This is the set of resources that conform to either of the profiles PDex MedicationDispense (http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-medicationdispense) and PDex MedicationDispense (http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-medicationdispense). E.g. what you have to deal with if you get resources conforming to one of them
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared | |||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children | |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | 0..* | Identifier | External identifier ele-1: All FHIR elements must have a @value or children | |||||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of ele-1: All FHIR elements must have a @value or children | |||||
status | ?!SΣ | 1..1 | code | completed Binding: ?? (required) ele-1: All FHIR elements must have a @value or children | ||||
statusReason[x] | 0..1 | Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed. ele-1: All FHIR elements must have a @value or children | ||||||
statusReasonCodeableConcept | CodeableConcept | |||||||
statusReasonReference | Reference(DetectedIssue) | |||||||
category | 0..1 | CodeableConcept | Type of dispense action Binding: ?? (required) ele-1: All FHIR elements must have a @value or children | |||||
medication[x] | SΣ | 1..1 | CodeableConcept | left: What medication was supplied; right: (USCDI) What medication was supplied Binding: ?? (extensible): A coded concept identifying which substance or product can be dispensed. ele-1: All FHIR elements must have a @value or children | ||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile | #sd-us-core-patient-us-core-patient) | The patient who is prescribed the medication ele-1: All FHIR elements must have a @value or children | ||||
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event ele-1: All FHIR elements must have a @value or children | |||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication. Reference any US Core, HRex or PDex profile. ele-1: All FHIR elements must have a @value or children | |||||
performer | S | 0..* | BackboneElement | Who performed the dispense event ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
function | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication. ele-1: All FHIR elements must have a @value or children | |||||
actor | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | #sd-us-core-practitioner-us-core-practitioner) | Individual or device performing the dispense ele-1: All FHIR elements must have a @value or children | ||||
location | 0..1 | Reference(US Core Location Profile | #sd-us-core-location-us-core-location) | Where the dispense occurred ele-1: All FHIR elements must have a @value or children | |||||
authorizingPrescription | S | 0..* | Reference(US Core MedicationRequest Profile | #sd-us-core-medicationrequest-us-core-medicationrequest) | left: Medication order that authorizes the dispense; right: (USCDI) Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children | ||||
type | S | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ?? (required) ele-1: All FHIR elements must have a @value or children | ||||
quantity | S | 0..1 | ?? | Billing, service, product, or drug code Binding: ?? (example)
ele-1: All FHIR elements must have a @value or children | ||||
daysSupply | 0..1 | ?? | Medication expressed as a timing amount. ele-1: All FHIR elements must have a @value or children | |||||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed ele-1: All FHIR elements must have a @value or children | ||||
whenHandedOver | S | 0..1 | dateTime | left: When product was given out; right: (USCDI) When product was given out or mailed ele-1: All FHIR elements must have a @value or children | ||||
destination | 0..1 | Reference(Location) | Where the medication was sent ele-1: All FHIR elements must have a @value or children | |||||
receiver | 0..* | Reference(Patient | Practitioner) | Who collected the medication ele-1: All FHIR elements must have a @value or children | |||||
note | 0..* | Annotation | Information about the dispense ele-1: All FHIR elements must have a @value or children | |||||
dosageInstruction | S | 0..* | Dosage | left: How the medication is to be used by the patient or administered by the caregiver; right: (USCDI) How the medication is to be used by the patient or administered by the caregiver ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions ele-1: All FHIR elements must have a @value or children | ||||
text | SΣ | 0..1 | string | (USCDI) Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". ele-1: All FHIR elements must have a @value or children | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children | ||||
timing | SΣ | 0..1 | Timing | (USCDI) When medication should be administered ele-1: All FHIR elements must have a @value or children | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: ?? (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. ele-1: All FHIR elements must have a @value or children | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. ele-1: All FHIR elements must have a @value or children | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. ele-1: All FHIR elements must have a @value or children | ||||
doseAndRate | SΣ | 0..* | Element | (USCDI) Amount of medication administered ele-1: All FHIR elements must have a @value or children | ||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time ele-1: All FHIR elements must have a @value or children | ||||
maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration ele-1: All FHIR elements must have a @value or children | ||||
maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient ele-1: All FHIR elements must have a @value or children | ||||
substitution | S | 0..1 | BackboneElement | Whether a substitution was performed on the dispense ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
wasSubstituted | S | 1..1 | boolean | Whether a substitution was or was not performed on the dispense ele-1: All FHIR elements must have a @value or children | ||||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. ele-1: All FHIR elements must have a @value or children | |||||
reason | 0..* | CodeableConcept | Why was substitution made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. ele-1: All FHIR elements must have a @value or children | |||||
responsibleParty | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution ele-1: All FHIR elements must have a @value or children | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action ele-1: All FHIR elements must have a @value or children | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events ele-1: All FHIR elements must have a @value or children | |||||
Documentation for this format |