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

Zorginformatiebouwsteen

ZIB Medicatieafspraak

View Definition

• ViewDefinition voor MedicationRequest

Request

1. Opvragen (search) definities

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

Bronsysteem herkennen

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

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

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

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

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

This structure is derived from Zib MedicationAgreement

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
category
text	S	0..1	string	Plain text representation of the concept
medicationReference
display	S	0..1	string	Text alternative for the resource
authoredOn	S	1..1	dateTime	MedicationAgreementDateTime
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
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
authoredOn	SΣ	1..1	dateTime	MedicationAgreementDateTime
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Description
Slices for asNeeded[x]	Σ	0..1	CodeableConcept	Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeeded[x]: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, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationRequest.dosageInstruction.route	extensible	MedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationRequest.dosageInstruction.dose[x]:doseQuantity	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode	Σ	0..*	Coding	MedicationAgreementCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber mps-1: onBehalfOf can only be specified if agent is practitioner or device
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	ΣC	0..1	Reference(nl-core-organization)	Organization agent is acting for
recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
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)
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing		0..1	Zib AdministrationSchedule	AdministeringSchedule
Slices for asNeeded[x]	Σ	0..1	CodeableConcept	Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeeded[x]: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, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
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	Conformance	ValueSet / Code	URI
MedicationRequest.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard
MedicationRequest.priority	required	MedicationRequestPriority http://hl7.org/fhir/ValueSet/medication-request-priority from the FHIR Standard
MedicationRequest.reasonCode	extensible	RedenMedicatieafspraakCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2--20171231000000
MedicationRequest.dosageInstruction.additionalInstruction	extensible	AanvullendeGebruiksinstructie http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationRequest.dosageInstruction.site	example	SNOMED CT Anatomical Structure for Administration Site Codes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	extensible	MedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationRequest.dosageInstruction.method	example	SNOMED CT Administration Method Codes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.dose[x]:doseQuantity	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.dosageInstruction.dose[x]:doseRange.low	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.dosageInstruction.dose[x]:doseRange.high	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mps-1	error	MedicationRequest.requester	onBehalfOf can only be specified if agent is practitioner or device : (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()
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
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
category
text	S	0..1	string	Plain text representation of the concept
medicationReference
display	S	0..1	string	Text alternative for the resource
authoredOn	S	1..1	dateTime	MedicationAgreementDateTime
dosageInstruction
text	S	0..1	string	Description
route
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
authoredOn	SΣ	1..1	dateTime	MedicationAgreementDateTime
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Description
Slices for asNeeded[x]	Σ	0..1	CodeableConcept	Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeeded[x]: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, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	Σ	0..1	Range	Amount of medication per dose
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationRequest.dosageInstruction.route	extensible	MedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationRequest.dosageInstruction.dose[x]:doseQuantity	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	Zib MedicationAgreement	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	Zib Medication StopType	StopType
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Zib Medication RepeatPeriodCyclicalSchedule	RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode	Σ	0..*	Coding	MedicationAgreementCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber mps-1: onBehalfOf can only be specified if agent is practitioner or device
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	ΣC	0..1	Reference(nl-core-organization)	Organization agent is acting for
recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	InstructionsForUse
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)
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing		0..1	Zib AdministrationSchedule	AdministeringSchedule
Slices for asNeeded[x]	Σ	0..1	CodeableConcept	Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeeded[x]: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, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	C	0..1	SimpleQuantity	A fixed quantity (no comparator) Binding: G-Standaard Eenhedentabel (required): GstdTabel902 qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
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	Conformance	ValueSet / Code	URI
MedicationRequest.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept	extensible	MedicatieafspraakAanvullendeInformatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000
MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept	required	Stoptype http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent from the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category from the FHIR Standard
MedicationRequest.priority	required	MedicationRequestPriority http://hl7.org/fhir/ValueSet/medication-request-priority from the FHIR Standard
MedicationRequest.reasonCode	extensible	RedenMedicatieafspraakCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2--20171231000000
MedicationRequest.dosageInstruction.additionalInstruction	extensible	AanvullendeGebruiksinstructie http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept	extensible	ZonodigCriteriumCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationRequest.dosageInstruction.site	example	SNOMED CT Anatomical Structure for Administration Site Codes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	extensible	MedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationRequest.dosageInstruction.method	example	SNOMED CT Administration Method Codes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.dose[x]:doseQuantity	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.dosageInstruction.dose[x]:doseRange.low	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.dosageInstruction.dose[x]:doseRange.high	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator	required	GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason from the FHIR Standard

Constraints

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