STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

U.S. Data Access Framework (DAF) MedicationDispense Profile vs QICore-MedicationDispense

Messages

A series of messages from the comparison algorithm. Errors indicate that solutions cannot be interoperable across both implementation guides (or that there are structural flaws in the definition of at least one).

PathMessage
Errors Detected
(None)
Notes about differences (e.g. definitions)
MedicationDispense.extensionElements differ in definition for short:
"Additional Content defined by implementations"
"Extension"
MedicationDispense.extensionElements differ in definition for definition:
"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."
"An Extension"
MedicationDispense.medication[x]Elements differ in definition for binding.description:
"Prescribable medications"
"The set of RxNorm codes to represent medications"
MedicationDispense.dosageInstruction.extensionElements differ in definition for short:
"Additional Content defined by implementations"
"Extension"
MedicationDispense.dosageInstruction.extensionElements differ in definition for definition:
"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."
"An Extension"
MedicationDispense.dosageInstruction.routeExample/preferred bindings differ at MedicationDispense.dosageInstruction.route using binding from U.S. Data Access Framework (DAF) MedicationDispense Profile
MedicationDispense.dosageInstruction.routeElements differ in definition for binding.description:
"This identifies the route of substance administration."
"A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject"

Intersection

The intersection of the 2 constraint statements. This is what resource authors (either client or server) would need to conform to produce content valid against both implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense ∑ I0..*MedicationDispenseDispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S ∑0..1IdentifierExternal identifier
... status ?! S∑0..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... medication[x] S ∑1..1Medication, Reference(DAF-Medication)What medication was supplied
Binding: Medication Clinical Drug (RxNorm) (extensible)
... patient S ∑1..1Reference(DAF-Patient)Who the dispense is for
... dispenser S ∑0..1Reference(DAF-Pract)Practitioner responsible for dispensing medication
... authorizingPrescription S ∑0..*Reference(DAF-MedicationOrder)Medication order that authorizes the dispense
... type ∑0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity S ∑0..1SimpleQuantityAmount dispensed
... daysSupply S ∑0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared ∑0..1dateTimeDispense processing time
... whenHandedOver S ∑0..1dateTimeWhen product was given out
... destination ∑0..1Reference(QICore-Location)Where the medication was sent
... receiver ∑0..*Reference(QICore-Patient | QICore-Practitioner)Who collected the medication
... note ∑0..*AnnotationInformation about the dispense
... dosageInstruction S ∑0..*BackboneElementMedicine administration instructions to the patient/caregiver
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringFree text dosage instructions e.g. SIG
.... additionalInstructions S ∑0..1CodeableConceptE.g. "Take with food"
Binding: (unbound) (example)
.... timing S ∑0..1TimingWhen medication should be administered
.... asNeeded[x] S ∑0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: (unbound) (example)
.... siteCodeableConcept S ∑0..1BodySiteBody site to administer to
Binding: Vaccine Administered Body Site (preferred)
.... route S ∑0..1CodeableConceptHow drug should enter body
Binding: Medication Route FDA Value Set (preferred)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] S ∑0..1SimpleQuantity, SimpleQuantityAmount of medication per dose
.... rate[x] S ∑0..1Ratio, RangeAmount of medication per unit of time
.... maxDosePerPeriod S ∑0..1RatioUpper limit on medication per unit of time
... substitution ∑0..1BackboneElementDeals with substitution of one medicine for another
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... type ∑1..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason ∑0..*CodeableConceptWhy was substitution made
Binding: SubstanceAdminSubstitutionReason (example)
.... responsibleParty ∑0..*Reference(QICore-Practitioner)Who is responsible for the substitution

doco Documentation for this format

Union

The union of the 2 constraint statements. This is what resource authors (either client or server) would need to be able to handle to accept content valid against either implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense ∑ I0..*MedicationDispenseDispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... medicationdispense-validityPeriod 0..1PeriodExtension
URL: http://hl7.org/fhir/StructureDefinition/medicationdispense-validityPeriod
... pharmacy-core-refillsRemaining S0..1integerExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-refillsRemaining
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S ∑0..1IdentifierExternal identifier
... status ?! S∑0..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... medication[x] S ∑1..1CodeableConcept, Reference(Medication)What medication was supplied
Binding: Medication Clinical Drug (RxNorm) (extensible)
... patient S ∑0..1Reference(#1)Who the dispense is for
... dispenser S ∑0..1Reference(#3)Practitioner responsible for dispensing medication
... authorizingPrescription S ∑0..*Reference(#36)Medication order that authorizes the dispense
... type ∑0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity S ∑0..1SimpleQuantityAmount dispensed
... daysSupply S ∑0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared ∑0..1dateTimeDispense processing time
... whenHandedOver S ∑0..1dateTimeWhen product was given out
... destination ∑0..1Reference(Location)Where the medication was sent
... receiver ∑0..*Reference(Patient | Practitioner)Who collected the medication
... note ∑0..*AnnotationInformation about the dispense
... dosageInstruction S ∑0..*BackboneElementMedicine administration instructions to the patient/caregiver
.... pharmacy-core-doseType 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType
Binding: SNOMED CT Dosages Codes (preferred)
.... pharmacy-core-infuseOver 0..1DurationExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver
.... pharmacy-core-maxDeliveryRate 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate
.... pharmacy-core-maxDeliveryVolume 0..1QuantityExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod
.... pharmacy-core-rateGoal 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal
.... pharmacy-core-rateIncrement 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement
.... pharmacy-core-rateIncrementInterval 0..1DurationExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringFree text dosage instructions e.g. SIG
.... additionalInstructions S ∑0..1CodeableConceptE.g. "Take with food"
Binding: (unbound) (example)
.... timing S ∑0..1TimingWhen medication should be administered
.... asNeeded[x] S ∑0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: (unbound) (example)
.... siteCodeableConcept S ∑0..1CodeableConcept, Reference(BodySite)Body site to administer to
Binding: Vaccine Administered Body Site (preferred)
.... route S ∑0..1CodeableConceptHow drug should enter body
Binding: ???? (preferred)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] S ∑0..1Range, SimpleQuantityAmount of medication per dose
.... rate[x] S ∑0..1Ratio, RangeAmount of medication per unit of time
.... maxDosePerPeriod S ∑0..1RatioUpper limit on medication per unit of time
... substitution ∑0..1BackboneElementDeals with substitution of one medicine for another
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... type ∑1..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason ∑0..*CodeableConceptWhy was substitution made
Binding: SubstanceAdminSubstitutionReason (example)
.... responsibleParty ∑0..*Reference(Practitioner)Who is responsible for the substitution

doco Documentation for this format