{
"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 DispenseRequest building block for implementations following the information standard [MP9](https://informatiestandaarden.nictiz.nl/wiki/Landingspagina_Medicatieproces). This profile is based on the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) DispenseRequest, but has no dependency on the corresponding nl-core profile because it contains non-compatible changes. Where compatible, mappings to zib concepts are defined. Additional concepts or concepts that are not compatible with their zib counterparts contain a mapping to the MP9 data set.",
"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-20230217T123829/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-06-30T000000.html",
"name": "ART-DECOR Dataset MP9 3.0.0-beta.1 20230217",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20231017T223005/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-06-30T000000.html",
"name": "ART-DECOR Dataset MP9 3.0.0-beta.2 20231017",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ],
"abstract": false,
"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": "2.0.0-beta.2",
"status": "active",
"id": "bc850732-22e0-45fc-846b-a789c672f307",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/mp-DispenseRequest",
"version": "2.0.0-beta.2",
"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:additionalWishes",
"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-dataelement9x-287",
"comment": "AdditionalWishes",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-287",
"comment": "AdditionalWishes",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ]
}, {
"id": "MedicationRequest.extension:pharmaceuticalTreatmentIdentifier",
"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-dataelement9x-42",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-42",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ]
}, {
"id": "MedicationRequest.extension:financialIndicationCode",
"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-dataelement9x-592",
"comment": "FinancialIndicationCode",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-592",
"comment": "FinancialIndicationCode",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ]
}, {
"id": "MedicationRequest.extension:relationEpisodeOfCare",
"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-dataelement9x-1347",
"comment": "RelationEpisodeOfCare [DEPRECATED]",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-1347",
"comment": "RelationEpisodeOfCare",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ]
}, {
"id": "MedicationRequest.identifier",
"path": "MedicationRequest.identifier",
"alias": [ "Identificatie" ],
"short": "Identification",
"mapping": [ {
"map": "mp-dataelement9x-289",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-289",
"comment": "Identification",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ]
}, {
"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 the value of CanceledIndicator is _true_, `.status` will be set to _entered-in-error_.\r\n* When PeriodOfUse.startDateTime is absent and the value of PeriodOfUse.endDateTime is in the future, `.status` will usually be set to _active_.\r\n* When the value of PeriodOfUse.startDateTime is in the past or the future and PeriodOfUse.endDateTime is absent or its value is in the future, `.status` will usually be set to _active_.\r\n* When PeriodOfUse.endDateTime exists and its value is in the past, `.status` will usually be set to _completed_.\r\n* When PeriodOfUse.Duration and PeriodOfUse.startDateTime are known, PeriodOfUse.endDateTime 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-dataelement9x-1167",
"comment": "CanceledIndicator",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-1167",
"comment": "CanceledIndicator",
"identity": "mp-dataset-mp9-300-beta2-20231017"
}, {
"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",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
}
}, {
"id": "MedicationRequest.category:dispenseRequestCode",
"max": "1",
"min": 1,
"path": "MedicationRequest.category",
"sliceName": "dispenseRequestCode",
"patternCodeableConcept": {
"coding": [ {
"code": "52711000146108",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "MedicationRequest.medication[x]",
"path": "MedicationRequest.medication[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$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/mp-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-dataelement9x-1345",
"comment": "RelationContact",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-1345",
"comment": "RelationContact",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ]
}, {
"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-dataelement9x-290",
"comment": "Author",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-290",
"comment": "Author",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ]
}, {
"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-dataelement9x-292",
"comment": "RelationMedicationAgreement",
"identity": "mp-dataset-mp9-300-beta1-20230217"
}, {
"map": "mp-dataelement9x-292",
"comment": "RelationMedicationAgreement",
"identity": "mp-dataset-mp9-300-beta2-20231017"
} ],
"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:dispenseLocation",
"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"
}