2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile: hspc-medicationdispense

The official URL for this profile is: 

http://hl7.org/fhir/Profile/hspc-medicationdispense-hspc-medicationdispense

. Profile of medication dispense for decision support/quality metrics. Indicates which elements must be supported by CQF rules and measure engines. Removes modifying attributes. : Health Services Platform Consortium (HSPC) Medication Dispense Profile

This profile was published on Tue, Oct 28, 2014 00:00+1100 as a draft by Health Level Seven, Inc. - CQI WG.

unable to summarise extension (wrong count)

Formal Views of Profile Content

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

Differential View

This structure is derived from MedicationDispense.

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I1..1Dispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... identifier M0..1IdentifierExternal identifier
... status M0..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required, not extensible)
... patient 0..1PatientWho the dispense is for
... dispenser 0..1PractitionerPractitioner responsible for dispensing medication
... authorizingPrescription 0..*MedicationPrescriptionMedication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: MedicationDispenseType (example, extensible)
... quantity 0..1QuantityAmount dispensed
... daysSupply 0..1QuantityDays Supply
... medication 0..1MedicationWhat medication was supplied
... whenPrepared 0..1dateTimeDispense processing time
... whenHandedOver 0..1dateTimeHandover time
... destination 0..1LocationWhere the medication was sent
... receiver 0..*Patient, PractitionerWho collected the medication
... note 0..1stringInformation about the dispense
... dosageInstruction 0..*Medicine administration instructions to the patient/carer
.... id 0..1idxml:id (or equivalent in JSON)
.... medicationprescription-doseType 0..1stringDose Type
.... medicationprescription-infuseOver 0..1PeriodInfuse Over
.... medicationprescription-rateIncrement 0..1RatioRate Increment
.... medicationprescription-rateIncrementInterval 0..1QuantityRate Increment Interval
.... medicationprescription-rateGoal 0..1RatioRate Goal
.... medicationprescription-minDosePerPeriod 0..1RatioMinimum Dose per Period
.... medicationprescription-maxDeliveryRate 0..1RatioMaximum Delivery Rate
.... medicationprescription-maxDeliveryVolume 0..1QuantityMaximum Delivery Volume
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... additionalInstructions 0..1CodeableConceptE.g. "Take with food"
.... schedule[x] 0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] 0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (preferred, extensible)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example, extensible)
.... route 0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example, extensible)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example, extensible)
.... dose[x] 0..1Range, QuantityAmount of medication per dose
.... rate 0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod 0..1RatioUpper limit on medication per unit of time
... substitution 0..1Deals with substitution of one medicine for another
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 1..1CodeableConceptType of substitiution
Binding: MedicationIntendedSubstitutionType (example, extensible)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: MedicationIntendedSubstitutionReason (example, extensible)
.... responsibleParty 0..*PractitionerWho is responsible for the substitution

XML Template

JSON Template

todo

Differential View

This structure is derived from MedicationDispense.

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I1..1Dispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... identifier M0..1IdentifierExternal identifier
... status M0..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required, not extensible)
... patient 0..1PatientWho the dispense is for
... dispenser 0..1PractitionerPractitioner responsible for dispensing medication
... authorizingPrescription 0..*MedicationPrescriptionMedication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: MedicationDispenseType (example, extensible)
... quantity 0..1QuantityAmount dispensed
... daysSupply 0..1QuantityDays Supply
... medication 0..1MedicationWhat medication was supplied
... whenPrepared 0..1dateTimeDispense processing time
... whenHandedOver 0..1dateTimeHandover time
... destination 0..1LocationWhere the medication was sent
... receiver 0..*Patient, PractitionerWho collected the medication
... note 0..1stringInformation about the dispense
... dosageInstruction 0..*Medicine administration instructions to the patient/carer
.... id 0..1idxml:id (or equivalent in JSON)
.... medicationprescription-doseType 0..1stringDose Type
.... medicationprescription-infuseOver 0..1PeriodInfuse Over
.... medicationprescription-rateIncrement 0..1RatioRate Increment
.... medicationprescription-rateIncrementInterval 0..1QuantityRate Increment Interval
.... medicationprescription-rateGoal 0..1RatioRate Goal
.... medicationprescription-minDosePerPeriod 0..1RatioMinimum Dose per Period
.... medicationprescription-maxDeliveryRate 0..1RatioMaximum Delivery Rate
.... medicationprescription-maxDeliveryVolume 0..1QuantityMaximum Delivery Volume
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... additionalInstructions 0..1CodeableConceptE.g. "Take with food"
.... schedule[x] 0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] 0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (preferred, extensible)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example, extensible)
.... route 0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example, extensible)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example, extensible)
.... dose[x] 0..1Range, QuantityAmount of medication per dose
.... rate 0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod 0..1RatioUpper limit on medication per unit of time
... substitution 0..1Deals with substitution of one medicine for another
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 1..1CodeableConceptType of substitiution
Binding: MedicationIntendedSubstitutionType (example, extensible)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: MedicationIntendedSubstitutionReason (example, extensible)
.... responsibleParty 0..*PractitionerWho is responsible for the substitution

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
MedicationDispense.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
MedicationDispense.statusMedicationDispenseStatusrequiredMedicationDispenseStatus
MedicationDispense.typeMedicationDispenseTypeexample (extensible)ActPharmacySupplyType
MedicationDispense.dosageInstruction.asNeeded[x]MedicationAsNeededReasonpreferred (extensible)
MedicationDispense.dosageInstruction.siteMedicationAdministrationSiteexample (extensible)SNOMED CT Anatomical Structure for Administration Site Codes
MedicationDispense.dosageInstruction.routeRouteOfAdministrationexample (extensible)SNOMED CT Route Codes
MedicationDispense.dosageInstruction.methodMedicationAdministrationMethodexample (extensible)SNOMED CT Introduction (procedure) for Administration Method Codes
MedicationDispense.substitution.typeMedicationIntendedSubstitutionTypeexample (extensible)ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonMedicationIntendedSubstitutionReasonexample (extensible)SubstanceAdminSubstitutionReason

Constraints

IdPathNameDetails
mdd-1MedicationDispenseTimingwhenHandedOver cannot be before whenPrepared
XPath: not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)
.