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

Gegevensherkomst

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
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:periodOfUse	S This element must be supported.	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
MedicationRequest.Slices for extension.extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for extension.extension:additionalInformation.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x].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"}]}
MedicationRequest.Slices for extension.extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
MedicationRequest.Slices for extension.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
MedicationRequest.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType	?! This element is a modifier element. S This element must be supported.	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
MedicationRequest.Slices for modifierExtension.modifierExtension:repeatPeriodCyclicalSchedule	?! This element is a modifier element.	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	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
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order (no extensions allowed)
MedicationRequest.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
MedicationRequest.category.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode	Σ This element is included in summaries.	0..*	Coding	MedicationAgreementCode
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005 (no extensions allowed)
MedicationRequest.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.Slices for medicationReference				Content/Rules for all slices
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Medication)	AgreedMedicine
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	MedicationAgreementDateTime
MedicationRequest.requester	Σ This element is included in summaries. C	0..1	BackboneElement	Prescriber Constraints: mps-1
MedicationRequest.requester.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.requester.agent	Σ This element is included in summaries.	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
MedicationRequest.requester.agent.Slices for extension				Content/Rules for all slices
MedicationRequest.requester.agent.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
MedicationRequest.requester.agent.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Description
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept				Content/Rules for all slices
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept.asNeededCodeableConcept:asNeededCodeableConcept	Σ This element is included in summaries.	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
MedicationRequest.dosageInstruction.route	Σ This element is included in summaries.	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"}]}
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.dosageInstruction.Slices for dose[x]	Σ This element is included in summaries.	0..1		Dose Slice: Unordered, Open by type:$this
MedicationRequest.dosageInstruction.Slices for dose[x].doseRange			Range
MedicationRequest.dosageInstruction.Slices for dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseQuantity	Σ This element is included in summaries. C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange	Σ This element is included in summaries.	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
MedicationRequest.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:periodOfUse	S This element must be supported.	0..1	Zib Medication Period Of Use	UsagePeriod
MedicationRequest.Slices for modifierExtension				Content/Rules for all slices
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType	S This element must be supported.	0..1	Zib Medication StopType	StopType
MedicationRequest.category
MedicationRequest.category.text	S This element must be supported.	0..1	string	Plain text representation of the concept
​ MedicationRequest.medicationReference	S This element must be supported.	1..1	Reference(Medication)	AgreedMedicine
​ MedicationRequest.medicationReference.display	S This element must be supported.	0..1	string	Text alternative for the resource
MedicationRequest.authoredOn	S This element must be supported.	1..1	dateTime	MedicationAgreementDateTime
MedicationRequest.requester
MedicationRequest.requester.agent
MedicationRequest.requester.agent.display	S This element must be supported.	0..1	string	Text alternative for the resource
MedicationRequest.dosageInstruction
MedicationRequest.dosageInstruction.text	S This element must be supported.	0..1	string	Description
MedicationRequest.dosageInstruction.route
MedicationRequest.dosageInstruction.route.text	S This element must be supported.	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
MedicationRequest.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for extension.extension:periodOfUse	S This element must be supported.	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
MedicationRequest.Slices for extension.extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.Slices for extension.extension:additionalInformation.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for extension.extension:additionalInformation.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x].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"}]}
MedicationRequest.Slices for extension.extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
MedicationRequest.Slices for extension.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
MedicationRequest.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType	?! This element is a modifier element. S This element must be supported.	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
MedicationRequest.Slices for modifierExtension.modifierExtension:repeatPeriodCyclicalSchedule	?! This element is a modifier element.	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
MedicationRequest.identifier		0..*	Identifier	External ids for this request
MedicationRequest.definition	Σ This element is included in summaries.	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest)	What request fulfills
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	Composite request this is part of
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	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
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order (no extensions allowed)
MedicationRequest.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
MedicationRequest.category.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.category.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.category.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode	Σ This element is included in summaries.	0..*	Coding	MedicationAgreementCode
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005 (no extensions allowed)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationRequest.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
MedicationRequest.Slices for medicationReference				Content/Rules for all slices
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Medication)	AgreedMedicine
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
MedicationRequest.context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
MedicationRequest.supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	MedicationAgreementDateTime
MedicationRequest.requester	Σ This element is included in summaries. C	0..1	BackboneElement	Prescriber Constraints: mps-1
MedicationRequest.requester.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.requester.extension		0..*	Extension	Additional Content defined by implementations
MedicationRequest.requester.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.requester.agent	Σ This element is included in summaries.	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
MedicationRequest.requester.agent.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.requester.agent.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.requester.agent.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
MedicationRequest.requester.agent.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.requester.agent.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.requester.agent.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.requester.onBehalfOf	Σ This element is included in summaries. C	0..1	Reference(nl-core-organization)	Organization agent is acting for
MedicationRequest.recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
MedicationRequest.recorder.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.recorder.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.recorder.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
MedicationRequest.recorder.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.recorder.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.recorder.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
MedicationRequest.reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
MedicationRequest.note		0..*	Annotation	Comment
MedicationRequest.dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
MedicationRequest.dosageInstruction.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	SequenceNumber
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Description
MedicationRequest.dosageInstruction.additionalInstruction	Σ This element is included in summaries.	0..*	CodeableConcept	AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
MedicationRequest.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions
MedicationRequest.dosageInstruction.timing	Σ This element is included in summaries.	0..1	Zib AdministrationSchedule	AdministeringSchedule
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept				Content/Rules for all slices
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept.asNeededCodeableConcept:asNeededCodeableConcept	Σ This element is included in summaries.	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
MedicationRequest.dosageInstruction.site	Σ This element is included in summaries.	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.
MedicationRequest.dosageInstruction.route	Σ This element is included in summaries.	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"}]}
MedicationRequest.dosageInstruction.route.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.route.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.route.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.dosageInstruction.method	Σ This element is included in summaries.	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.
MedicationRequest.dosageInstruction.Slices for dose[x]	Σ This element is included in summaries.	0..1		Dose Slice: Unordered, Open by type:$this
MedicationRequest.dosageInstruction.Slices for dose[x].doseRange			Range
MedicationRequest.dosageInstruction.Slices for dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseQuantity	Σ This element is included in summaries. C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange	Σ This element is included in summaries.	0..1	Range	Amount of medication per dose
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.low	Σ This element is included in summaries. C	0..1	SimpleQuantity	Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: sqty-1
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.high	Σ This element is included in summaries. C	0..1	SimpleQuantity	High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	MaximumDose
MedicationRequest.dosageInstruction.maxDosePerPeriod.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.maxDosePerPeriod.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator	Σ This element is included in summaries.	0..1	Quantity	Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator	Σ This element is included in summaries.	0..1	Quantity	Denominator value
MedicationRequest.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: sqty-1
MedicationRequest.dosageInstruction.rate[x]	Σ This element is included in summaries.	0..1		AdministeringSpeed
MedicationRequest.dosageInstruction.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dispenseRequest		0..1	BackboneElement	Medication supply authorization
MedicationRequest.dispenseRequest.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional Content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.dispenseRequest.validityPeriod		0..1	Period	Time period supply is authorized for
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed		0..1	positiveInt	Number of refills authorized
MedicationRequest.dispenseRequest.quantity	C	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
MedicationRequest.dispenseRequest.performer		0..1	Reference(Organization)	Intended dispenser
MedicationRequest.substitution		0..1	BackboneElement	Any restrictions on medication substitution
MedicationRequest.substitution.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.substitution.extension		0..*	Extension	Additional Content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.substitution.allowed	?! This element is a modifier element.	1..1	boolean	Whether substitution is allowed or not
MedicationRequest.substitution.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.
MedicationRequest.priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
MedicationRequest.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, MedicationRequest.dosageInstruction.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.quantity	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
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:periodOfUse	S This element must be supported.	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
MedicationRequest.Slices for extension.extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for extension.extension:additionalInformation.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x].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"}]}
MedicationRequest.Slices for extension.extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
MedicationRequest.Slices for extension.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
MedicationRequest.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType	?! This element is a modifier element. S This element must be supported.	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
MedicationRequest.Slices for modifierExtension.modifierExtension:repeatPeriodCyclicalSchedule	?! This element is a modifier element.	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	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
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order (no extensions allowed)
MedicationRequest.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
MedicationRequest.category.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode	Σ This element is included in summaries.	0..*	Coding	MedicationAgreementCode
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005 (no extensions allowed)
MedicationRequest.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.Slices for medicationReference				Content/Rules for all slices
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Medication)	AgreedMedicine
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	MedicationAgreementDateTime
MedicationRequest.requester	Σ This element is included in summaries. C	0..1	BackboneElement	Prescriber Constraints: mps-1
MedicationRequest.requester.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.requester.agent	Σ This element is included in summaries.	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
MedicationRequest.requester.agent.Slices for extension				Content/Rules for all slices
MedicationRequest.requester.agent.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
MedicationRequest.requester.agent.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Description
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept				Content/Rules for all slices
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept.asNeededCodeableConcept:asNeededCodeableConcept	Σ This element is included in summaries.	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
MedicationRequest.dosageInstruction.route	Σ This element is included in summaries.	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"}]}
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.dosageInstruction.Slices for dose[x]	Σ This element is included in summaries.	0..1		Dose Slice: Unordered, Open by type:$this
MedicationRequest.dosageInstruction.Slices for dose[x].doseRange			Range
MedicationRequest.dosageInstruction.Slices for dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseQuantity	Σ This element is included in summaries. C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange	Σ This element is included in summaries.	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
MedicationRequest.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:periodOfUse	S This element must be supported.	0..1	Zib Medication Period Of Use	UsagePeriod
MedicationRequest.Slices for modifierExtension				Content/Rules for all slices
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType	S This element must be supported.	0..1	Zib Medication StopType	StopType
MedicationRequest.category
MedicationRequest.category.text	S This element must be supported.	0..1	string	Plain text representation of the concept
​ MedicationRequest.medicationReference	S This element must be supported.	1..1	Reference(Medication)	AgreedMedicine
​ MedicationRequest.medicationReference.display	S This element must be supported.	0..1	string	Text alternative for the resource
MedicationRequest.authoredOn	S This element must be supported.	1..1	dateTime	MedicationAgreementDateTime
MedicationRequest.requester
MedicationRequest.requester.agent
MedicationRequest.requester.agent.display	S This element must be supported.	0..1	string	Text alternative for the resource
MedicationRequest.dosageInstruction
MedicationRequest.dosageInstruction.text	S This element must be supported.	0..1	string	Description
MedicationRequest.dosageInstruction.route
MedicationRequest.dosageInstruction.route.text	S This element must be supported.	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
MedicationRequest.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for extension.extension:periodOfUse	S This element must be supported.	0..1	Period	UsagePeriod URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse Constraints: ext-1
MedicationRequest.Slices for extension.extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation Constraints: ext-1
MedicationRequest.Slices for extension.extension:additionalInformation.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.Slices for extension.extension:additionalInformation.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for extension.extension:additionalInformation.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for extension.extension:additionalInformation.Slices for value[x].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"}]}
MedicationRequest.Slices for extension.extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment Constraints: ext-1
MedicationRequest.Slices for extension.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
MedicationRequest.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType	?! This element is a modifier element. S This element must be supported.	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType Constraints: ext-1
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x]				Content/Rules for all slices
MedicationRequest.Slices for modifierExtension.modifierExtension:stopType.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required): StopType
MedicationRequest.Slices for modifierExtension.modifierExtension:repeatPeriodCyclicalSchedule	?! This element is a modifier element.	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule Constraints: ext-1
MedicationRequest.identifier		0..*	Identifier	External ids for this request
MedicationRequest.definition	Σ This element is included in summaries.	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest)	What request fulfills
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	Composite request this is part of
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	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
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order (no extensions allowed)
MedicationRequest.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
MedicationRequest.category.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.category.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.category.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode	Σ This element is included in summaries.	0..*	Coding	MedicationAgreementCode
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005 (no extensions allowed)
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationRequest.category.Slices for coding.coding:medicationAgreementCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationRequest.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
MedicationRequest.Slices for medicationReference				Content/Rules for all slices
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Medication)	AgreedMedicine
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.Slices for medicationReference.medicationReference:medicationReference.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
MedicationRequest.context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
MedicationRequest.supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	MedicationAgreementDateTime
MedicationRequest.requester	Σ This element is included in summaries. C	0..1	BackboneElement	Prescriber Constraints: mps-1
MedicationRequest.requester.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.requester.extension		0..*	Extension	Additional Content defined by implementations
MedicationRequest.requester.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.requester.agent	Σ This element is included in summaries.	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
MedicationRequest.requester.agent.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.requester.agent.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.requester.agent.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
MedicationRequest.requester.agent.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.requester.agent.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.requester.agent.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.requester.onBehalfOf	Σ This element is included in summaries. C	0..1	Reference(nl-core-organization)	Organization agent is acting for
MedicationRequest.recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
MedicationRequest.recorder.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.recorder.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.recorder.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
MedicationRequest.recorder.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.recorder.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.recorder.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
MedicationRequest.reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
MedicationRequest.note		0..*	Annotation	Comment
MedicationRequest.dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
MedicationRequest.dosageInstruction.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	SequenceNumber
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Description
MedicationRequest.dosageInstruction.additionalInstruction	Σ This element is included in summaries.	0..*	CodeableConcept	AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
MedicationRequest.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions
MedicationRequest.dosageInstruction.timing	Σ This element is included in summaries.	0..1	Zib AdministrationSchedule	AdministeringSchedule
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept				Content/Rules for all slices
MedicationRequest.dosageInstruction.Slices for asNeededCodeableConcept.asNeededCodeableConcept:asNeededCodeableConcept	Σ This element is included in summaries.	0..1	CodeableConcept	AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst
MedicationRequest.dosageInstruction.site	Σ This element is included in summaries.	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.
MedicationRequest.dosageInstruction.route	Σ This element is included in summaries.	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"}]}
MedicationRequest.dosageInstruction.route.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.route.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.route.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.dosageInstruction.method	Σ This element is included in summaries.	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.
MedicationRequest.dosageInstruction.Slices for dose[x]	Σ This element is included in summaries.	0..1		Dose Slice: Unordered, Open by type:$this
MedicationRequest.dosageInstruction.Slices for dose[x].doseRange			Range
MedicationRequest.dosageInstruction.Slices for dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseQuantity	Σ This element is included in summaries. C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: qty-3, sqty-1
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange	Σ This element is included in summaries.	0..1	Range	Amount of medication per dose
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.low	Σ This element is included in summaries. C	0..1	SimpleQuantity	Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: sqty-1
MedicationRequest.dosageInstruction.Slices for dose[x].dose[x]:doseRange.high	Σ This element is included in summaries. C	0..1	SimpleQuantity	High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	MaximumDose
MedicationRequest.dosageInstruction.maxDosePerPeriod.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dosageInstruction.maxDosePerPeriod.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator	Σ This element is included in summaries.	0..1	Quantity	Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator	Σ This element is included in summaries.	0..1	Quantity	Denominator value
MedicationRequest.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: sqty-1
MedicationRequest.dosageInstruction.rate[x]	Σ This element is included in summaries.	0..1		AdministeringSpeed
MedicationRequest.dosageInstruction.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dispenseRequest		0..1	BackboneElement	Medication supply authorization
MedicationRequest.dispenseRequest.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional Content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.dispenseRequest.validityPeriod		0..1	Period	Time period supply is authorized for
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed		0..1	positiveInt	Number of refills authorized
MedicationRequest.dispenseRequest.quantity	C	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
MedicationRequest.dispenseRequest.performer		0..1	Reference(Organization)	Intended dispenser
MedicationRequest.substitution		0..1	BackboneElement	Any restrictions on medication substitution
MedicationRequest.substitution.id		0..1	string	xml:id (or equivalent in JSON)
MedicationRequest.substitution.extension		0..*	Extension	Additional Content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.substitution.allowed	?! This element is a modifier element.	1..1	boolean	Whether substitution is allowed or not
MedicationRequest.substitution.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.
MedicationRequest.priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
MedicationRequest.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, MedicationRequest.dosageInstruction.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.quantity	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)