text alternative for the resource
dosageInstruction
text	S	0..1	string	Description
route
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:periodOfUse	S	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: 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"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare Constraints: ext-1
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
modifierExtension:stopType	?!S	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
identifier		0..*	Identifier	External 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 medicationReference				Content/Rules for all slices
medicationReference:medicationReference	SΣ	1..1	Reference(Medication)	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	SΣ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
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	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	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	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
sequence	Σ	0..1	integer	SequenceNumber
text	SΣ	0..1	string	Description
additionalInstruction	Σ	0..*	CodeableConcept	AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Zib AdministrationSchedule	AdministeringSchedule
Slices for asNeededCodeableConcept				Content/Rules for all slices
asNeededCodeableConcept:asNeededCodeableConcept	Σ	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
Slices for dose[x]	Σ	0..1		Dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	ΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
low	ΣC	0..1	SimpleQuantity	Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902
high	ΣC	0..1	SimpleQuantity	High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902
maxDosePerPeriod	Σ	0..1	Ratio	MaximumDose
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	0..1	Quantity	Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902
denominator	Σ	0..1	Quantity	Denominator value
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
rate[x]	Σ	0..1		AdministeringSpeed
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
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	Status	Usage	ValueSet	Version	Source
MedicationRequest.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
MedicationRequest.extension:additionalInformation.​value[x]:valueCodeableConcept	Base	extensible	MedicatieafspraakAanvullendeInformatieCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.modifierExtension:stopType.​value[x]:valueCodeableConcept	Base	required	Stoptype	📦2016-06-17T10:13:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.status	Base	required	MedicationRequestStatus	📦3.0.2	FHIR Std.
MedicationRequest.intent	Base	required	MedicationRequestIntent	📦3.0.2	FHIR Std.
MedicationRequest.category	Base	preferred	MedicationRequestCategory	📦3.0.2	FHIR Std.
MedicationRequest.priority	Base	required	MedicationRequestPriority	📦3.0.2	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	RedenMedicatieafspraakCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​additionalInstruction	Base	extensible	Aanvullende gebruiksinstructie	📦2016-04-07T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​asNeededCodeableConcept:asNeededCodeableConcept	Base	extensible	ZonodigCriteriumCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📦3.0.2	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	extensible	MedicatieToedieningswegCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📦3.0.2	FHIR Std.
MedicationRequest.dosageInstruction.​dose[x]:doseQuantity	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​dose[x]:doseRange.low	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​dose[x]:doseRange.high	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦2014-03-26	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	MedicationRequest.extension:periodOfUse, MedicationRequest.extension:usageDuration, MedicationRequest.extension:additionalInformation, MedicationRequest.extension:medicationTreatment, MedicationRequest.extension:nl-core-episodeofcare, MedicationRequest.modifierExtension:stopType, MedicationRequest.modifierExtension:repeatPeriodCyclicalSchedule, MedicationRequest.requester.agent.extension:practitionerRole, MedicationRequest.recorder.extension:practitionerRole	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()
qty-3	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
extension:periodOfUse	S	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: 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"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare Constraints: ext-1
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
modifierExtension:stopType	?!S	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
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
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
text	SΣ	0..1	string	Plain text representation of the concept
Slices for medicationReference				Content/Rules for all slices
medicationReference:medicationReference	SΣ	1..1	Reference(Medication)	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	SΣ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
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)
Slices for extension				Content/Rules for all slices
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
display	SΣ	0..1	string	Text alternative for the resource
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
text	SΣ	0..1	string	Description
Slices for asNeededCodeableConcept				Content/Rules for all slices
asNeededCodeableConcept:asNeededCodeableConcept	Σ	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
route	Σ	0..1	CodeableConcept	RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
text	SΣ	0..1	string	Plain text representation of the concept
Slices for dose[x]	Σ	0..1		Dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	ΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	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	MedicationRequest.extension:periodOfUse, MedicationRequest.extension:usageDuration, MedicationRequest.extension:additionalInformation, MedicationRequest.extension:medicationTreatment, MedicationRequest.extension:nl-core-episodeofcare, MedicationRequest.modifierExtension:stopType, MedicationRequest.modifierExtension:repeatPeriodCyclicalSchedule, MedicationRequest.requester.agent.extension:practitionerRole	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()
qty-3	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

Differential View

This structure is derived from Zib MedicationAgreement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			Zib MedicationAgreement
Slices for extension				Content/Rules for all slices
extension:periodOfUse	S	0..1	Zib Medication Period Of Use	UsagePeriod
Slices for modifierExtension				Content/Rules for all slices
modifierExtension:stopType	S	0..1	Zib Medication StopType	StopType
category
text	S	0..1	string	Plain text representation of the concept
​ medicationReference	S	1..1	Reference(Medication)	AgreedMedicine
​ display	S	0..1	string	Text alternative for the resource
authoredOn	S	1..1	dateTime	MedicationAgreementDateTime
requester
agent
display	S	0..1	string	Text alternative for the resource
dosageInstruction
text	S	0..1	string	Description
route
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:periodOfUse	S	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: 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"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare Constraints: ext-1
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
modifierExtension:stopType	?!S	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
identifier		0..*	Identifier	External 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 medicationReference				Content/Rules for all slices
medicationReference:medicationReference	SΣ	1..1	Reference(Medication)	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	SΣ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
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	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	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	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
sequence	Σ	0..1	integer	SequenceNumber
text	SΣ	0..1	string	Description
additionalInstruction	Σ	0..*	CodeableConcept	AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Zib AdministrationSchedule	AdministeringSchedule
Slices for asNeededCodeableConcept				Content/Rules for all slices
asNeededCodeableConcept:asNeededCodeableConcept	Σ	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
Slices for dose[x]	Σ	0..1		Dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	ΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
low	ΣC	0..1	SimpleQuantity	Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902
high	ΣC	0..1	SimpleQuantity	High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902
maxDosePerPeriod	Σ	0..1	Ratio	MaximumDose
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	0..1	Quantity	Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902
denominator	Σ	0..1	Quantity	Denominator value
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
rate[x]	Σ	0..1		AdministeringSpeed
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
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	Status	Usage	ValueSet	Version	Source
MedicationRequest.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
MedicationRequest.extension:additionalInformation.​value[x]:valueCodeableConcept	Base	extensible	MedicatieafspraakAanvullendeInformatieCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.modifierExtension:stopType.​value[x]:valueCodeableConcept	Base	required	Stoptype	📦2016-06-17T10:13:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.status	Base	required	MedicationRequestStatus	📦3.0.2	FHIR Std.
MedicationRequest.intent	Base	required	MedicationRequestIntent	📦3.0.2	FHIR Std.
MedicationRequest.category	Base	preferred	MedicationRequestCategory	📦3.0.2	FHIR Std.
MedicationRequest.priority	Base	required	MedicationRequestPriority	📦3.0.2	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	RedenMedicatieafspraakCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​additionalInstruction	Base	extensible	Aanvullende gebruiksinstructie	📦2016-04-07T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​asNeededCodeableConcept:asNeededCodeableConcept	Base	extensible	ZonodigCriteriumCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📦3.0.2	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	extensible	MedicatieToedieningswegCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📦3.0.2	FHIR Std.
MedicationRequest.dosageInstruction.​dose[x]:doseQuantity	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​dose[x]:doseRange.low	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​dose[x]:doseRange.high	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator	Base	required	G-Standaard Eenhedentabel	📦2016-08-30T20:24:53	Nictiz FHIR NL STU3 Zib2017 v2.3
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦2014-03-26	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	MedicationRequest.extension:periodOfUse, MedicationRequest.extension:usageDuration, MedicationRequest.extension:additionalInformation, MedicationRequest.extension:medicationTreatment, MedicationRequest.extension:nl-core-episodeofcare, MedicationRequest.modifierExtension:stopType, MedicationRequest.modifierExtension:repeatPeriodCyclicalSchedule, MedicationRequest.requester.agent.extension:practitionerRole, MedicationRequest.recorder.extension:practitionerRole	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()
qty-3	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from Zib MedicationAgreement

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

• Medication (http://fhir.hl7.nl/zorgviewer/StructureDefinition/Medication)