DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.15.13 U.S. Data Access Framework (DAF) MedicationDispense Profile (Profile)

4.15.13.1 Scope and Usage

This profile sets expectations for use of the MedicationDispense resource to record summary of dispensed medications for a patient within the Data Access Framework (DAF) Implementation Guide. This profile identifies which core elements, extensions, vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

4.15.13.2 Meaningful Use Data Element Mapping

The DAFMedicationDispense profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.


Meaningful Use Data Element Name Mapping to Priority DAF Data Elements FHIR Resource Mapping
Medications
Medication Material MedicationDispense.medication.code
Medication Start and End Time MedicationDispense.dosageInstruction.schedule[x]
Medication Dosage units MedicationDispense.dosageInstruction.dose[x]
Medication Schedule(when/how often) MedicationDispense.dosageInstruction.schedule[x]
Medication Administration Route MedicationDispense.dosageInstruction.route
Medication Administration Body site MedicationDispense.dosageInstruction.site
Medication Dosage Rate MedicationDispense.dosageInstruction.rate
Max Medication Dosage quantity MedicationDispense.dosageInstruction.maxDosePerPeriod

4.15.13.3 Boundaries and Relationships

This profile relies on the following other profiles:

  • DAFPatient which defines DAF Patient profile is used by DAFMedicationDispense profile to refer to patients.
  • DAFMedication is used by the this profile to code the medication material(e.g drug).
  • FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

4.15.13.4 Content

Profiles:
DAFMedicationDispenseDefines constraints and extensions on the MedicationDispense resource for use in querying and retrieving dispense information.

4.15.13.4.1 Search Parameters

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

4.15.13.4.2 Example Usage Scenarios

The following are example usage scenarios for the DAFMedicationDispense profile:

  • Query for medications that have been dispensed to a particular patient
  • Query for all patients who have been dispensed a particular medication
  • Query for all patients who were dispensed a particular medication within a particular time period

4.15.13.4.3 Profile specific implementation guidance

Implementers need to be mindful of the following during their implementation

    Representing No Known Medications Dispensed: No Known Medications will be represented using the DAFMedicationList profile with no entries.

    See DAF FHIR IG for implementation guidance common to all profiles.