Union of http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined and http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined

This is the set of resources that conform to either of the profiles QICore MedicationDispense Declined (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined) and QICore MedicationDispense Declined (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined). E.g. what you have to deal with if you get resources conforming to one of them

Structure

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 us-core-20: whenHandedOver SHALL be present if the status is "completed" mnd-1: To indicate what medication was not dispensed, either at least one coding in the medication or a notDoneValueSet extension shall be provided
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		1..*	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	left: (QI-Core)(USCDI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown; right: (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required) ele-1: All FHIR elements must have a @value or children
statusReason[x]		1..1	CodeableConcept	left: (QI-Core) Why a dispense was not performed; right: (QI) Why a dispense was not performed Binding: ?? (extensible): The reason the event did not occur or was not performed ele-1: All FHIR elements must have a @value or children
category		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered. ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1		left: (QI-Core)(USCDI) What medication was supplied; right: (QI) What medication was supplied Binding: ?? (extensible): The set of RxNorm codes to represent medications ele-1: All FHIR elements must have a @value or children
medication[x]All Types				Content/Rules for all Types
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
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
subject	SΣ	1..1	Reference(QICore Patient | #sd-qicore-patient-qicore-patient)	left: (QI-Core)(USCDI) Who the dispense is for; right: (QI) Who the dispense is for ele-1: All FHIR elements must have a @value or children
context	S	0..1	Reference(Encounter | EpisodeOfCare)	left: Encounter / Episode associated with event; right: Encounter associated with MedicationDispense ele-1: All FHIR elements must have a @value or children
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication ele-1: All FHIR elements must have a @value or children
performer	S	0..*	BackboneElement	left: (USCDI) Who performed event; right: Who performed 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 S | US Core Patient Profile | US Core Organization Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device | #sd-us-core-practitioner-us-core-practitioner)	left: (USCDI) Individual who was performing; right: Individual who was performing ele-1: All FHIR elements must have a @value or children
location		0..1	Reference(Location)	Where the dispense occurred ele-1: All FHIR elements must have a @value or children
authorizingPrescription	S	0..*	Reference(QICore MedicationRequest | #sd-qicore-medicationrequest-qicore-medicationrequest)	left: (USCDI) Medication order that authorizes the dispense; right: Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children
type	S	0..1	CodeableConcept	left: (USCDI) Trial fill, partial fill, emergency fill, etc.; right: Trial fill, partial fill, emergency fill, etc. Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
quantity	S	0..1	Quantity	left: (USCDI) Amount dispensed; right: Amount dispensed Binding: ?? (preferred) ele-1: All FHIR elements must have a @value or children
daysSupply		0..1	??	Amount of 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: (USCDI) When product was given out or mailed; right: 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: (USCDI) How the medication is to be used by the patient or administered by the caregiver; right: 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 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	left: (QI-Core)(USCDI) Free text dosage instructions e.g. SIG; right: (QI) 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	left: (QI-Core) When medication should be administered; right: (QI) 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: ?? (preferred) 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	left: (QI-Core)(USCDI) Amount of medication administered; right: (QI) Amount of medication administered 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
type	Σ	1..1	CodeableConcept	left: (QI-Core)(USCDI) The kind of dose or rate specified; right: (QI) The kind of dose or rate specified Binding: ?? (preferred): Medication dose types (e.g., loading, maintenance, etc.) ele-1: All FHIR elements must have a @value or children
dose[x]	SΣ	0..1		left: (QI-Core)(USCDI) Amount of medication per dose; right: (QI) Amount of medication per dose Binding: ?? (preferred) ele-1: All FHIR elements must have a @value or children
doseQuantity			Quantity S
doseRange			Range
rate[x]	Σ	0..1		Amount of medication per unit of time ele-1: All FHIR elements must have a @value or children
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
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		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		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