{
"description": "This profile is based on Medicatieproces V9.0.7 and the related Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) DispenseRequest version 1.0.1, year 2017. The dispense request is the request of a prescriber to the pharmacist to dispense medication(s) to the patient to support current medication agreements. The prescriber asks them to dispense a certain amount of medicine or to dispense medicine(s) for a period of use.",
"_filename": "zib-DispenseRequest.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "The goal of the dispense request is for the pharmacist to supply the medicine so the patient has a sufficient amount.",
"name": "Zib DispenseRequest",
"mapping": [ {
"uri": "https://zibs.nl/wiki/DispenseRequest-v1.0(2017EN)",
"name": "HCIM DispenseRequest-v1.0(2017EN)",
"identity": "hcim-dispenserequest-v1.0-2017EN"
}, {
"uri": "https://zibs.nl/wiki/TimeInterval-v1.0(2017EN)",
"name": "HCIM Part TimeInterval-v1.0(2017EN)",
"identity": "hcim-timeinterval-v1.0-2017EN"
}, {
"uri": "https://decor.nictiz.nl/medicatieproces/mp-html-20181220T121121/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.3-2016-06-01T000000.html",
"name": "Medication Process v09",
"comment": "Language of Medication Process is Dutch.",
"identity": "Medication-Process-v09"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "MedicationRequest",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM DispenseRequest",
"package_version": "1.1.3",
"status": "active",
"id": "43039c31-d80f-425f-bbf6-4e9e00598a91",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-DispenseRequest",
"version": "2.2.0",
"differential": {
"element": [ {
"id": "MedicationRequest",
"path": "MedicationRequest",
"alias": [ "Verstrekkingsverzoek" ],
"short": "MedicationDispenseRequest",
"mapping": [ {
"map": "NL-CM:9.10.19963",
"comment": "DispenseRequest",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ]
}, {
"id": "MedicationRequest.extension",
"path": "MedicationRequest.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "MedicationRequest.extension:additionalWishes",
"path": "MedicationRequest.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation"
} ],
"alias": [ "AanvullendeWensen" ],
"short": "AdditionalWishes",
"mapping": [ {
"map": "NL-CM:9.10.22759",
"comment": "AdditionalWishes",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"sliceName": "additionalWishes",
"definition": "Logistics and other instructions such as: do not enter in GDS, urgent, purposeful deviation, etc"
}, {
"id": "MedicationRequest.extension:additionalWishes.valueCodeableConcept:valueCodeableConcept",
"path": "MedicationRequest.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "AanvullendeWensenCodelijst",
"valueSetReference": {
"display": "AanvullendeWensenCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.10.1--20171231000000"
}
},
"sliceName": "valueCodeableConcept"
}, {
"path": "MedicationRequest.extension",
"definition": "Medication agreement related to this dispense request",
"short": "RelatedMedicationAgreement",
"mapping": [ {
"map": "mp-dataelement900-23286",
"comment": "Relatie naar medicatieafspraak",
"identity": "Medication-Process-v09"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-DispenseRequest-RelatedMedicationAgreement"
} ],
"sliceName": "relatedMedicationAgreement",
"alias": [ "GerelateerdeMedicatieAfspraak" ],
"max": "1",
"id": "MedicationRequest.extension:relatedMedicationAgreement"
}, {
"path": "MedicationRequest.extension",
"definition": "This extension is to describe which overarching medication treatment this information is part of. This is done by the use of an identifier of that medication treatment.",
"short": "Medication Treatment",
"mapping": [ {
"map": "mp-dataelement900-22092",
"comment": "Medicamenteuze behandeling",
"identity": "Medication-Process-v09"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment"
} ],
"sliceName": "medicationTreatment",
"alias": [ "Medicamenteuze behandeling" ],
"max": "1",
"id": "MedicationRequest.extension:medicationTreatment",
"comment": "No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided."
}, {
"id": "MedicationRequest.identifier",
"path": "MedicationRequest.identifier",
"alias": [ "VerstrekkingsverzoekIdentificatie" ],
"short": "DispenseRequestIdentifier",
"mapping": [ {
"map": "mp-dataelement900-22003",
"comment": "Identificatie",
"identity": "Medication-Process-v09"
}, {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "MedicationRequest.intent",
"path": "MedicationRequest.intent",
"fixedCode": "order"
}, {
"id": "MedicationRequest.category",
"min": 1,
"path": "MedicationRequest.category"
}, {
"id": "MedicationRequest.category.coding",
"path": "MedicationRequest.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "MedicationRequest.category.coding:DispenseRequestCode",
"path": "MedicationRequest.category.coding",
"short": "DispenseRequestCode",
"sliceName": "DispenseRequestCode",
"definition": "Category code used for indexing/retrieval of the ZIB DispenseRequest. The system and code are stated in the Medication Process v09."
}, {
"id": "MedicationRequest.category.coding:DispenseRequestCode.system",
"path": "MedicationRequest.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "MedicationRequest.category.coding:DispenseRequestCode.code",
"path": "MedicationRequest.category.coding.code",
"fixedCode": "52711000146108"
}, {
"id": "MedicationRequest.medication[x]:medicationReference",
"path": "MedicationRequest.medicationReference",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
} ],
"alias": [ "Geneesmiddel", "Product", "Medicatie", "TeVerstrekkenGeneesmiddel" ],
"short": "MedicineToBeDispensed",
"mapping": [ {
"map": "NL-CM:9.10.22249",
"comment": "MedicineToBeDispensed",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"sliceName": "medicationReference",
"definition": "The medicine to be dispensed."
}, {
"id": "MedicationRequest.subject",
"path": "MedicationRequest.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "MedicationRequest.context",
"path": "MedicationRequest.context",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
} ]
}, {
"id": "MedicationRequest.authoredOn",
"path": "MedicationRequest.authoredOn",
"alias": [ "VerstrekkingsverzoekDatum" ],
"short": "DispenseRequestDate",
"mapping": [ {
"map": "NL-CM:9.10.20060",
"comment": "DispenseRequestDate",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"definition": "Time at which the dispense request is entered."
}, {
"id": "MedicationRequest.requester.agent",
"path": "MedicationRequest.requester.agent",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
} ],
"comment": "The health professional's specialty, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile.",
"mapping": [ {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "MedicationRequest.requester.agent.extension",
"path": "MedicationRequest.requester.agent.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "MedicationRequest.requester.agent.extension:practitionerRole",
"max": "1",
"path": "MedicationRequest.requester.agent.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "MedicationRequest.requester.onBehalfOf",
"path": "MedicationRequest.requester.onBehalfOf",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
} ]
}, {
"id": "MedicationRequest.recorder",
"path": "MedicationRequest.recorder",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
} ],
"comment": "The health professional's speciality, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile."
}, {
"id": "MedicationRequest.recorder.extension",
"path": "MedicationRequest.recorder.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "MedicationRequest.recorder.extension:practitionerRole",
"max": "1",
"path": "MedicationRequest.recorder.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "MedicationRequest.note",
"path": "MedicationRequest.note",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:9.10.22274",
"comment": "Comment",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"definition": "Explanation for the dispense request. This explanation can contain e.g. information on why a prescriber submits a dispense request that deviates from the norm, e.g. an extra dispense request needed because the patient has lost the medication"
}, {
"id": "MedicationRequest.dosageInstruction",
"max": "0",
"path": "MedicationRequest.dosageInstruction"
}, {
"id": "MedicationRequest.dispenseRequest",
"path": "MedicationRequest.dispenseRequest",
"alias": [ "Verstrekkingsverzoek" ],
"short": "DisenseRequest"
}, {
"id": "MedicationRequest.dispenseRequest.extension",
"path": "MedicationRequest.dispenseRequest.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "MedicationRequest.dispenseRequest.extension",
"definition": "Dispense location.",
"short": "DispenseLocation",
"mapping": [ {
"map": "NL-CM:9.10.20068",
"comment": "DispenseLocation. Use Location.name for the location string",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-Location"
} ],
"sliceName": "dispenseLocation",
"alias": [ "Afleverlocatie" ],
"max": "1",
"id": "MedicationRequest.dispenseRequest.extension:dispenseLocation"
}, {
"id": "MedicationRequest.dispenseRequest.validityPeriod",
"path": "MedicationRequest.dispenseRequest.validityPeriod",
"alias": [ "Verbruiksperiode" ],
"short": "PeriodOfUse",
"mapping": [ {
"map": "NL-CM:9.10.20062",
"comment": "PeriodOfUse",
"identity": "hcim-dispenserequest-v1.0-2017EN"
}, {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"definition": "During the approved period of use, the pharmacist has permission to dispense medicine so that the patient has a sufficient amount of medication. \r\nIn many cases, the approved period of use can be described by only an end date: the approved end date of use."
}, {
"id": "MedicationRequest.dispenseRequest.validityPeriod.start",
"path": "MedicationRequest.dispenseRequest.validityPeriod.start",
"alias": [ "Ingangsdatum" ],
"short": "StartDate",
"mapping": [ {
"map": "NL-CM:20.3.2",
"comment": "startDateTime",
"identity": "hcim-timeinterval-v1.0-2017EN"
} ]
}, {
"id": "MedicationRequest.dispenseRequest.validityPeriod.end",
"path": "MedicationRequest.dispenseRequest.validityPeriod.end",
"alias": [ "Einddatum" ],
"short": "EndDate",
"mapping": [ {
"map": "NL-CM:20.3.3",
"comment": "endDateTime",
"identity": "hcim-timeinterval-v1.0-2017EN"
} ]
}, {
"id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
"path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
"alias": [ "AantalHerhalingen" ],
"short": "NumberOfRefills",
"mapping": [ {
"map": "NL-CM:9.10.22120",
"comment": "NumberOfRefills",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"definition": "The number of additional times the medication may be dispensed after the first time. The total amount that may be dispensed is: (Number of refills + 1) x amount to be dispensed"
}, {
"id": "MedicationRequest.dispenseRequest.quantity",
"path": "MedicationRequest.dispenseRequest.quantity",
"alias": [ "TeVerstrekkenHoeveelheid" ],
"short": "Amount",
"mapping": [ {
"map": "NL-CM:9.10.19964",
"comment": "Amount",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"definition": "This is the number of units of the ordered product per dispense. \r\nThe number of refills indicates how often this amount is allowed to be dispensed."
}, {
"id": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
"path": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
"alias": [ "Duur" ],
"short": "Duration",
"mapping": [ {
"map": "NL-CM:9.10.20062",
"comment": "PeriodOfUse",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ]
}, {
"id": "MedicationRequest.dispenseRequest.performer",
"path": "MedicationRequest.dispenseRequest.performer",
"alias": [ "BeoogdVerstrekker" ],
"short": "IntendedSupplier",
"mapping": [ {
"map": "NL-CM:9.10.19966",
"comment": "IntendedSupplier",
"identity": "hcim-dispenserequest-v1.0-2017EN"
} ],
"definition": "The intended supplier is a pharmacist."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}