Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense vs http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-medicationdispense

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationDispense
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2023-10-17	2024-01-06T03:22:26+00:00	Values Differ
description	This profile sets minimum expectations for the MedicationDispense resource to record, search, and fetch the "state of a medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed)" associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.	Prescription Medications dispensed by a pharmacy to a health plan member and paid for in full, or in part, by the health plan	Values Differ
experimental		true	Added the item 'true'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreMedicationDispenseProfile	PdexMedicationDispense	Values Differ
publisher	HL7 International / Cross-Group Projects	HL7 International / Financial Management	Values Differ
purpose
status	active	draft	Values Differ
title	US Core MedicationDispense Profile	PDex MedicationDispense	Values Differ
type	MedicationDispense
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense	http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-medicationdispense	Values Differ
version	7.0.0-ballot	2.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient us-core-20: whenHandedOver SHALL be present if the status is "completed"	C	0..*	MedicationDispense	Dispensing a medication to a named patient
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣC	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required): A coded concept specifying the state of the dispense event.	?!SΣ	1..1	code	completed Binding: ?? (required)
statusReason[x]		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.
category		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.		0..1	CodeableConcept	Type of dispense action Binding: ?? (required)
medication[x]	SΣ	1..1	CodeableConcept, Reference(US Core Medication Profile)	What medication was supplied Binding: ?? (extensible)	Σ	1..1	CodeableConcept	What medication was supplied Slice: Unordered, Closed by type:$this Binding: ?? (example): A coded concept identifying which substance or product can be dispensed.	Elements differ in definition for mustSupport: 'true' vs 'false'
subject	SΣ	1..1	Reference(US Core Patient Profile S | Group)	Who the dispense is for	SΣ	1..1	Reference(US Core Patient Profile)	The patient who is prescribed the medication
context	S	0..1	Reference(US Core Encounter Profile S | EpisodeOfCare)	Encounter associated with MedicationDispense		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event	Elements differ in definition for mustSupport: 'true' vs 'false'
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication		0..*	Reference(Resource)	Information that supports the dispensing of the medication. Reference any US Core, HRex or PDex profile.
performer	S	0..*	BackboneElement	Who performed event		0..*	BackboneElement	Who performed the dispense event	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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.		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.
actor	S	1..1	Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	Individual who was performing		1..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	Individual or device performing the dispense	Elements differ in definition for mustSupport: 'true' vs 'false'
location		0..1	Reference(Location)	Where the dispense occurred		0..1	Reference(US Core Location Profile)	Where the dispense occurred
authorizingPrescription	S	0..*	Reference(US Core MedicationRequest Profile)	Medication order that authorizes the dispense		0..*	Reference(US Core MedicationRequest Profile)	Medication order that authorizes the dispense	Elements differ in definition for mustSupport: 'true' vs 'false'
type	S	0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (extensible)		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example)	Elements differ in definition for mustSupport: 'true' vs 'false'
quantity	S	0..1	Quantity	Amount dispensed Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding		0..1	??	Billing, service, product, or drug code	Elements differ in definition for mustSupport: 'true' vs 'false'
daysSupply		0..1	??	Amount of medication expressed as a timing amount		0..1	??	Medication expressed as a timing amount.
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	SC	0..1	dateTime	When product was given out or mailed		0..1	dateTime	When product was given out	Elements differ in definition for mustSupport: 'true' vs 'false'
destination		0..1	Reference(Location)	Where the medication was sent		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized					Removed this element
sequence	Σ	0..1	integer	The order of the dosage instructions					Removed this element
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG					Removed this element
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".					Removed this element
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions					Removed this element
timing	SΣ	0..1	Timing	When medication should be administered					Removed this element
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	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.					Removed this element
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.					Removed this element
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.					Removed this element
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.					Removed this element
doseAndRate	SΣ	0..*	Element	Amount of medication administered					Removed this element
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time					Removed this element
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration					Removed this element
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient					Removed this element
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense	S	0..1	BackboneElement	Whether a substitution was performed on the dispense	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense	S	1..1	boolean	Whether a substitution was or was not performed on the dispense	Elements differ in definition for mustSupport: 'false' vs 'true'
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.		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.
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.		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.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format