This page is part of the Data Access Framework (v1.6.0: STU 2 Ballot 1) based on FHIR v1.6.0. . For a full list of available versions, see the Directory of published versions
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="daf-medicationdispense"/>
<url
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-medicationdispense"/>
<name value="Profile daf-medicationdispense"/>
<status value="draft"/>
<publisher
value="Health Level Seven International (Infrastructure and Messaging - Data Access Framework)"/>
<contact>
<telecom>
<system value="other"/>
<value value="http://www.healthit.gov"/>
</telecom>
</contact>
<date value="2015-03-20"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/w5"/>
<name value="W5 Mapping"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 Mapping"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="MedicationDispense"/>
<baseDefinition
value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/>
<derivation value="constraint"/>
<snapshot>
<element id="MedicationDispense:dafmedicationdispense">
<path value="MedicationDispense"/>
<name value="DAFMedicationDispense"/>
<short value="Dispensing a medication to a named patient"/>
<definition
value="Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order."/>
<comments
value="The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<xpath value="not(parent::f:contained and f:contained)"/>
</constraint>
<constraint>
<key value="dom-1"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
<expression value="contained.text.empty()"/>
<xpath value="not(parent::f:contained and f:text)"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<xpath
value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
<expression
value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
<xpath
value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
</constraint>
<constraint>
<key value="mdd-1"/>
<severity value="error"/>
<human value="whenHandedOver cannot be before whenPrepared"/>
<expression
value="whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared"/>
<xpath
value="not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)"/>
</constraint>
<mustSupport value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Supply[moodCode=EVN]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="clinical.medication"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.id">
<path value="MedicationDispense.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comments
value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<isSummary value="true"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.meta">
<path value="MedicationDispense.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Meta"/>
</type>
<isSummary value="true"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.implicitRules">
<path value="MedicationDispense.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
<comments
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="uri"/>
</type>
<isModifier value="true"/>
<isSummary value="true"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.language">
<path value="MedicationDispense.language"/>
<short value="Language of the resource content"/>
<definition value="The base language in which the resource is written."/>
<comments
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
</valueReference>
</extension>
<strength value="extensible"/>
<description value="A human language."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/languages"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationDispense:dafmedicationdispense.text">
<path value="MedicationDispense.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comments
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Narrative"/>
</type>
<condition value="dom-1"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.contained">
<path value="MedicationDispense.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comments
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.extension">
<path value="MedicationDispense.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="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."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.modifierExtension">
<path value="MedicationDispense.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<isModifier value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.identifier">
<path value="MedicationDispense.identifier"/>
<short value="External identifier"/>
<definition
value="Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".id"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="id"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.status">
<path value="MedicationDispense.status"/>
<short
value="in-progress | on-hold | completed | entered-in-error | stopped"/>
<definition
value="A code specifying the state of the set of dispense events."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.status"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mustSupport value="true"/>
<isModifier value="true"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<description
value="A coded concept specifying the state of the dispense event."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/medication-dispense-status"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value=".status"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="status"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.medication[x]">
<path value="MedicationDispense.medication[x]"/>
<short value="What medication was supplied"/>
<definition
value="Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications."/>
<comments
value="If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. Note: do not use Medication.name to describe the dispensed medication. When the only available information is a text description of the medication, Medication.code.text should be used."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationDispense.medication[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medication"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description value="Prescribable medications"/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/us/daf/ValueSet/daf-medication-codes"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXD-2-Dispense/Give Code"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=PRD].role"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="what"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.patient">
<path value="MedicationDispense.patient"/>
<short value="Who the dispense is for"/>
<definition
value="A link to a resource representing the person to whom the medication will be given."/>
<comments value="SubstanceAdministration->subject->Patient."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationDispense.patient"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-patient"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="PID-3-Patient ID List"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=SBJ].role[classCode=PAT]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.focus"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.dispenser">
<path value="MedicationDispense.dispenser"/>
<short value="Practitioner responsible for dispensing medication"/>
<definition
value="The individual responsible for dispensing the medication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dispenser"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-pract"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map
value="RXD-10-Dispensing Provider / PRT-5-Participation Person: PRT-4-Participation='DP' (RXD-10 is deprecated)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=PFM].role[classCode=ASSIGN]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.actor"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dispensingOrganization">
<path value="MedicationDispense.dispensingOrganization"/>
<short value="Organization responsible for the dispense of the medication"/>
<definition
value="The organizaation responsible for the dispense of the medication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dispensingOrganization"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
</type>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=RESP].role[classCode=ASSIGNED]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.actor"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.authorizingPrescription">
<path value="MedicationDispense.authorizingPrescription"/>
<short value="Medication order that authorizes the dispense"/>
<definition
value="Indicates the medication order that is being dispensed against."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense.authorizingPrescription"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-medicationorder"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="ORC-2 Placer Order Number"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.type">
<path value="MedicationDispense.type"/>
<short value="Trial fill, partial fill, emergency fill, etc."/>
<definition
value="Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="example"/>
<description
value="Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXD-33-Dispense Type"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.quantity">
<path value="MedicationDispense.quantity"/>
<short value="Amount dispensed"/>
<definition
value="The amount of medication that has been dispensed. Includes unit of measure."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
</type>
<mapping>
<identity value="v2"/>
<map
value="RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".quantity"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.daysSupply">
<path value="MedicationDispense.daysSupply"/>
<short value="Amount of medication expressed as a timing amount"/>
<definition value="The amount of medication expressed as a timing amount."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.daysSupply"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
</type>
<mapping>
<identity value="rim"/>
<map value="effectiveUseTime"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.whenPrepared">
<path value="MedicationDispense.whenPrepared"/>
<short value="When product was packaged and reviewed"/>
<definition
value="The time when the dispensed product was packaged and reviewed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.whenPrepared"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXD-3-Date/Time Dispensed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".effectiveTime[xmi:type=IVL_TS].low"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.whenHandedOver">
<path value="MedicationDispense.whenHandedOver"/>
<short value="When product was given out"/>
<definition
value="The time the dispensed product was provided to the patient or their representative."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.whenHandedOver"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="v2"/>
<map value="RXD-3-Date/Time Dispensed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".effectiveTime[xmi:type=IVL_TS].high"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.destination">
<path value="MedicationDispense.destination"/>
<short value="Where the medication was sent"/>
<definition
value="Identification of the facility/location where the medication was shipped to, as part of the dispense event."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.destination"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
</type>
<mapping>
<identity value="v2"/>
<map
value="RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=DST].role"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.receiver">
<path value="MedicationDispense.receiver"/>
<short value="Who collected the medication"/>
<definition
value="Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense.receiver"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
</type>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=RCV].role"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.note">
<path value="MedicationDispense.note"/>
<short value="Information about the dispense"/>
<definition
value="Extra information about the dispense that could not be conveyed in the other attributes."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense.note"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Annotation"/>
</type>
<mapping>
<identity value="v2"/>
<map value="RXD-9 Dispense Notes"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.dosageInstruction">
<path value="MedicationDispense.dosageInstruction"/>
<short
value="Medicine administration instructions to the patient/caregiver"/>
<definition
value="Indicates how the medication is to be used by the patient. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed."/>
<comments
value="When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense.dosageInstruction"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.dosageInstruction.id">
<path value="MedicationDispense.dosageInstruction.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.extension">
<path value="MedicationDispense.dosageInstruction.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="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."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.modifierExtension">
<path value="MedicationDispense.dosageInstruction.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.text">
<path value="MedicationDispense.dosageInstruction.text"/>
<short value="Free text dosage instructions e.g. SIG"/>
<definition
value="Free text dosage instructions can be used for cases where the instructions are too complex to code. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.additionalInstructions">
<path value="MedicationDispense.dosageInstruction.additionalInstructions"/>
<short value="E.g. "Take with food""/>
<definition
value="Additional instructions such as "Swallow with plenty of water" which may or may not be coded."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="MedicationDispense.dosageInstruction.additionalInstructions"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description
value="A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery""/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/additional-instructions-codes"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.timing">
<path value="MedicationDispense.dosageInstruction.timing"/>
<short value="When medication should be administered"/>
<definition
value="The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions. For example, "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.timing"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Timing"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".effectiveTime"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.asNeeded[x]">
<path value="MedicationDispense.dosageInstruction.asNeeded[x]"/>
<short value="Take "as needed" f(or x)"/>
<definition
value="Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.asNeeded[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="CodeableConcept"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description
value="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."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map
value="boolean: .outboundRelationship[typeCode=PRCN].negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: .outboundRelationship[typCode=PRCN].target[classCode=OBS, moodCode=EVN, isCriterionInd=true, code="Assertion"].value"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.siteCodeableConcept">
<path value="MedicationDispense.dosageInstruction.siteCodeableConcept"/>
<short value="Body site to administer to"/>
<definition
value="A coded specification of the anatomic site where the medication first enters the body."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.site[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<binding>
<strength value="preferred"/>
<description
value="This identifies the body site at which the substance was administered"/>
<valueSetReference>
<reference value="http://hl7.org/fhir/us/daf/ValueSet/daf-bodysite"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-2-Administration Site"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".approachSiteCode"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.route">
<path value="MedicationDispense.dosageInstruction.route"/>
<short value="How drug should enter body"/>
<definition
value="A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.route"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<binding>
<strength value="preferred"/>
<description
value="This identifies the route of substance administration."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/us/daf/ValueSet/daf-medication-route"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-1-Route"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".routeCode"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.method">
<path value="MedicationDispense.dosageInstruction.method"/>
<short value="Technique for administering medication"/>
<definition
value="A coded value indicating the method by which the medication is intended to be or was introduced into or on the body."/>
<comments
value="This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.method"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="example"/>
<description
value="A coded concept describing the technique by which the medicine is administered"/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/administration-method-codes"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-4-Administration Method"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".methodCode"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.dose[x]">
<path value="MedicationDispense.dosageInstruction.dose[x]"/>
<short value="Amount of medication per dose"/>
<definition
value="The amount of therapeutic or other substance given at one administration event."/>
<comments
value="Note that this specifies the quantity of the specified medication, not the quantity of active ingredient(s). The prescribed strength can be calculated by multiplying the doseQuantity by the strength of each active ingredient in the prescribed Medication. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.dose[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Range"/>
</type>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map
value="RXE-23-Give Rate Amount / RXE-24.1-Give Rate Units.code / RXE-24.3-Give Rate Units.name of coding system"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".doseQuantity"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.rate[x]">
<path value="MedicationDispense.dosageInstruction.rate[x]"/>
<short value="Amount of medication per unit of time"/>
<definition
value="Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.rate[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Ratio"/>
</type>
<type>
<code value="Range"/>
</type>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="RXE-22-Give Per (Time Unit)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".rateQuantity"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.maxDosePerPeriod">
<path value="MedicationDispense.dosageInstruction.maxDosePerPeriod"/>
<short value="Upper limit on medication per unit of time"/>
<definition
value="The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time, e.g. 1000mg in 24 hours."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.dosageInstruction.maxDosePerPeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Ratio"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="RXE-4-Give Amount - Maximum / RXE-5-Give Units"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".maxDoseQuantity"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.substitution">
<path value="MedicationDispense.substitution"/>
<short value="Deals with substitution of one medicine for another"/>
<definition
value="Indicates whether or not substitution was made as part of the dispense. In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.substitution"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.substitution.id">
<path value="MedicationDispense.substitution.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.substitution.extension">
<path value="MedicationDispense.substitution.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="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."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.substitution.modifierExtension">
<path value="MedicationDispense.substitution.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.substitution.type">
<path value="MedicationDispense.substitution.type"/>
<short
value="Code signifying whether a different drug was dispensed from what was prescribed"/>
<definition
value="A code signifying whether a different drug was dispensed from what was prescribed."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationDispense.substitution.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="example"/>
<description
value="A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription"/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.substitution.reason">
<path value="MedicationDispense.substitution.reason"/>
<short value="Why was substitution made"/>
<definition
value="Indicates the reason for the substitution of (or lack of substitution) from what was prescribed."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense.substitution.reason"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="example"/>
<description
value="A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed"/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value=".reasonCode"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.substitution.responsibleParty">
<path value="MedicationDispense.substitution.responsibleParty"/>
<short value="Who is responsible for the substitution"/>
<definition
value="The person or organization that has primary responsibility for the substitution."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense.substitution.responsibleParty"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
</type>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=PFM].role[classCode=ASSIGN]"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.eventHistory">
<path value="MedicationDispense.eventHistory"/>
<short value="A list of events of interest in the lifecycle"/>
<definition
value="A summary of the events of interest that have occurred, such as when the dispense was verified."/>
<comments
value="This is not the same as an audit trail. It is a view of the important things that happened in the past. Typically, there would only be one entry for any given status, and systems may not record all the status events."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationDispense.eventHistory"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="rim"/>
<map value="Not Mapped"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.eventHistory.id">
<path value="MedicationDispense.eventHistory.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.eventHistory.extension">
<path value="MedicationDispense.eventHistory.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="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."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationDispense:dafmedicationdispense.eventHistory.modifierExtension">
<path value="MedicationDispense.eventHistory.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.eventHistory.status">
<path value="MedicationDispense.eventHistory.status"/>
<short
value="in-progress | on-hold | completed | entered-in-error | stopped"/>
<definition value="The status for the event."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationDispense.eventHistory.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<description
value="A coded concept specifying the state of the dispense event."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/medication-dispense-status"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value="Not Mapped"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.eventHistory.action">
<path value="MedicationDispense.eventHistory.action"/>
<short value="Action taken (e.g. verify)"/>
<definition value="The action that was taken (e.g. verify)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.eventHistory.action"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="example"/>
<description
value="A coded concept describing an action taken on a medication dispense."/>
</binding>
<mapping>
<identity value="rim"/>
<map value="Not Mapped"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.eventHistory.dateTime">
<path value="MedicationDispense.eventHistory.dateTime"/>
<short value="The date at which the event happened"/>
<definition value="The date/time at which the event occurred."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationDispense.eventHistory.dateTime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="rim"/>
<map value="Not Mapped"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.eventHistory.actor">
<path value="MedicationDispense.eventHistory.actor"/>
<short value="Who took the action"/>
<definition value="The person responsible for taking the action."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.eventHistory.actor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
</type>
<mapping>
<identity value="rim"/>
<map value="Not Mapped"/>
</mapping>
</element>
<element id="MedicationDispense:dafmedicationdispense.eventHistory.reason">
<path value="MedicationDispense.eventHistory.reason"/>
<short value="Reason the action was taken"/>
<definition value="The reason why the action was taken."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationDispense.eventHistory.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="example"/>
<description
value="A coded concept describing the reason for an action taken on a medication dispense."/>
</binding>
<mapping>
<identity value="rim"/>
<map value="Not Mapped"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="MedicationDispense:dafmedicationdispense">
<path value="MedicationDispense"/>
<name value="DAFMedicationDispense"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.identifier">
<path value="MedicationDispense.identifier"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.status">
<path value="MedicationDispense.status"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.medication[x]">
<path value="MedicationDispense.medication[x]"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medication"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description value="Prescribable medications"/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/us/daf/ValueSet/daf-medication-codes"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationDispense:dafmedicationdispense.patient">
<path value="MedicationDispense.patient"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-patient"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.dispenser">
<path value="MedicationDispense.dispenser"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-pract"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationDispense:dafmedicationdispense.authorizingPrescription">
<path value="MedicationDispense.authorizingPrescription"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-medicationorder"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationDispense:dafmedicationdispense.dosageInstruction">
<path value="MedicationDispense.dosageInstruction"/>
<min value="0"/>
<max value="*"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.additionalInstructions">
<path value="MedicationDispense.dosageInstruction.additionalInstructions"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.timing">
<path value="MedicationDispense.dosageInstruction.timing"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.asNeeded[x]">
<path value="MedicationDispense.dosageInstruction.asNeeded[x]"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.siteCodeableConcept">
<path value="MedicationDispense.dosageInstruction.siteCodeableConcept"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="preferred"/>
<description
value="This identifies the body site at which the substance was administered"/>
<valueSetReference>
<reference value="http://hl7.org/fhir/us/daf/ValueSet/daf-bodysite"/>
</valueSetReference>
</binding>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.route">
<path value="MedicationDispense.dosageInstruction.route"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="preferred"/>
<description
value="This identifies the route of substance administration."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/us/daf/ValueSet/daf-medication-route"/>
</valueSetReference>
</binding>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.dose[x]">
<path value="MedicationDispense.dosageInstruction.dose[x]"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.rate[x]">
<path value="MedicationDispense.dosageInstruction.rate[x]"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationDispense:dafmedicationdispense.dosageInstruction.maxDosePerPeriod">
<path value="MedicationDispense.dosageInstruction.maxDosePerPeriod"/>
<min value="0"/>
<max value="1"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
</differential>
</StructureDefinition>
© HL7.org 2011+. DAF STU 2 Ballot (v1.6.0-9635) generated on Thu, Aug 11, 2016 20:06+1000. QA Page
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