{
  "resourceType": "StructureDefinition",
  "id": "mp-DispenseRequest",
  "url": "http://nictiz.nl/fhir/StructureDefinition/mp-DispenseRequest",
  "version": "2.0.0-rc.7",
  "name": "MpDispenseRequest",
  "title": "mp DispenseRequest",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "A dispense request is a request from a prescriber to the supplier to dispense medication to the patient in line with the corresponding medication agreements.",
  "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.",
  "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.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "zib-dispenserequest-v1.0.3-2020EN",
      "uri": "https://zibs.nl/wiki/DispenseRequest-v1.0.3(2020EN)",
      "name": "zib DispenseRequest-v1.0.3(2020EN)"
    },
    {
      "identity": "mp-dataset-mp9-300-rc1-20250522",
      "uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20250522T132618/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-rc.1 20250522"
    },
    {
      "identity": "mp-dataset-mp9-300-rc2-20260213",
      "uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20260213T112547/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-rc.2 20260213"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "MedicationRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationRequest",
        "path": "MedicationRequest",
        "short": "DispenseRequest",
        "alias": [
          "Verstrekkingsverzoek"
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.19963",
            "comment": "DispenseRequest"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:additionalWishes",
        "path": "MedicationRequest.extension",
        "sliceName": "additionalWishes",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-DispenseRequest.AdditionalWishes"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:additionalWishes.value[x]",
        "path": "MedicationRequest.extension.value[x]",
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-287",
            "comment": "AdditionalWishes"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-287",
            "comment": "AdditionalWishes"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:pharmaceuticalTreatmentIdentifier",
        "path": "MedicationRequest.extension",
        "sliceName": "pharmaceuticalTreatmentIdentifier",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x]",
        "path": "MedicationRequest.extension.value[x]",
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-42",
            "comment": "Identification"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-42",
            "comment": "Identification"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:financialIndicationCode",
        "path": "MedicationRequest.extension",
        "sliceName": "financialIndicationCode",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-DispenseRequest.FinancialIndicationCode"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:financialIndicationCode.value[x]",
        "path": "MedicationRequest.extension.value[x]",
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-592",
            "comment": "FinancialIndicationCode"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-592",
            "comment": "FinancialIndicationCode"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:relationEpisodeOfCare",
        "path": "MedicationRequest.extension",
        "sliceName": "relationEpisodeOfCare",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:relationEpisodeOfCare.value[x]",
        "path": "MedicationRequest.extension.value[x]",
        "short": "RelationEpisodeOfCare",
        "alias": [
          "RelatieZorgepisode"
        ],
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-1347",
            "comment": "RelationEpisodeOfCare"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-1347",
            "comment": "RelationEpisodeOfCare"
          }
        ]
      },
      {
        "id": "MedicationRequest.identifier",
        "path": "MedicationRequest.identifier",
        "short": "Identification",
        "alias": [
          "Identificatie"
        ],
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-289",
            "comment": "Identification"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-289",
            "comment": "Identification"
          }
        ]
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "short": "CanceledIndicator",
        "comment": "This element is implicitly mapped to ValidityPeriod . 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 dispenseRequest.validityPeriod.startDateTime is absent and dispenseRequest.validityPeriod.endDateTime is in the future, `.status` will usually be set to _active_.\r\n* When dispenseRequest.validityPeriod.startDateTime is in the past or the future and dispenseRequest.validityPeriod.endDateTime is absent or its value is in the future, `.status` will usually be set to _active_.\r\n* When dispenseRequest.validityPeriod.endDateTime exists and its value is in the past, `.status` will usually be set to _completed_.\r\n* When dispenseRequest.validityPeriod.duration and dispenseRequest.validityPeriod.startDateTime 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.",
        "alias": [
          "GeannuleerdIndicator"
        ],
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-1167",
            "comment": "CanceledIndicator"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-1167",
            "comment": "CanceledIndicator"
          },
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.20062",
            "comment": "PeriodOfUse [DEPRECATED] (implicit, main mapping is on `.dispenseRequest.validityPeriod` and extension ext-TimeInterval.Duration)"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-280",
            "comment": "ValidityPeriod (implicit, main mapping is on `.dispenseRequest.validityPeriod` and extension ext-TimeInterval.Duration)"
          }
        ]
      },
      {
        "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",
        "path": "MedicationRequest.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "MedicationRequest.category:dispenseRequestCode",
        "path": "MedicationRequest.category",
        "sliceName": "dispenseRequestCode",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "52711000146108"
            }
          ]
        }
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.medication[x]:medicationReference",
        "path": "MedicationRequest.medication[x]",
        "sliceName": "medicationReference",
        "short": "MedicineToBeDispensed",
        "definition": "The medicine to be dispensed.",
        "alias": [
          "TeVerstrekkenGeneesmiddel"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication",
              "http://nictiz.nl/fhir/StructureDefinition/mp-PharmaceuticalProduct"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.22249",
            "comment": "MedicineToBeDispensed"
          }
        ]
      },
      {
        "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",
        "short": "RelationEncounter",
        "alias": [
          "RelatieContact"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Encounter",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Encounter"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-1345",
            "comment": "RelationEncounter"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-1345",
            "comment": "RelationEncounter"
          }
        ]
      },
      {
        "id": "MedicationRequest.authoredOn",
        "path": "MedicationRequest.authoredOn",
        "short": "DispenseRequestDate",
        "definition": "Time at which the dispense request is entered.",
        "alias": [
          "VerstrekkingsverzoekDatum"
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.20060",
            "comment": "DispenseRequestDate"
          }
        ]
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "short": "Author",
        "alias": [
          "Auteur"
        ],
        "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"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-290",
            "comment": "Author"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-290",
            "comment": "Author"
          }
        ]
      },
      {
        "id": "MedicationRequest.performer",
        "path": "MedicationRequest.performer",
        "short": "IntendedSupplier",
        "definition": "The intended supplier is a pharmacist.",
        "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.",
        "alias": [
          "BeoogdVerstrekker"
        ],
        "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"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.19966",
            "comment": "IntendedSupplier"
          }
        ]
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.basedOn:relationMedicationAgreement",
        "path": "MedicationRequest.basedOn",
        "sliceName": "relationMedicationAgreement",
        "short": "RelationMedicationAgreement",
        "definition": "A reference to the MedicationAgreement(s) that were/are the basis of this DispenseRequest.",
        "alias": [
          "RelatieMedicatieafspraak"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/mp-MedicationAgreement"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "mp-dataset-mp9-300-rc1-20250522",
            "map": "mp-dataelement9x-292",
            "comment": "RelationMedicationAgreement"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-292",
            "comment": "RelationMedicationAgreement"
          }
        ]
      },
      {
        "id": "MedicationRequest.note",
        "path": "MedicationRequest.note",
        "max": "1"
      },
      {
        "id": "MedicationRequest.note.text",
        "path": "MedicationRequest.note.text",
        "short": "Comment",
        "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.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.22274",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.extension:dispenseLocation",
        "path": "MedicationRequest.dispenseRequest.extension",
        "sliceName": "dispenseLocation",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-DispenseRequest.DispenseLocation"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.extension:dispenseLocation.value[x]",
        "path": "MedicationRequest.dispenseRequest.extension.value[x]",
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.20068",
            "comment": "DispenseLocation"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.validityPeriod",
        "path": "MedicationRequest.dispenseRequest.validityPeriod",
        "short": "ValidityPeriod",
        "definition": "During the approved validity period, the pharmacist has permission to dispense medicine so that the patient has a sufficient amount of medication. In many cases, the approved validity period can be described by only an end date: the approved end date of use.",
        "alias": [
          "Verbruiksperiode"
        ],
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-TimeInterval"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.20062",
            "comment": "PeriodOfUse [DEPRECATED]"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-280",
            "comment": "ValidityPeriod"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
        "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
        "short": "NumberOfRefills",
        "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",
        "alias": [
          "AantalHerhalingen"
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.22120",
            "comment": "NumberOfRefills"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.quantity",
        "path": "MedicationRequest.dispenseRequest.quantity",
        "short": "Amount",
        "definition": "This is the number of units of the ordered product per dispensing. The number of repeats indicates how many times this quantity may be dispensed. For the unit, it is mandatory to use both a G-standard unit from file 902, thesaurus number 2, and a UCUM unit. A translation to NHG Table 25 “Usage Instruction” is optional, but may not replace the mandatory designation in G-standard and UCUM.",
        "alias": [
          "TeVerstrekkenHoeveelheid"
        ],
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/pattern-GstdSimpleQuantity"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-dispenserequest-v1.0.3-2020EN",
            "map": "NL-CM:9.10.19964",
            "comment": "Amount [DEPRECATED]"
          },
          {
            "identity": "mp-dataset-mp9-300-rc2-20260213",
            "map": "mp-dataelement9x-285",
            "comment": "Amount"
          }
        ]
      }
    ]
  }
}