Profile Comparison between http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationDispense
copyright
date	2018-08-22
description	Profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	QICoreMedicationDispense
publisher	http://www.hl7.org/Special/committees/cqi/index.cfm
purpose
status	active
title
type	MedicationDispense
url	http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense
version	5.0.0-ballot

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
MedicationDispense	I	0..*	MedicationDispense	Dispensing a medication to a named patient	I	0..*	MedicationDispense	Dispensing a medication to a named patient
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	string	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: todo (preferred): A human language. Additional Bindings Purpose todo Max Binding		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages 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	Additional content defined by implementations
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	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: todo (required): A coded concept specifying the state of the dispense event.	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
statusReason[x]	S	0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: todo (preferred)	S	0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (preferred)
category		0..1	CodeableConcept	Type of medication dispense Binding: todo (preferred): A code describing where the dispensed medication is expected to be consumed or administered.		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x]	SΣ	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Binding: todo (preferred): The set of RxNorm codes to represent medications	SΣ	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4 (preferred): The set of RxNorm codes to represent medications
subject	SΣ	0..1	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)	Who the dispense is for	SΣ	0..1	Reference(QICorePatient)	Who the dispense is for	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]])
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	BackboneElement	Who performed event		0..*	BackboneElement	Who performed event
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: todo (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: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest)	Medication order that authorizes the dispense		0..*	Reference(QICore MedicationRequest)	Medication order that authorizes the dispense	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest]])
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: todo (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	S	0..1	Quantity	Amount dispensed	S	0..1	SimpleQuantity	Amount dispensed
daysSupply	S	0..1	Quantity	Amount of medication expressed as a timing amount	S	0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	SΣ	0..1	dateTime	When product was packaged and reviewed	SΣ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	0..1	dateTime	When product was given out	S	0..1	dateTime	When product was given out
destination		0..1	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location)	Where the medication was sent		0..1	Reference(QICoreLocation)	Where the medication was sent	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]])
receiver		0..*	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)	Who collected the medication		0..*	Reference(QICorePatient | QICore Practitioner)	Who collected the medication	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner]])
note		0..*	Annotation	Information about the dispense		0..*	Annotation	Information about the dispense
dosageInstruction		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
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: todo (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered	SΣ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: todo (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.	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: todo (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	SΣ	0..1	CodeableConcept	How drug should enter body Binding: todo (preferred)	SΣ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: todo (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	SΣ	1..1	CodeableConcept	The kind of dose or rate specified Binding: todo (preferred): Medication dose types (e.g., loading, maintenance, etc.)	SΣ	1..1	CodeableConcept	The kind of dose or rate specified Binding: SNOMED CT Dosages Codes (preferred): Medication dose types (e.g., loading, maintenance, etc.)
dose[x]	SΣ	0..1	Range, Quantity	Amount of medication per dose	SΣ	0..1	Range, SimpleQuantity	Amount of medication per dose
rate[x]	Σ	0..1	Ratio, Range, Quantity	Amount of medication per unit of time	Σ	0..1	Ratio, Range, SimpleQuantity	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	Quantity	Upper limit on medication per administration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	Quantity	Upper limit on medication per lifetime of the patient	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense		0..1	BackboneElement	Whether a substitution was performed on the dispense
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		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: todo (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: ActSubstanceAdminSubstitutionCode (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: todo (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: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)	Who is responsible for the substitution		0..*	Reference(QICore Practitioner)	Who is responsible for the substitution	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner]])
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
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