Pharmacy FHIR Maturity Project CI Build
This page is part of the US-Medication FHIR IG (v0.0.1: STU 1 Ballot 1) based on FHIR v1.8.0. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions 
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="medicationdispense"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>url</b>: <a href="http://hl7.org/fhir/us/pharmacymaturity/StructureDefinition/medicationdispense">http://hl7.org/fhir/us/pharmacymaturity/StructureDefinition/medicationdispense</a></p><p><b>name</b>: Profile medicationdispense</p><p><b>status</b>: DRAFT</p><p><b>date</b>: 08/11/2016</p><p><b>publisher</b>: Health Level Seven International (FHIR-Infrastructure)</p><p><b>contact</b>: </p><p><b>url</b>: <a href="http://hl7.org/fhir/us/pharmacymaturity/StructureDefinition/medicationdispense">http://hl7.org/fhir/us/pharmacymaturity/StructureDefinition/medicationdispense</a></p><p><b>name</b>: Profile medicationdispense</p><p><b>status</b>: DRAFT</p><p><b>publisher</b>: Health Level Seven International (FHIR-Infrastructure)</p><p><b>contact</b>: </p><p><b>date</b>: 08/11/2016</p><blockquote><p><b>mapping</b></p><p><b>identity</b>: rim</p><p><b>uri</b>: <a href="http://hl7.org/v3">http://hl7.org/v3</a></p><p><b>name</b>: RIM Mapping</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: w5</p><p><b>uri</b>: <a href="http://hl7.org/fhir/w5">http://hl7.org/fhir/w5</a></p><p><b>name</b>: W5 Mapping</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: v2</p><p><b>uri</b>: <a href="http://hl7.org/v2">http://hl7.org/v2</a></p><p><b>name</b>: HL7 v2 Mapping</p></blockquote><p><b>kind</b>: RESOURCE</p><p><b>abstract</b>: false</p><p><b>type</b>: MedicationDispense</p><p><b>baseDefinition</b>: <a href="http://hl7.org/fhir/StructureDefinition/MedicationDispense">http://hl7.org/fhir/StructureDefinition/MedicationDispense</a></p><p><b>derivation</b>: CONSTRAINT</p><h3>Snapshots</h3><table class="grid"><tr><td>-</td><td><b>Element</b></td></tr><tr><td>*</td><td>todo-bundle</td></tr></table><h3>Differentials</h3><table class="grid"><tr><td>-</td><td><b>Element</b></td></tr><tr><td>*</td><td>todo-bundle</td></tr></table></div> </text> <url value="http://hl7.org/fhir/us/pharmacymaturity/StructureDefinition/medicationdispense"/> <name value="Profile medicationdispense"/> <status value="draft"/> <publisher value="Health Level Seven International (FHIR-Infrastructure)"/> <contact> <telecom> <system value="url"/> <value value="http://www.healthit.gov"/> </telecom> </contact> <date value="2016-11-08"/> <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:uscoremedicationdispense"> <path value="MedicationDispense"/> <sliceName value="US CoreMedicationDispense"/> <short value="Dispensing a medication to a named patient"/> <definition value="Dispense that a medication is/was actively taken by a patient."/> <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)"/> <source value="DomainResource"/> </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)"/> <source value="DomainResource"/> </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))"/> <source value="DomainResource"/> </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))]))"/> <source value="DomainResource"/> </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)"/> <source value="MedicationDispense"/> </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:uscoremedicationdispense.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="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="MedicationDispense:uscoremedicationdispense.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="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="MedicationDispense:uscoremedicationdispense.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="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="MedicationDispense:uscoremedicationdispense.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="1"/> </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:uscoremedicationdispense.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="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="MedicationDispense:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="MedicationDispense:uscoremedicationdispense.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="1"/> <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 set of codes indicating the current status of a MedicationDispense."/> <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:uscoremedicationdispense.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"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-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/core/ValueSet/us-core-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:uscoremedicationdispense.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"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-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:uscoremedicationdispense.supportingInformation"> <path value="MedicationDispense.supportingInformation"/> <short value="Information that supports the dispensing of the medication"/> <definition value="Additional information that supports the medication being dispensed."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.supportingInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="MedicationDispense:uscoremedicationdispense.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"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-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:uscoremedicationdispense.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"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/> </type> <mustSupport value="true"/> <isSummary value="false"/> <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:uscoremedicationdispense.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"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <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:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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="1"/> <max value="1"/> <base> <path value="MedicationDispense.whenHandedOver"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> <isSummary value="false"/> <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:uscoremedicationdispense.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"/> <targetProfile 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:uscoremedicationdispense.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"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <mapping> <identity value="rim"/> <map value=".participation[typeCode=RCV].role"/> </mapping> </element> <element id="MedicationDispense:uscoremedicationdispense.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:uscoremedicationdispense.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="1"/> <base> <path value="MedicationDispense.dosageInstruction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="DosageInstruction"/> </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:uscoremedicationdispense.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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="children().count() > id.count()"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"/> </mapping> </element> <element id="MedicationDispense:uscoremedicationdispense.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="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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:uscoremedicationdispense.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"/> <targetProfile 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:uscoremedicationdispense.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="See usage notes in Request pattern in request history."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.eventHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> </element> </snapshot> <differential> <element id="MedicationDispense:uscoremedicationdispense"> <path value="MedicationDispense"/> <sliceName value="US CoreMedicationDispense"/> <definition value="Dispense that a medication is/was actively taken by a patient."/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense:uscoremedicationdispense.status"> <path value="MedicationDispense.status"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <description value="A set of codes indicating the current status of a MedicationDispense."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-Dispense-status"/> </valueSetReference> </binding> </element> <element id="MedicationDispense:uscoremedicationdispense.medication[x]"> <path value="MedicationDispense.medication[x]"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-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/core/ValueSet/us-core-medication-codes"/> </valueSetReference> </binding> </element> <element id="MedicationDispense:uscoremedicationdispense.patient"> <path value="MedicationDispense.patient"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense:uscoremedicationdispense.dispenser"> <path value="MedicationDispense.dispenser"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-pract"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense:uscoremedicationdispense.dispensingOrganization"> <path value="MedicationDispense.dispensingOrganization"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense:uscoremedicationdispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver"/> <min value="1"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense:uscoremedicationdispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction"/> <min value="0"/> <max value="1"/> <type> <code value="DosageInstruction"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> </differential> </StructureDefinition>
Pharmacy FHIR Maturity Project © FHIR STU3 (IG Publisher v1.8.0-10514) generated on Tue, Dec 6, 2016 17:52+1100. |
