Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: HCIM MedicationAgreement

This profile is based on the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) MedicationAgreement version 1.0.1, year 2017. A medication agreement is a prescriber’s proposal for a patient to use medication. An agreement to discontinue the use of medication is also a medication agreement.

The goal of the medication agreement is to provide insight into the agreements reached between the prescriber and the patient on the use of medication.

Usages:

• Refer to this Profile: HCIM AdministrationAgreement and HCIM MedicationAdministration

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	MedicationAgreement
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Extension 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	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule		0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
intent		1..1	code	proposal | plan | order | instance-order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode		0..*	Coding	MedicationAgreementCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
display		0..1	string	Representation defined by the system
Slices for medicationReference				Content/Rules for all slices
medicationReference:medicationReference		1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
subject		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
authoredOn		1..1	dateTime	MedicationAgreementDateTime
requester		0..1	BackboneElement	Prescriber
agent		1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
onBehalfOf		0..1	Reference(nl-core-organization)	Organization agent is acting for
recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	How the medication should be taken
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.extension:additionalInformation.valueCodeableConcept: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 From this IG
MedicationRequest.modifierExtension:stopType.valueCodeableConcept:valueCodeableConcept	required	Stoptype
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 From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	MedicationAgreement
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
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
display	Σ	0..1	string	Representation defined by the system
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
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
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	How the medication should be taken
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 From this IG
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 From this IG
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status|3.0.2 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent|3.0.2 From the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category|3.0.2 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 From this IG

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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
extension: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:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-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	Σ	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
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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
extension: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	How the medication should be taken
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|2014-03-26 (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|3.0.2 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 From this IG
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 From this IG
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status|3.0.2 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent|3.0.2 From the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category|3.0.2 From the FHIR Standard
MedicationRequest.priority	required	MedicationRequestPriority http://hl7.org/fhir/ValueSet/medication-request-priority|3.0.2 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 From this IG
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason|2014-03-26 From the FHIR Standard

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

• HCIM PharmaceuticalProduct (http://nictiz.nl/fhir/StructureDefinition/zib-Product)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• HCIM InstructionsForUse (http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
• http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
• http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType (Modifier)
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule (Modifier)
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category.coding

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	MedicationAgreement
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Extension 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	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule		0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
intent		1..1	code	proposal | plan | order | instance-order Fixed Value: order
category		1..1	CodeableConcept	Type of medication usage
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:medicationAgreementCode		0..*	Coding	MedicationAgreementCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 16076005
display		0..1	string	Representation defined by the system
Slices for medicationReference				Content/Rules for all slices
medicationReference:medicationReference		1..1	Reference(HCIM PharmaceuticalProduct)	AgreedMedicine
subject		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
authoredOn		1..1	dateTime	MedicationAgreementDateTime
requester		0..1	BackboneElement	Prescriber
agent		1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
onBehalfOf		0..1	Reference(nl-core-organization)	Organization agent is acting for
recorder		0..1	Reference(nl-core-practitioner)	Person who entered the request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	How the medication should be taken
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.extension:additionalInformation.valueCodeableConcept: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 From this IG
MedicationRequest.modifierExtension:stopType.valueCodeableConcept:valueCodeableConcept	required	Stoptype
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 From this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	MedicationAgreement
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
extension:additionalInformation		0..*	(Complex)	MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	External ids for this request
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
display	Σ	0..1	string	Representation defined by the system
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
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
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonCode		0..*	CodeableConcept	ReasonMedicationAgreement Binding: RedenMedicatieafspraakCodelijst (extensible): RedenWijzigenOfStakenCodelijst
reasonReference		0..*	Reference(Observation | HCIM Problem)	PrescriptionReason
note		0..*	Annotation	Comment
dosageInstruction		0..*	Zib InstructionsForUse	How the medication should be taken
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 From this IG
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 From this IG
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status|3.0.2 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent|3.0.2 From the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category|3.0.2 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 From this IG

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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:periodOfUse		0..1	Period	PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
extension:usageDuration		0..1	Duration	Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
extension: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:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]}
extension:medicationTreatment		0..1	Identifier	Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:nl-core-episodeofcare		0..*	Reference(nl-core-episodeofcare)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:stopType	?!	0..1	(Complex)	StopType URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Stoptype (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!	0..1	Duration	RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-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	Σ	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
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who or group medication request is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	1..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	BackboneElement	Prescriber Constraints: mps-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | nl-core-relatedperson | Device)	Who ordered the initial medication(s)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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
extension: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	How the medication should be taken
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|2014-03-26 (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|3.0.2 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 From this IG
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 From this IG
MedicationRequest.status	required	MedicationRequestStatus http://hl7.org/fhir/ValueSet/medication-request-status|3.0.2 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medication-request-intent|3.0.2 From the FHIR Standard
MedicationRequest.category	preferred	MedicationRequestCategory http://hl7.org/fhir/ValueSet/medication-request-category|3.0.2 From the FHIR Standard
MedicationRequest.priority	required	MedicationRequestPriority http://hl7.org/fhir/ValueSet/medication-request-priority|3.0.2 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 From this IG
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason|2014-03-26 From the FHIR Standard

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

• HCIM PharmaceuticalProduct (http://nictiz.nl/fhir/StructureDefinition/zib-Product)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• HCIM InstructionsForUse (http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse
• http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
• http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType (Modifier)
• http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule (Modifier)
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category.coding

Other representations of profile: CSV, Excel, Schematron