{
  "description": "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": "mp-DispenseRequest.json",
  "package_name": "nictiz.fhir.nl.r4.medicationprocess9",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "4.0.1",
  "purpose": "This MedicationRequest resource represents the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) DispenseRequest, in a development version that will be released in pre-publication 2022-1. This profile also contains augmentations to the zib with elements found in the transactions of MP9, to provide a profile better suited for implementation purposes.",
  "name": "MpDispenseRequest",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/DispenseRequest-v1.0.3(2020EN)",
    "name": "zib DispenseRequest-v1.0.3(2020EN)",
    "identity": "zib-dispenserequest-v1.0.3-2020EN"
  }, {
    "uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20220402T205710/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-01-05T132845.html",
    "name": "MP9 v2.0.0",
    "identity": "Medication-Process-v9-2-0-0"
  } ],
  "abstract": true,
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "type": "MedicationRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "mp DispenseRequest",
  "package_version": "1.0.0",
  "status": "active",
  "id": "95b73f87-2301-48c4-933f-a1028585fa72",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/mp-DispenseRequest",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "MedicationRequest",
      "path": "MedicationRequest",
      "alias": [ "Verstrekkingsverzoek" ],
      "short": "DispenseRequest",
      "mapping": [ {
        "map": "NL-CM:9.10.19963",
        "comment": "DispenseRequest",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ]
    }, {
      "id": "MedicationRequest.extension",
      "min": 0,
      "path": "MedicationRequest.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationRequest.extension:additionalWishes",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-DispenseRequest.AdditionalWishes" ]
      } ],
      "sliceName": "additionalWishes"
    }, {
      "id": "MedicationRequest.extension:additionalWishes.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mapping": [ {
        "map": "mp-dataelement920-287",
        "comment": "AdditionalWishes",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationRequest.extension:pharmaceuticalTreatmentIdentifier",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier" ]
      } ],
      "sliceName": "pharmaceuticalTreatmentIdentifier"
    }, {
      "id": "MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mapping": [ {
        "map": "mp-dataelement920-42",
        "comment": "Identification",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationRequest.extension:financialIndicationCode",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-DispenseRequest.FinancialIndicationCode" ]
      } ],
      "sliceName": "financialIndicationCode"
    }, {
      "id": "MedicationRequest.extension:financialIndicationCode.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mapping": [ {
        "map": "mp-dataelement920-592",
        "comment": "FinancialIndicationCode",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationRequest.extension:relationEpisodeOfCare",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare" ]
      } ],
      "sliceName": "relationEpisodeOfCare"
    }, {
      "id": "MedicationRequest.extension:relationEpisodeOfCare.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "alias": [ "RelatieZorgepisode" ],
      "short": "RelationEpisodeOfCare",
      "mapping": [ {
        "map": "mp-dataelement920-1347",
        "comment": "RelationEpisodeOfCare",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationRequest.identifier",
      "path": "MedicationRequest.identifier",
      "alias": [ "Identificatie" ],
      "short": "Identification",
      "mapping": [ {
        "map": "mp-dataelement920-289",
        "comment": "Identification",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationRequest.status",
      "path": "MedicationRequest.status",
      "alias": [ "GeannuleerdIndicator" ],
      "short": "CanceledIndicator",
      "comment": "This element is implicitly mapped to the zib concept NL-CM:9.10.20062 (PeriodOfUse). Unless a more appropriate status is recorded, the following guidance applies:\r\n\r\n* When CanceledIndicator is _true_, `.status` will be set to _entered-in-error_.\r\n* When PeriodOfUse start date is absent and PeriodOfUse end date is in the future, `.status` will usually be set to _active_.\r\n* When PeriodOfUse start date is in the past or future and PeriodOfUse end date is absent or in the future, `.status` will usually be set to _active_.\r\n* When PeriodOfUse end date is present and in the past, `.status` will usually be set to _completed_.\r\n* When PeriodOfUse duration and start date are known, the end date can be deduced and the previous rules apply. \r\n* When a system is unable to infer the status, `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the DispenseRequest.",
      "mapping": [ {
        "map": "mp-dataelement920-1167",
        "comment": "CanceledIndicator",
        "identity": "Medication-Process-v9-2-0-0"
      }, {
        "map": "NL-CM:9.10.20062",
        "comment": "PeriodOfUse (implicit, main mapping is on `.dispenseRequest.validityPeriod` and extension ext-TimeInterval.Duration)",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ]
    }, {
      "id": "MedicationRequest.intent",
      "path": "MedicationRequest.intent",
      "comment": "Unless `.intent` is explicitly recorded and a more appropriate code is known, the value can be set to _order_ because a DispenseRequest should authorize an action for a patient, pharmacist, professional administrator et cetera."
    }, {
      "id": "MedicationRequest.category",
      "min": 1,
      "path": "MedicationRequest.category",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "52711000146108",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "id": "MedicationRequest.medication[x]",
      "path": "MedicationRequest.medication[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "MedicationRequest.medication[x]:medicationReference",
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication", "http://nictiz.nl/fhir/StructureDefinition/nl-core-PharmaceuticalProduct" ]
      } ],
      "alias": [ "TeVerstrekkenGeneesmiddel" ],
      "short": "MedicineToBeDispensed",
      "mapping": [ {
        "map": "NL-CM:9.10.22249",
        "comment": "MedicineToBeDispensed",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ],
      "sliceName": "medicationReference",
      "definition": "The medicine to be dispensed."
    }, {
      "id": "MedicationRequest.subject",
      "path": "MedicationRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
      } ]
    }, {
      "id": "MedicationRequest.encounter",
      "path": "MedicationRequest.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Encounter" ]
      } ],
      "alias": [ "RelatieContact" ],
      "short": "RelationContact",
      "mapping": [ {
        "map": "mp-dataelement920-1345",
        "comment": "RelationContact",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationRequest.authoredOn",
      "path": "MedicationRequest.authoredOn",
      "alias": [ "VerstrekkingsverzoekDatum" ],
      "short": "DispenseRequestDate",
      "mapping": [ {
        "map": "NL-CM:9.10.20060",
        "comment": "DispenseRequestDate",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ],
      "definition": "Time at which the dispense request is entered."
    }, {
      "id": "MedicationRequest.requester",
      "path": "MedicationRequest.requester",
      "type": [ {
        "code": "Reference",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ],
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ]
      } ],
      "alias": [ "Auteur" ],
      "short": "Author",
      "mapping": [ {
        "map": "mp-dataelement920-290",
        "comment": "Author",
        "identity": "Medication-Process-v9-2-0-0"
      } ]
    }, {
      "id": "MedicationRequest.performer",
      "path": "MedicationRequest.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization" ]
      } ],
      "alias": [ "BeoogdVerstrekker" ],
      "short": "IntendedSupplier",
      "comment": "Although the nl-core-HealthcareProvider profile (with resource type Location) is the focal profile of the zib HealthcareProvider, this reference is to the nl-core-HealthcareProvider-Organization profile, because the concept is concerned with the organizational information of the intended supplier.",
      "mapping": [ {
        "map": "NL-CM:9.10.19966",
        "comment": "IntendedSupplier",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ],
      "definition": "The intended supplier is a pharmacist."
    }, {
      "id": "MedicationRequest.basedOn",
      "path": "MedicationRequest.basedOn",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "resolve()",
          "type": "profile"
        } ]
      }
    }, {
      "id": "MedicationRequest.basedOn:relationMedicationAgreement",
      "path": "MedicationRequest.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/mp-MedicationAgreement" ]
      } ],
      "alias": [ "RelatieMedicatieafspraak" ],
      "short": "RelationMedicationAgreement",
      "mapping": [ {
        "map": "mp-dataelement920-292",
        "comment": "RelationMedicationAgreement",
        "identity": "Medication-Process-v9-2-0-0"
      } ],
      "sliceName": "relationMedicationAgreement",
      "definition": "A reference to the MedicationAgreement(s) that were/are the basis of this DispenseRequest."
    }, {
      "id": "MedicationRequest.note",
      "max": "1",
      "path": "MedicationRequest.note"
    }, {
      "id": "MedicationRequest.note.text",
      "path": "MedicationRequest.note.text",
      "alias": [ "Toelichting" ],
      "short": "Comment",
      "mapping": [ {
        "map": "NL-CM:9.10.22274",
        "comment": "Comment",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ],
      "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.dispenseRequest.extension",
      "min": 0,
      "path": "MedicationRequest.dispenseRequest.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationRequest.dispenseRequest.extension:dispenseLocation",
      "min": 0,
      "path": "MedicationRequest.dispenseRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-DispenseRequest.DispenseLocation" ]
      } ],
      "sliceName": "dispenseLocation"
    }, {
      "id": "MedicationRequest.dispenseRequest.extension:dispenseLocation.value[x]",
      "path": "MedicationRequest.dispenseRequest.extension.value[x]",
      "mapping": [ {
        "map": "NL-CM:9.10.20068",
        "comment": "DispenseLocation",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ]
    }, {
      "id": "MedicationRequest.dispenseRequest.validityPeriod",
      "path": "MedicationRequest.dispenseRequest.validityPeriod",
      "type": [ {
        "code": "Period",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-TimeInterval" ]
      } ],
      "alias": [ "Verbruiksperiode" ],
      "short": "PeriodOfUse",
      "mapping": [ {
        "map": "NL-CM:9.10.20062",
        "comment": "PeriodOfUse",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ],
      "definition": "During the approved period of use, the pharmacist has permission to dispense medicine so that the patient has a sufficient amount of medication. In many cases, the approved period of use can be described by only an end date: the approved end date of use."
    }, {
      "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
      "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
      "alias": [ "AantalHerhalingen" ],
      "short": "NumberOfRefills",
      "mapping": [ {
        "map": "NL-CM:9.10.22120",
        "comment": "NumberOfRefills",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ],
      "definition": "The number of additional times the medication may be dispensed after the first time. In the case of Amount: The total amount that may be dispensed is: (Number of refills + 1) x amount to be dispensed.In the case of Period of Use:The total period of use is: (Number of refills + 1) x period of use"
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity",
      "path": "MedicationRequest.dispenseRequest.quantity",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-GstdSimpleQuantity" ]
      } ],
      "alias": [ "TeVerstrekkenHoeveelheid" ],
      "short": "Amount",
      "mapping": [ {
        "map": "NL-CM:9.10.19964",
        "comment": "Amount",
        "identity": "zib-dispenserequest-v1.0.3-2020EN"
      } ],
      "definition": "This is the number of units of the ordered product per dispense. The number of refills indicates how often this amount is allowed to be dispensed. Optionally a translation to NHG table Gebruiksvoorschriften (Table 25) is also allowed which can be captured in the iso21090-PQ-translation extension."
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "https://www.nictiz.nl",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}