RIVO-Noord Zorgviewer Implementation Guide
1.11.0 - sprint49
RIVO-Noord Zorgviewer Implementation Guide
1.11.0 - sprint49
This page is part of the RIVO-Noord Zorgviewer Implementation Guide (v1.11.0: Release) based on FHIR (HL7® FHIR® Standard) R3. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/MedicationRequest | Version: 1.11.0 | |||
| Active as of 2025-01-20 | Computable Name: MedicationAgreement | |||
Medicatieafspraak
Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.
Opvragen (search) definities
GET <ontsluiten-bronsysteem-base>/MedicationRequest?category=http://snomed.info/sct|16076005&_include=MedicationRequest:medication&patient=<fhir_patient_id>
De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.
Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):
"meta": {
"extension": [ {
"url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
"valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
} ]
}
Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.
Usage:
Changes since version 1.10.0:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest |
0..* | Zib MedicationAgreement | MedicationAgreement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative 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 | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
Content/Rules for all slices | |||
   periodOfUse |
0..1 | Period | PeriodOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| usageDuration |
0..1 | Duration | Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 additionalInformation |
0..* | (Complex) | MedicationAgreementAdditionalInformation URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation 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/zib-Medication-AdditionalInformation" | |
 Slices for value[x] |
0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
  value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Value of extension Binding: MedicatieafspraakAanvullendeInformatieCodelijst (extensible): MedicatieafspraakAanvullendeInformatieCodelijst Example Example of MedicationAgreementAdditionalInformation: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050","code":"1","display":"Bewust hoge dosering"}]} | |
| medicationTreatment |
0..1 | Identifier | Medication Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| nl-core-episodeofcare |
0..* | Reference(nl-core-episodeofcare) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 Slices for modifierExtension |
?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| modifierExtension:stopType |
?! | 0..1 | Zib Medication StopType | StopType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType" | |
| Slices for value[x] |
0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Value of extension Binding: Stoptype (required) | |
| modifierExtension:repeatPeriodCyclicalSchedule |
?! | 0..1 | Zib Medication RepeatPeriodCyclicalSchedule | RepeatPeriodCyclicalSchedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 0..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription |
| intent |
?!Σ | 1..1 | code | proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order Fixed Value: order |
 category |
1..1 | CodeableConcept | Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered | |
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
 coding:medicationAgreementCode |
Σ | 0..* | Coding | MedicationAgreementCode |
| system |
Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
 code |
Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 16076005 |
 text |
SΣ | 0..1 | string | Plain text representation of the concept |
| Slices for medication[x] |
Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this |
| medication[x]:medicationReference |
Σ | 1..1 | Reference(HCIM PharmaceuticalProduct) | AgreedMedicine |
| display |
SΣ | 0..1 | string | Text alternative for the resource |
 subject |
Σ | 1..1 | Reference(nl-core-patient | Group) | Who or group medication request is for |
| authoredOn |
SΣ | 1..1 | dateTime | MedicationAgreementDateTime |
 dosageInstruction |
0..* | Zib InstructionsForUse | How the medication should be taken | |
| text |
SΣ | 0..1 | string | Description |
| Slices for asNeeded[x] |
Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
| asNeeded[x]:asNeededCodeableConcept |
Σ | 0..1 | CodeableConcept | AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst |
| route |
Σ | 0..1 | CodeableConcept | RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]} |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| Slices for dose[x] |
Σ | 0..1 | Dose Slice: Unordered, Closed by type:$this | |
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| dose[x]:doseQuantity |
Σ | 0..1 | SimpleQuantity | Amount of medication per dose Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| dose[x]:doseRange |
Σ | 0..1 | Range | Amount of medication per dose |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept | extensible | MedicatieafspraakAanvullendeInformatieCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000 | |
| MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept | required | Stoptypehttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300 | |
| MedicationRequest.status | required | MedicationRequestStatushttp://hl7.org/fhir/ValueSet/medication-request-statusfrom the FHIR Standard | |
| MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medication-request-intentfrom the FHIR Standard | |
| MedicationRequest.category | preferred | MedicationRequestCategoryhttp://hl7.org/fhir/ValueSet/medication-request-categoryfrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept | extensible | ZonodigCriteriumCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000 | |
| MedicationRequest.dosageInstruction.route | extensible | MedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000 | |
| MedicationRequest.dosageInstruction.dose[x]:doseQuantity | required | GstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-1 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| 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 : contained.where(('#'+id in %resource.descendants().reference).not()).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() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Other representations of profile: CSV, Excel, Schematron
