<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="This profile is based on the 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." /> <purpose value="The goal of the dispense request is for the pharmacist to supply the medicine so the patient has a sufficient amount." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <uri value="https://zibs.nl/wiki/DispenseRequest-v1.0.1(2017EN)" /> <name value="HCIM DispenseRequest-v1.0.1(2017EN)" /> </mapping> <mapping> <identity value="hcim-timeinterval-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/TimeInterval-v1.0(2017EN)" /> <name value="HCIM TimeInterval-v1.0(2017EN)" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-v1.0(2017EN)" /> </mapping> <mapping> <identity value="Medication-Process-v09" /> <uri value="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 value="Medication Process v09" /> <comment value="Language of Medication Process is Dutch." /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <derivation value="constraint" /> <differential> <element id="MedicationRequest"> <path value="MedicationRequest" /> <short value="MedicationDispenseRequest" /> <alias value="Verstrekkingsverzoek" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.19963" /> <comment value="DispenseRequest" /> </mapping> </element> <element id="MedicationRequest.extension"> <path value="MedicationRequest.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.extension:additionalWishes"> <path value="MedicationRequest.extension" /> <sliceName value="additionalWishes" /> <short value="AdditionalWishes" /> <definition value="Logistics and other instructions such as: do not enter in GDS, urgent, purposeful deviation, etc" /> <alias value="AanvullendeWensen" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation" /> </type> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.22759" /> <comment value="AdditionalWishes" /> </mapping> </element> <element id="MedicationRequest.extension:additionalWishes.valueCodeableConcept:valueCodeableConcept"> <path value="MedicationRequest.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="AanvullendeWensenCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.10.1--20171231000000" /> <display value="AanvullendeWensenCodelijst" /> </valueSetReference> </binding> </element> <element id="MedicationRequest.extension:medicationTreatment"> <path value="MedicationRequest.extension" /> <sliceName value="medicationTreatment" /> <short value="Medication Treatment" /> <definition value="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." /> <comment value="No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided." /> <alias value="Medicamenteuze behandeling" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment" /> </type> <mapping> <identity value="Medication-Process-v09" /> <map value="mp-dataelement900-22092" /> <comment value="Medicamenteuze behandeling" /> </mapping> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier" /> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.6" /> <comment value="IdentificationNumber" /> </mapping> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent" /> <fixedCode value="order" /> </element> <element id="MedicationRequest.category"> <path value="MedicationRequest.category" /> <min value="1" /> </element> <element id="MedicationRequest.category.coding"> <path value="MedicationRequest.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.category.coding:DispenseRequestCode"> <path value="MedicationRequest.category.coding" /> <sliceName value="DispenseRequestCode" /> <short value="DispenseRequestCode" /> <definition value="Category SNOMED code used for indexing/retrieval of the HCIM DispenseRequest. The SNOMED code 52711000146108 for this resource is stated in the Medication Process v09." /> </element> <element id="MedicationRequest.category.coding:DispenseRequestCode.system"> <path value="MedicationRequest.category.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="MedicationRequest.category.coding:DispenseRequestCode.code"> <path value="MedicationRequest.category.coding.code" /> <fixedCode value="52711000146108" /> </element> <element id="MedicationRequest.medication[x]:medicationReference"> <path value="MedicationRequest.medicationReference" /> <sliceName value="medicationReference" /> <short value="MedicineToBeDispensed" /> <definition value="The medicine to be dispensed." /> <comment value="-" /> <alias value="Geneesmiddel" /> <alias value="Product" /> <alias value="Medicatie" /> <alias value="TeVerstrekkenGeneesmiddel" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Product" /> </type> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.22249" /> <comment value="MedicineToBeDispensed" /> </mapping> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.11" /> <comment value="Subject" /> </mapping> </element> <element id="MedicationRequest.context"> <path value="MedicationRequest.context" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare" /> </type> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn" /> <short value="DispenseRequestDate" /> <definition value="Time at which the dispense request is entered." /> <alias value="VerstrekkingsverzoekDatum" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.20060" /> <comment value="DispenseRequestDate" /> </mapping> </element> <element id="MedicationRequest.requester.agent"> <path value="MedicationRequest.requester.agent" /> <comment value="The health professional's specialty, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile." /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.7" /> <comment value="Author" /> </mapping> </element> <element id="MedicationRequest.requester.agent.extension"> <path value="MedicationRequest.requester.agent.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.requester.agent.extension:practitionerRole"> <path value="MedicationRequest.requester.agent.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="MedicationRequest.requester.onBehalfOf"> <path value="MedicationRequest.requester.onBehalfOf" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> </element> <element id="MedicationRequest.recorder"> <path value="MedicationRequest.recorder" /> <comment value="The health professional's speciality, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile." /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> </element> <element id="MedicationRequest.recorder.extension"> <path value="MedicationRequest.recorder.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.recorder.extension:practitionerRole"> <path value="MedicationRequest.recorder.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note" /> <short value="Comment" /> <definition value="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 value="Toelichting" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.22274" /> <comment value="Comment" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest" /> <short value="DisenseRequest" /> <alias value="Verstrekkingsverzoek" /> </element> <element id="MedicationRequest.dispenseRequest.extension"> <path value="MedicationRequest.dispenseRequest.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.dispenseRequest.extension:dispenseLocation"> <path value="MedicationRequest.dispenseRequest.extension" /> <sliceName value="dispenseLocation" /> <short value="DispenseLocation" /> <definition value="Dispense location." /> <alias value="Afleverlocatie" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-Dispense-Location" /> </type> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.20068" /> <comment value="DispenseLocation. Use Location.name for the location string" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.validityPeriod"> <path value="MedicationRequest.dispenseRequest.validityPeriod" /> <short value="PeriodOfUse" /> <definition value="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." /> <alias value="Verbruiksperiode" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.20062" /> <comment value="PeriodOfUse" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.14" /> <comment value="DateTime" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.validityPeriod.start"> <path value="MedicationRequest.dispenseRequest.validityPeriod.start" /> <short value="StartDate" /> <alias value="Ingangsdatum" /> <mapping> <identity value="hcim-timeinterval-v1.0-2017EN" /> <map value="NL-CM:20.3.2" /> <comment value="startDateTime" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.validityPeriod.end"> <path value="MedicationRequest.dispenseRequest.validityPeriod.end" /> <short value="EndDate" /> <alias value="Einddatum" /> <mapping> <identity value="hcim-timeinterval-v1.0-2017EN" /> <map value="NL-CM:20.3.3" /> <comment value="endDateTime" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" /> <short value="NumberOfRefills" /> <definition value="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." /> <alias value="AantalHerhalingen" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.22120" /> <comment value="NumberOfRefills" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity" /> <short value="Amount" /> <definition value="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." /> <alias value="TeVerstrekkenHoeveelheid" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.19964" /> <comment value="Amount" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration"> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration" /> <short value="Duration" /> <alias value="Duur" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.20062" /> <comment value="PeriodOfUse" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.performer"> <path value="MedicationRequest.dispenseRequest.performer" /> <short value="IntendedSupplier" /> <definition value="The intended supplier is a pharmacist." /> <alias value="BeoogdVerstrekker" /> <mapping> <identity value="hcim-dispenserequest-v1.0.1-2017EN" /> <map value="NL-CM:9.10.19966" /> <comment value="IntendedSupplier" /> </mapping> </element> </differential> </StructureDefinition>