FHIR Implementatiegids voor de Nederlandse Kankerregistratie - Local Development build (v1.2.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: NcrEhrMedicationAgreement

Usage:

• Refer to this Resource Profile: NcrEhrMedicationAdministration

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
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Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MpMedicationAgreement	MedicationAgreement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
medicationAgreementAdditionalInformation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation"
renderedDosageInstruction	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction"
periodOfUse	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period"
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
relationEpisodeOfCare	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare"
nextPractitioner	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner"
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
Slices for modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension:stopType	?!N	0..1	ExtStopType	Optional Extensions Element ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-StopType"
modifierExtension:repeatPeriodCyclicalSchedule	?!N	0..1	ExtInstructionsForUseRepeatPeriodCyclicalSchedule	Optional Extensions Element ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-InstructionsForUse.RepeatPeriodCyclicalSchedule"
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children Required Pattern: order
Slices for category	N	1..*	CodeableConcept	Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. ele-1: All FHIR elements must have a @value or children
category:medicationAgreementCode	N	1..1	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 33633005
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
Slices for reported[x]	ΣN	0..1		Reported rather than primary record Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
reported[x]:reportedBoolean	ΣN	0..1	boolean	CopyIndicator ele-1: All FHIR elements must have a @value or children
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
medication[x]:medicationReference	SΣ	1..1	Reference(NcrEhrMedication)	AgreedMedicine ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reasonCode		0..1	CodeableConcept	ReasonModificationOrDiscontinuation Binding: RedenWijzigen-StakenCodelijst (required): A coded concept indicating why the medication was ordered. ele-1: All FHIR elements must have a @value or children
reasonReference	SC	1..1	Reference(NcrEhrCondition)	PrescriptionReason ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
note		0..1	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	Comment ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.category:medicationAgreementCode	example	Pattern: SNOMED-CT Code 33633005 http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.reasonCode	required	RedenWijzigen_StakenCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.42--20221114132525

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	MedicationRequest.subject, MedicationRequest.reasonReference	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from MpMedicationAgreement

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MpMedicationAgreement
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: completed
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference	S	1..1	Reference(NcrEhrMedication)	AgreedMedicine
subject	S	1..1	Reference(NcrEhrPatient)	Who or group medication request is for
reasonReference	S	1..1	Reference(NcrEhrCondition)	PrescriptionReason
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MpMedicationAgreement	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
medicationAgreementAdditionalInformation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation"
value[x]	N	0..1	CodeableConcept	MedicationAgreementAdditionalInformation Binding: Aanvullende Informatie voor MA (required)
renderedDosageInstruction	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction"
value[x]	N	0..1	string	Description
periodOfUse	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period"
value[x]	CN	0..1	NlcoreTimeInterval	PeriodOfUse per-1: If present, start SHALL have a lower value than end
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
duration	N	0..1	Duration	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Duration
condition	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.PeriodOfUse.Condition
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.PeriodOfUse.Condition"
value[x]	N	0..1	string	Condition
start	ΣC	0..1	dateTime	startDateTime
end	ΣC	0..1	dateTime	endDateTime
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
value[x]	N	0..1	Identifier	Pharmaceutical Treatment Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
relationEpisodeOfCare	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare"
value[x]	N	0..1	Reference(EpisodeOfCare | nl core EpisodeOfCare)	RelationEpisodeOfCare
nextPractitioner	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner"
value[x]	CN	0..1	PatternNlCoreHealthProfessionalReference(nl core HealthProfessional PractitionerRole)	NextPractitioner ref-1: SHALL have a contained resource if a local reference is provided
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
value[x]	N	0..1	dateTime	RegistrationDateTime
Slices for modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
modifierExtension:stopType	?!N	0..1	ExtStopType	Optional Extensions Element
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-StopType"
value[x]	N	0..1	CodeableConcept	MedicationAgreementStopType Binding: StopTypeCodelijst (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!N	0..1	ExtInstructionsForUseRepeatPeriodCyclicalSchedule	Optional Extensions Element
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-InstructionsForUse.RepeatPeriodCyclicalSchedule"
value[x]	N	0..1	Duration	RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	Identification
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: completed
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
Slices for category	N	1..*	CodeableConcept	Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
category:medicationAgreementCode	N	1..1	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 33633005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for reported[x]	ΣN	0..1		Reported rather than primary record Slice: Unordered, Open by type:$this
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
reported[x]:reportedBoolean	ΣN	0..1	boolean	CopyIndicator
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	SΣ	1..1	Reference(NcrEhrMedication)	AgreedMedicine
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who or group medication request is for ref-1: SHALL have a contained resource if a local reference is provided
encounter	C	0..1	Reference(Encounter | nl core Encounter)	RelationEncounter ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication ref-1: SHALL have a contained resource if a local reference is provided
authoredOn	Σ	0..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	PatternNlCoreHealthProfessionalReference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | nl core HealthProfessional PractitionerRole)	Prescriber ref-1: SHALL have a contained resource if a local reference is provided
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration ref-1: SHALL have a contained resource if a local reference is provided
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder	C	0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request ref-1: SHALL have a contained resource if a local reference is provided
reasonCode		0..1	CodeableConcept	ReasonModificationOrDiscontinuation Binding: RedenWijzigen-StakenCodelijst (required): A coded concept indicating why the medication was ordered.
reasonReference	SC	1..1	Reference(NcrEhrCondition)	PrescriptionReason ref-1: SHALL have a contained resource if a local reference is provided
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	ΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
relationAdministrationAgreement	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RelationAdministrationAgreement
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RelationAdministrationAgreement"
value[x]	N	0..1	Reference(mp AdministrationAgreement)	RelationAdministrationAgreement
relationMedicationUse	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.RelationMedicationUse
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.RelationMedicationUse"
value[x]	N	0..1	Reference(mp MedicationUse2)	RelationMedicationUse
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage ref-1: SHALL have a contained resource if a local reference is provided
note		0..1	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comment
dosageInstruction		0..*	MpInstructionsForUseDosageInstructions	DosingInstructions / InstructionsForUse
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	C	0..1	SimpleQuantity	First fill quantity qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
duration	C	0..1	Duration	First fill duration qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
validityPeriod	C	0..1	Period	Time period supply is authorized for per-1: If present, start SHALL have a lower value than end
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	C	0..1	SimpleQuantity	Amount of medication to supply per dispense qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
performer	C	0..1	Reference(Organization)	Intended dispenser ref-1: SHALL have a contained resource if a local reference is provided
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription	C	0..1	Reference(MedicationRequest | mp MedicationAgreement)	RelationMedicationAgreement ref-1: SHALL have a contained resource if a local reference is provided
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical Issue with action ref-1: SHALL have a contained resource if a local reference is provided
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.extension:medicationAgreementAdditionalInformation.value[x]	required	AanvInfoMA http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.45--20220310164013
MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.modifierExtension:stopType.value[x]	required	StopTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.50--20221216102010
MedicationRequest.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.category:medicationAgreementCode	example	Pattern: SNOMED-CT Code 33633005 http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	required	RedenWijzigen_StakenCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.42--20221114132525
MedicationRequest.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
drt-1	error	MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.expectedSupplyDuration	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. : code.exists() implies ((system = %ucum) and value.exists())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	MedicationRequest.extension:periodOfUse.value[x], MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].period, MedicationRequest.dispenseRequest.validityPeriod	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].assigner, MedicationRequest.extension:nextPractitioner.value[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.recorder, MedicationRequest.reasonReference, MedicationRequest.basedOn, MedicationRequest.insurance, MedicationRequest.dispenseRequest.performer, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MpMedicationAgreement

Summary

Mandatory: 2 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• NcrEhrMedication (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-medication)
• NcrEhrPatient (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-patient)
• NcrEhrCondition (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-condition)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MpMedicationAgreement	MedicationAgreement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
medicationAgreementAdditionalInformation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation"
renderedDosageInstruction	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction"
periodOfUse	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period"
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
relationEpisodeOfCare	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare"
nextPractitioner	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner"
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
Slices for modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension:stopType	?!N	0..1	ExtStopType	Optional Extensions Element ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-StopType"
modifierExtension:repeatPeriodCyclicalSchedule	?!N	0..1	ExtInstructionsForUseRepeatPeriodCyclicalSchedule	Optional Extensions Element ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-InstructionsForUse.RepeatPeriodCyclicalSchedule"
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children Required Pattern: order
Slices for category	N	1..*	CodeableConcept	Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. ele-1: All FHIR elements must have a @value or children
category:medicationAgreementCode	N	1..1	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 33633005
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
Slices for reported[x]	ΣN	0..1		Reported rather than primary record Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
reported[x]:reportedBoolean	ΣN	0..1	boolean	CopyIndicator ele-1: All FHIR elements must have a @value or children
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
medication[x]:medicationReference	SΣ	1..1	Reference(NcrEhrMedication)	AgreedMedicine ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reasonCode		0..1	CodeableConcept	ReasonModificationOrDiscontinuation Binding: RedenWijzigen-StakenCodelijst (required): A coded concept indicating why the medication was ordered. ele-1: All FHIR elements must have a @value or children
reasonReference	SC	1..1	Reference(NcrEhrCondition)	PrescriptionReason ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
note		0..1	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	Comment ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.category:medicationAgreementCode	example	Pattern: SNOMED-CT Code 33633005 http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.reasonCode	required	RedenWijzigen_StakenCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.42--20221114132525

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	MedicationRequest.subject, MedicationRequest.reasonReference	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from MpMedicationAgreement

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MpMedicationAgreement
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: completed
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference	S	1..1	Reference(NcrEhrMedication)	AgreedMedicine
subject	S	1..1	Reference(NcrEhrPatient)	Who or group medication request is for
reasonReference	S	1..1	Reference(NcrEhrCondition)	PrescriptionReason
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MpMedicationAgreement	MedicationAgreement
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
medicationAgreementAdditionalInformation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.MedicationAgreementAdditionalInformation"
value[x]	N	0..1	CodeableConcept	MedicationAgreementAdditionalInformation Binding: Aanvullende Informatie voor MA (required)
renderedDosageInstruction	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction"
value[x]	N	0..1	string	Description
periodOfUse	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Period"
value[x]	CN	0..1	NlcoreTimeInterval	PeriodOfUse per-1: If present, start SHALL have a lower value than end
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
duration	N	0..1	Duration	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-TimeInterval.Duration
condition	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.PeriodOfUse.Condition
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.PeriodOfUse.Condition"
value[x]	N	0..1	string	Condition
start	ΣC	0..1	dateTime	startDateTime
end	ΣC	0..1	dateTime	endDateTime
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
value[x]	N	0..1	Identifier	Pharmaceutical Treatment Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
relationEpisodeOfCare	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare"
value[x]	N	0..1	Reference(EpisodeOfCare | nl core EpisodeOfCare)	RelationEpisodeOfCare
nextPractitioner	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.NextPractitioner"
value[x]	CN	0..1	PatternNlCoreHealthProfessionalReference(nl core HealthProfessional PractitionerRole)	NextPractitioner ref-1: SHALL have a contained resource if a local reference is provided
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
value[x]	N	0..1	dateTime	RegistrationDateTime
Slices for modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
modifierExtension:stopType	?!N	0..1	ExtStopType	Optional Extensions Element
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-StopType"
value[x]	N	0..1	CodeableConcept	MedicationAgreementStopType Binding: StopTypeCodelijst (required)
modifierExtension:repeatPeriodCyclicalSchedule	?!N	0..1	ExtInstructionsForUseRepeatPeriodCyclicalSchedule	Optional Extensions Element
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-InstructionsForUse.RepeatPeriodCyclicalSchedule"
value[x]	N	0..1	Duration	RepeatPeriodCyclicalSchedule
identifier		0..*	Identifier	Identification
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: completed
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
Slices for category	N	1..*	CodeableConcept	Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
category:medicationAgreementCode	N	1..1	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 33633005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for reported[x]	ΣN	0..1		Reported rather than primary record Slice: Unordered, Open by type:$this
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
reported[x]:reportedBoolean	ΣN	0..1	boolean	CopyIndicator
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	SΣ	1..1	Reference(NcrEhrMedication)	AgreedMedicine
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who or group medication request is for ref-1: SHALL have a contained resource if a local reference is provided
encounter	C	0..1	Reference(Encounter | nl core Encounter)	RelationEncounter ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication ref-1: SHALL have a contained resource if a local reference is provided
authoredOn	Σ	0..1	dateTime	MedicationAgreementDateTime
requester	ΣC	0..1	PatternNlCoreHealthProfessionalReference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | nl core HealthProfessional PractitionerRole)	Prescriber ref-1: SHALL have a contained resource if a local reference is provided
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration ref-1: SHALL have a contained resource if a local reference is provided
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder	C	0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request ref-1: SHALL have a contained resource if a local reference is provided
reasonCode		0..1	CodeableConcept	ReasonModificationOrDiscontinuation Binding: RedenWijzigen-StakenCodelijst (required): A coded concept indicating why the medication was ordered.
reasonReference	SC	1..1	Reference(NcrEhrCondition)	PrescriptionReason ref-1: SHALL have a contained resource if a local reference is provided
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	ΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
relationAdministrationAgreement	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RelationAdministrationAgreement
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RelationAdministrationAgreement"
value[x]	N	0..1	Reference(mp AdministrationAgreement)	RelationAdministrationAgreement
relationMedicationUse	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.RelationMedicationUse
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAgreement.RelationMedicationUse"
value[x]	N	0..1	Reference(mp MedicationUse2)	RelationMedicationUse
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage ref-1: SHALL have a contained resource if a local reference is provided
note		0..1	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comment
dosageInstruction		0..*	MpInstructionsForUseDosageInstructions	DosingInstructions / InstructionsForUse
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	C	0..1	SimpleQuantity	First fill quantity qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
duration	C	0..1	Duration	First fill duration qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
validityPeriod	C	0..1	Period	Time period supply is authorized for per-1: If present, start SHALL have a lower value than end
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	C	0..1	SimpleQuantity	Amount of medication to supply per dispense qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
performer	C	0..1	Reference(Organization)	Intended dispenser ref-1: SHALL have a contained resource if a local reference is provided
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription	C	0..1	Reference(MedicationRequest | mp MedicationAgreement)	RelationMedicationAgreement ref-1: SHALL have a contained resource if a local reference is provided
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical Issue with action ref-1: SHALL have a contained resource if a local reference is provided
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.extension:medicationAgreementAdditionalInformation.value[x]	required	AanvInfoMA http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.45--20220310164013
MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.modifierExtension:stopType.value[x]	required	StopTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.50--20221216102010
MedicationRequest.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.category:medicationAgreementCode	example	Pattern: SNOMED-CT Code 33633005 http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	required	RedenWijzigen_StakenCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.42--20221114132525
MedicationRequest.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
drt-1	error	MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.expectedSupplyDuration	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. : code.exists() implies ((system = %ucum) and value.exists())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	MedicationRequest.extension:periodOfUse.value[x], MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].period, MedicationRequest.dispenseRequest.validityPeriod	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	MedicationRequest.extension:pharmaceuticalTreatmentIdentifier.value[x].assigner, MedicationRequest.extension:nextPractitioner.value[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.recorder, MedicationRequest.reasonReference, MedicationRequest.basedOn, MedicationRequest.insurance, MedicationRequest.dispenseRequest.performer, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MpMedicationAgreement

Summary

Mandatory: 2 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• NcrEhrMedication (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-medication)
• NcrEhrPatient (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-patient)
• NcrEhrCondition (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-condition)