QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)
This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
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Raw json
{
"resourceType" : "StructureDefinition",
"id" : "qicore-medicationdispense",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense\">MedicationDispense</a><a name=\"MedicationDispense\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.id\">id</a><a name=\"MedicationDispense.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.extension:validityPeriod\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/medicationdispense-validityPeriod\">medicationdispense-validityPeriod</a><a name=\"MedicationDispense.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Time interval for medication administration<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-medicationdispense-validityperiod.html\">http://hl7.org/fhir/StructureDefinition/medicationdispense-validityPeriod</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.extension:refillsRemaining\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-refillsRemaining\">pharmacy-core-refillsRemaining</a><a name=\"MedicationDispense.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Number of refills allowed<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-refillsremaining.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-refillsRemaining</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction\">dosageInstruction</a><a name=\"MedicationDispense.dosageInstruction\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:doseType\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType\">pharmacy-core-doseType</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The type of dose, e.g., loading.<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-dosetype.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-qicore-medication-dose-type.html\">SNOMED CT Dosages Codes</a> (<a href=\"http://hl7.org/fhir/STU3/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:infuseOver\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver\">pharmacy-core-infuseOver</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Duration\">Duration</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The length of the infusion<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-infuseover.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:rateIncrement\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement\">pharmacy-core-rateIncrement</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Ratio\">Ratio</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Change in dosing rate per interval<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-rateincrement.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:rateIncrementInterval\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval\">pharmacy-core-rateIncrementInterval</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Duration\">Duration</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The period of time between rate increments<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-rateincrementinterval.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:rateGoal\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal\">pharmacy-core-rateGoal</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Ratio\">Ratio</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The target rate for the infusion<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-rategoal.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:minDosePerPeriod\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod\">pharmacy-core-minDosePerPeriod</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Ratio\">Ratio</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The minimum quantity of substance per period<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-mindoseperperiod.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:maxDeliveryRate\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate\">pharmacy-core-maxDeliveryRate</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Ratio\">Ratio</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The maximum rate of substance administration<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-maxdeliveryrate.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:maxDeliveryVolume\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume\">pharmacy-core-maxDeliveryVolume</a><a name=\"MedicationDispense.dosageInstruction.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The maximum amount of fluid to infuse<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-pharmacy-core-maxdeliveryvolume.html\">http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing\">timing</a><a name=\"MedicationDispense.dosageInstruction.timing\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.site\">site</a><a name=\"MedicationDispense.dosageInstruction.site\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.route\">route</a><a name=\"MedicationDispense.dosageInstruction.route\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.dose[x]\">dose[x]</a><a name=\"MedicationDispense.dosageInstruction.dose_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.status\">status</a><a name=\"MedicationDispense.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.subject\">subject</a><a name=\"MedicationDispense.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.performer\">performer</a><a name=\"MedicationDispense.performer\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.authorizingPrescription\">authorizingPrescription</a><a name=\"MedicationDispense.authorizingPrescription\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.quantity\">quantity</a><a name=\"MedicationDispense.quantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.daysSupply\">daysSupply</a><a name=\"MedicationDispense.daysSupply\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.medication[x]\">medication[x]</a><a name=\"MedicationDispense.medication_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/us/core/STU2/ValueSet-us-core-medication-codes.html\">Medication Clinical Drug (RxNorm)</a> (<a href=\"http://hl7.org/fhir/STU3/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.whenHandedOver\">whenHandedOver</a><a name=\"MedicationDispense.whenHandedOver\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.destination\">destination</a><a name=\"MedicationDispense.destination\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"StructureDefinition-qicore-location.html\">QICore-Location</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.receiver\">receiver</a><a name=\"MedicationDispense.receiver\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.substitution\">substitution</a><a name=\"MedicationDispense.substitution\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.substitution.responsibleParty\">responsibleParty</a><a name=\"MedicationDispense.substitution.responsibleParty\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-medicationdispense-definitions.html#MedicationDispense.notDoneReason[x]\">notDoneReason[x]</a><a name=\"MedicationDispense.notDoneReason_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense",
"version" : "3.2.0",
"name" : "QICore-MedicationDispense",
"status" : "draft",
"experimental" : false,
"date" : "2018-08-22T00:00:00+10:00",
"publisher" : "Health Level Seven, Inc. - CQI WG",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/special/committees/CQI"
}
]
}
],
"description" : "Profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "us"
}
]
}
],
"fhirVersion" : "3.0.1",
"mapping" : [
{
"identity" : "qdm",
"uri" : "http://www.healthit.gov/quality-data-model",
"name" : "Quality Data Model"
},
{
"identity" : "qidam",
"uri" : "http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378",
"name" : "Quality Improvement Domain Analysis Model"
},
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/w5",
"name" : "W5 Mapping"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "MedicationDispense",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "MedicationDispense",
"path" : "MedicationDispense",
"short" : "Dispensing a medication to a named patient",
"definition" : "Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.",
"comment" : "The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "DomainResource"
},
{
"key" : "dom-1",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression" : "contained.text.empty()",
"xpath" : "not(parent::f:contained and f:text)",
"source" : "DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source" : "DomainResource"
},
{
"key" : "mdd-1",
"severity" : "error",
"human" : "whenHandedOver cannot be before whenPrepared",
"expression" : "whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared",
"xpath" : "not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)",
"source" : "MedicationDispense"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "..Event"
},
{
"identity" : "rim",
"map" : "Supply[moodCode=EVN]"
},
{
"identity" : "w5",
"map" : "clinical.medication"
},
{
"identity" : "qdm",
"map" : "Medication, Dispensed"
}
]
},
{
"id" : "MedicationDispense.id",
"path" : "MedicationDispense.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "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" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "id"
}
],
"mustSupport" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "qdm",
"map" : "id"
}
]
},
{
"id" : "MedicationDispense.meta",
"path" : "MedicationDispense.meta",
"short" : "Metadata about the resource",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"isSummary" : true
},
{
"id" : "MedicationDispense.implicitRules",
"path" : "MedicationDispense.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comment" : "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"isModifier" : true,
"isSummary" : true
},
{
"id" : "MedicationDispense.language",
"path" : "MedicationDispense.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "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" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "extensible",
"description" : "A human language.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/languages"
}
}
},
{
"id" : "MedicationDispense.text",
"path" : "MedicationDispense.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "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.",
"comment" : "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" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"condition" : [
"dom-1"
],
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "MedicationDispense.contained",
"path" : "MedicationDispense.contained",
"short" : "Contained, inline Resources",
"definition" : "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.",
"comment" : "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" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.extension",
"path" : "MedicationDispense.extension",
"slicing" : {
"id" : "9",
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "MedicationDispense.extension:validityPeriod",
"path" : "MedicationDispense.extension",
"sliceName" : "validityPeriod",
"short" : "Time interval for medication administration",
"definition" : "The time interval when the medication must be administered. The start and end times must be expressed as dateTimes, not times relative to the dispensing time (e.g. use within 24 hours).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/medicationdispense-validityPeriod"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "Extension"
}
],
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qidam",
"map" : "Dispense.validityPeriod"
},
{
"identity" : "qdm",
"map" : "relevantPeriod"
}
]
},
{
"id" : "MedicationDispense.extension:refillsRemaining",
"path" : "MedicationDispense.extension",
"sliceName" : "refillsRemaining",
"short" : "Number of refills allowed",
"definition" : "Number of refills allowed or remaining after a dispensing event.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-refillsRemaining"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "Extension"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "refills"
}
]
},
{
"id" : "MedicationDispense.modifierExtension",
"path" : "MedicationDispense.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.identifier",
"path" : "MedicationDispense.identifier",
"short" : "External identifier",
"definition" : "Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "…identifier"
},
{
"identity" : "rim",
"map" : ".id"
},
{
"identity" : "w5",
"map" : "id"
}
]
},
{
"id" : "MedicationDispense.partOf",
"path" : "MedicationDispense.partOf",
"short" : "Event that dispense is part of",
"definition" : "The procedure that the dispense is done because of.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.partOf",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Procedure"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "…part of"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"
}
]
},
{
"id" : "MedicationDispense.status",
"path" : "MedicationDispense.status",
"short" : "preparation | in-progress | on-hold | completed | entered-in-error | stopped",
"definition" : "A code specifying the state of the set of dispense events.",
"comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.status",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mustSupport" : true,
"isModifier" : true,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationDispenseStatus"
}
],
"strength" : "required",
"description" : "A coded concept specifying the state of the dispense event.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/medication-dispense-status"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "…status"
},
{
"identity" : "rim",
"map" : ".statusCode"
},
{
"identity" : "w5",
"map" : "status"
},
{
"identity" : "qdm",
"map" : "Medication, Dispensed"
}
]
},
{
"id" : "MedicationDispense.category",
"path" : "MedicationDispense.category",
"short" : "Type of medication dispense",
"definition" : "Indicates type of medication dispense and where the medication is expected to be consumed or administered.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.category",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationDispenseCategory"
}
],
"strength" : "preferred",
"description" : "A code describing where the dispensed medication is expected to be consumed or administered",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/medication-dispense-category"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication dispense\"].value"
}
]
},
{
"id" : "MedicationDispense.medication[x]",
"path" : "MedicationDispense.medication[x]",
"short" : "What medication was supplied",
"definition" : "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.",
"comment" : "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. For example if you require form or lot number, then you must reference the Medication resource. .",
"min" : 1,
"max" : "1",
"base" : {
"path" : "MedicationDispense.medication[x]",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Medication"
}
],
"mustSupport" : true,
"isSummary" : true,
"binding" : {
"strength" : "preferred",
"description" : "The set of RxNorm codes to represent medications",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "…code"
},
{
"identity" : "v2",
"map" : "RXD-2-Dispense/Give Code"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=PRD].role"
},
{
"identity" : "w5",
"map" : "what"
},
{
"identity" : "qdm",
"map" : "code"
}
]
},
{
"id" : "MedicationDispense.subject",
"path" : "MedicationDispense.subject",
"short" : "Who the dispense is for",
"definition" : "A link to a resource representing the person or the group to whom the medication will be given.",
"comment" : "SubstanceAdministration->subject->Patient.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.subject",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "…subject"
},
{
"identity" : "v2",
"map" : "PID-3-Patient ID List"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
},
{
"identity" : "w5",
"map" : "who.focus"
}
]
},
{
"id" : "MedicationDispense.context",
"path" : "MedicationDispense.context",
"short" : "Encounter / Episode associated with event",
"definition" : "The encounter or episode of care that establishes the context for this event.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.context",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Encounter"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "…context"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
}
]
},
{
"id" : "MedicationDispense.supportingInformation",
"path" : "MedicationDispense.supportingInformation",
"short" : "Information that supports the dispensing of the medication",
"definition" : "Additional information that supports the medication being dispensed.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.supportingInformation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
},
{
"identity" : "w5",
"map" : "context"
}
]
},
{
"id" : "MedicationDispense.performer",
"path" : "MedicationDispense.performer",
"short" : "Who performed event",
"definition" : "Indicates who or what performed the event. It should be assumed that the performer is the dispenser of the medication.",
"comment" : "The performer will be reviewed as part of STU4.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.performer",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "…performer"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=PRF]"
},
{
"identity" : "qdm",
"map" : "source"
}
]
},
{
"id" : "MedicationDispense.performer.id",
"path" : "MedicationDispense.performer.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.performer.extension",
"path" : "MedicationDispense.performer.extension",
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.performer.modifierExtension",
"path" : "MedicationDispense.performer.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.performer.actor",
"path" : "MedicationDispense.performer.actor",
"short" : "Individual who was performing",
"definition" : "The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "MedicationDispense.performer.actor",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Device"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "….actor"
},
{
"identity" : "rim",
"map" : ".role"
}
]
},
{
"id" : "MedicationDispense.performer.onBehalfOf",
"path" : "MedicationDispense.performer.onBehalfOf",
"short" : "Organization organization was acting for",
"definition" : "The organization the device or practitioner was acting on behalf of.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.performer.onBehalfOf",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "….onBehalfOf"
},
{
"identity" : "rim",
"map" : ".role.scopingOrganization"
}
]
},
{
"id" : "MedicationDispense.authorizingPrescription",
"path" : "MedicationDispense.authorizingPrescription",
"short" : "Medication order that authorizes the dispense",
"definition" : "Indicates the medication order that is being dispensed against.",
"comment" : "Maps to basedOn in Event logical model.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.authorizingPrescription",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "…basedOn"
},
{
"identity" : "v2",
"map" : "ORC-2 Placer Order Number"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"
}
]
},
{
"id" : "MedicationDispense.type",
"path" : "MedicationDispense.type",
"short" : "Trial fill, partial fill, emergency fill, etc.",
"definition" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.type",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationDispenseType"
}
],
"strength" : "example",
"description" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXD-33-Dispense Type"
},
{
"identity" : "rim",
"map" : ".code"
}
]
},
{
"id" : "MedicationDispense.quantity",
"path" : "MedicationDispense.quantity",
"short" : "Amount dispensed",
"definition" : "The amount of medication that has been dispensed. Includes unit of measure.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.quantity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
},
{
"identity" : "rim",
"map" : ".quantity"
},
{
"identity" : "qdm",
"map" : "dosage"
}
]
},
{
"id" : "MedicationDispense.daysSupply",
"path" : "MedicationDispense.daysSupply",
"short" : "Amount of medication expressed as a timing amount",
"definition" : "The amount of medication expressed as a timing amount.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.daysSupply",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "TQ1.6 Timing/Quantity Segment Service Duration.\rPrior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string, first character for the time unit (e.g., D=days), followed by the value. For example, “D14” represents “14 days supply”\rFrom v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^\rFor backwards compatibility, ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"
},
{
"identity" : "rim",
"map" : "effectiveUseTime"
},
{
"identity" : "qdm",
"map" : "supply"
}
]
},
{
"id" : "MedicationDispense.whenPrepared",
"path" : "MedicationDispense.whenPrepared",
"short" : "When product was packaged and reviewed",
"definition" : "The time when the dispensed product was packaged and reviewed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.whenPrepared",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "RXD-3-Date/Time Dispensed"
},
{
"identity" : "rim",
"map" : ".effectiveTime[xmi:type=IVL_TS].low"
}
]
},
{
"id" : "MedicationDispense.whenHandedOver",
"path" : "MedicationDispense.whenHandedOver",
"short" : "When product was given out",
"definition" : "The time the dispensed product was provided to the patient or their representative.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.whenHandedOver",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "…occurrenceDateTime"
},
{
"identity" : "v2",
"map" : "RXD-3-Date/Time Dispensed"
},
{
"identity" : "rim",
"map" : ".effectiveTime[xmi:type=IVL_TS].high"
}
]
},
{
"id" : "MedicationDispense.destination",
"path" : "MedicationDispense.destination",
"short" : "Where the medication was sent",
"definition" : "Identification of the facility/location where the medication was shipped to, as part of the dispense event.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.destination",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=DST].role"
}
]
},
{
"id" : "MedicationDispense.receiver",
"path" : "MedicationDispense.receiver",
"short" : "Who collected the medication",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.receiver",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode=RCV].role"
}
]
},
{
"id" : "MedicationDispense.note",
"path" : "MedicationDispense.note",
"short" : "Information about the dispense",
"definition" : "Extra information about the dispense that could not be conveyed in the other attributes.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "…note"
},
{
"identity" : "v2",
"map" : "RXD-9 Dispense Notes"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction",
"path" : "MedicationDispense.dosageInstruction",
"short" : "How the medication is to be used by the patient or administered by the caregiver",
"definition" : "Indicates how the medication is to be used by the patient.",
"comment" : "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.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.dosageInstruction",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Dosage"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.id",
"path" : "MedicationDispense.dosageInstruction.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension",
"path" : "MedicationDispense.dosageInstruction.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:doseType",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "doseType",
"short" : "The type of dose, e.g., loading.",
"definition" : "The type of dose, e.g., initial, maintenance, loading.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:doseType.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:doseType.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:doseType.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:doseType.valueCodeableConcept",
"path" : "MedicationDispense.dosageInstruction.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:infuseOver",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "infuseOver",
"short" : "The length of the infusion",
"definition" : "For infused medications, the length of time the infusion process, as a duration. Note the difference between infuseOver and duration of treatment (specified in administrationFrequency). An order may call for infusing a patient TID for an hour each time over a duration of 5 days.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:infuseOver.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:infuseOver.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:infuseOver.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:infuseOver.valueDuration",
"path" : "MedicationDispense.dosageInstruction.extension.valueDuration",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Duration"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrement",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "rateIncrement",
"short" : "Change in dosing rate per interval",
"definition" : "Change in the dosing rate applied each rateIncrementInterval, e.g., 20 mL/hour. The rate increment is usually an increase for a patient who is initiating tube feeding. The increase is continued until the maxDeliveryRate or rateGoal is reached.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrement.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrement.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrement.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrement.valueRatio",
"path" : "MedicationDispense.dosageInstruction.extension.valueRatio",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Ratio"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrementInterval",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "rateIncrementInterval",
"short" : "The period of time between rate increments",
"definition" : "Period of time after which the rate increment should be attempted, e.g., 4 hours.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrementInterval.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrementInterval.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrementInterval.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrementInterval.valueDuration",
"path" : "MedicationDispense.dosageInstruction.extension.valueDuration",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Duration"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateGoal",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "rateGoal",
"short" : "The target rate for the infusion",
"definition" : "The target rate to reach for this infusion. Note that deliveryRateGoal is typically less than the maximum delivery rate which is the rate not to exceed. For enteral feeding orders, a target tube feeding rate of 75ml/hour may be specified.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateGoal.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateGoal.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateGoal.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateGoal.valueRatio",
"path" : "MedicationDispense.dosageInstruction.extension.valueRatio",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Ratio"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:minDosePerPeriod",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "minDosePerPeriod",
"short" : "The minimum quantity of substance per period",
"definition" : "The minimum total quantity of a therapeutic substance that may be administered to a subject over the period of time. E.g., 10 mg in 24 hours.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:minDosePerPeriod.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:minDosePerPeriod.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:minDosePerPeriod.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:minDosePerPeriod.valueRatio",
"path" : "MedicationDispense.dosageInstruction.extension.valueRatio",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Ratio"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryRate",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "maxDeliveryRate",
"short" : "The maximum rate of substance administration",
"definition" : "The maximum rate of substance administration. For volume medications, the maximum rate is to be expressed as a volume per time period. This value may be used as a stopping condition when a deliveryRateIncrement is specified without a count.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryRate.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryRate.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryRate.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryRate.valueRatio",
"path" : "MedicationDispense.dosageInstruction.extension.valueRatio",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Ratio"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryVolume",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "maxDeliveryVolume",
"short" : "The maximum amount of fluid to infuse",
"definition" : "The maximum volume of fluid to administer to a patient.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.id",
"path" : "MedicationDispense.dosageInstruction.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.extension",
"path" : "MedicationDispense.dosageInstruction.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.url",
"path" : "MedicationDispense.dosageInstruction.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.valueQuantity",
"path" : "MedicationDispense.dosageInstruction.extension.valueQuantity",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.sequence",
"path" : "MedicationDispense.dosageInstruction.sequence",
"short" : "The order of the dosage instructions",
"definition" : "Indicates the order in which the dosage instructions should be applied or interpreted.",
"requirements" : "If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.sequence",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.text",
"path" : "MedicationDispense.dosageInstruction.text",
"short" : "Free text dosage instructions e.g. SIG",
"definition" : "Free text dosage instructions e.g. SIG.",
"requirements" : "Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.additionalInstruction",
"path" : "MedicationDispense.dosageInstruction.additionalInstruction",
"short" : "Supplemental instruction - e.g. \"with meals\"",
"definition" : "Supplemental instruction - e.g. \"with meals\".",
"requirements" : "Additional instruction such as \"Swallow with plenty of water\" which may or may not be coded.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Dosage.additionalInstruction",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "AdditionalInstruction"
}
],
"strength" : "example",
"description" : "A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\".",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/additional-instruction-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.patientInstruction",
"path" : "MedicationDispense.dosageInstruction.patientInstruction",
"short" : "Patient or consumer oriented instructions",
"definition" : "Instructions in terms that are understood by the patient or consumer.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.patientInstruction",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.timing",
"path" : "MedicationDispense.dosageInstruction.timing",
"short" : "When medication should be administered",
"definition" : "When medication should be administered.",
"comment" : "This attribute may not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.",
"requirements" : "The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions. For example: \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.timing",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Timing"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".effectiveTime"
},
{
"identity" : "qdm",
"map" : "frequency"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.asNeeded[x]",
"path" : "MedicationDispense.dosageInstruction.asNeeded[x]",
"short" : "Take \"as needed\" (for x)",
"definition" : "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).",
"comment" : "Can express \"as needed\" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express \"as needed\" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\".",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.asNeeded[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
},
{
"code" : "CodeableConcept"
}
],
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationAsNeededReason"
}
],
"strength" : "example",
"description" : "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.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.site",
"path" : "MedicationDispense.dosageInstruction.site",
"short" : "Body site to administer to",
"definition" : "Body site to administer to.",
"comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"requirements" : "A coded specification of the anatomic site where the medication first enters the body.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.site",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationAdministrationSite"
}
],
"strength" : "example",
"description" : "A coded concept describing the site location the medicine enters into or onto the body.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/approach-site-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".approachSiteCode"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.route",
"path" : "MedicationDispense.dosageInstruction.route",
"short" : "How drug should enter body",
"definition" : "How drug should enter body.",
"requirements" : "A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.route",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "RouteOfAdministration"
}
],
"strength" : "example",
"description" : "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/route-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".routeCode"
},
{
"identity" : "qdm",
"map" : "route"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.method",
"path" : "MedicationDispense.dosageInstruction.method",
"short" : "Technique for administering medication",
"definition" : "Technique for administering medication.",
"comment" : "Terminologies used often pre-coordinate this term with the route and or form of administration.",
"requirements" : "A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.method",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationAdministrationMethod"
}
],
"strength" : "example",
"description" : "A coded concept describing the technique by which the medicine is administered.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/administration-method-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".doseQuantity"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.dose[x]",
"path" : "MedicationDispense.dosageInstruction.dose[x]",
"short" : "Amount of medication per dose",
"definition" : "Amount of medication per dose.",
"comment" : "Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.",
"requirements" : "The amount of therapeutic or other substance given at one administration event.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.dose[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Range"
},
{
"code" : "Quantity",
"profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".doseQuantity"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.maxDosePerPeriod",
"path" : "MedicationDispense.dosageInstruction.maxDosePerPeriod",
"short" : "Upper limit on medication per unit of time",
"definition" : "Upper limit on medication per unit of time.",
"comment" : "This is intended for use as an adjunct to the dosage when there is an upper cap. For example \"2 tablets every 4 hours to a maximum of 8/day\".",
"requirements" : "The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.maxDosePerPeriod",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Ratio"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".maxDoseQuantity"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.maxDosePerAdministration",
"path" : "MedicationDispense.dosageInstruction.maxDosePerAdministration",
"short" : "Upper limit on medication per administration",
"definition" : "Upper limit on medication per administration.",
"comment" : "This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.",
"requirements" : "The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.maxDosePerAdministration",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "not supported"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.maxDosePerLifetime",
"path" : "MedicationDispense.dosageInstruction.maxDosePerLifetime",
"short" : "Upper limit on medication per lifetime of the patient",
"definition" : "Upper limit on medication per lifetime of the patient.",
"requirements" : "The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.maxDosePerLifetime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "not supported"
}
]
},
{
"id" : "MedicationDispense.dosageInstruction.rate[x]",
"path" : "MedicationDispense.dosageInstruction.rate[x]",
"short" : "Amount of medication per unit of time",
"definition" : "Amount of medication per unit of time.",
"comment" : "It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.",
"requirements" : "Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Dosage.rate[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Ratio"
},
{
"code" : "Range"
},
{
"code" : "Quantity",
"profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".rateQuantity"
}
]
},
{
"id" : "MedicationDispense.substitution",
"path" : "MedicationDispense.substitution",
"short" : "Whether a substitution was performed on the dispense",
"definition" : "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. If nothing is specified, substitution was not done.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.substitution",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"
}
]
},
{
"id" : "MedicationDispense.substitution.id",
"path" : "MedicationDispense.substitution.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.substitution.extension",
"path" : "MedicationDispense.substitution.extension",
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "MedicationDispense.substitution.modifierExtension",
"path" : "MedicationDispense.substitution.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "MedicationDispense.substitution.wasSubstituted",
"path" : "MedicationDispense.substitution.wasSubstituted",
"short" : "Whether a substitution was or was not performed on the dispense",
"definition" : "True if the dispenser dispensed a different drug or product from what was prescribed.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "MedicationDispense.substitution.wasSubstituted",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : ".actionNegationInd"
}
]
},
{
"id" : "MedicationDispense.substitution.type",
"path" : "MedicationDispense.substitution.type",
"short" : "Code signifying whether a different drug was dispensed from what was prescribed",
"definition" : "A code signifying whether a different drug was dispensed from what was prescribed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.substitution.type",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationIntendedSubstitutionType"
}
],
"strength" : "example",
"description" : "A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
},
{
"identity" : "rim",
"map" : ".code"
}
]
},
{
"id" : "MedicationDispense.substitution.reason",
"path" : "MedicationDispense.substitution.reason",
"short" : "Why was substitution made",
"definition" : "Indicates the reason for the substitution of (or lack of substitution) from what was prescribed.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.substitution.reason",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "MedicationIntendedSubstitutionReason"
}
],
"strength" : "example",
"description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".reasonCode"
}
]
},
{
"id" : "MedicationDispense.substitution.responsibleParty",
"path" : "MedicationDispense.substitution.responsibleParty",
"short" : "Who is responsible for the substitution",
"definition" : "The person or organization that has primary responsibility for the substitution.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.substitution.responsibleParty",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode=PFM].role[classCode=ASSIGN]"
}
]
},
{
"id" : "MedicationDispense.detectedIssue",
"path" : "MedicationDispense.detectedIssue",
"short" : "Clinical issue with action",
"definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.",
"alias" : [
"Contraindication",
"Drug Utilization Review (DUR)",
"Alert"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.detectedIssue",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/DetectedIssue"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
}
]
},
{
"id" : "MedicationDispense.notDone",
"path" : "MedicationDispense.notDone",
"short" : "Whether the dispense was or was not performed",
"definition" : "True if the dispense was not performed for some reason.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.notDone",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "…notDone"
},
{
"identity" : "rim",
"map" : ".actionNegationInd"
}
]
},
{
"id" : "MedicationDispense.notDoneReason[x]",
"path" : "MedicationDispense.notDoneReason[x]",
"short" : "Why a dispense was not performed",
"definition" : "Indicates the reason why a dispense was not performed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "MedicationDispense.notDoneReason[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/DetectedIssue"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "…notDoneReason"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"not done reason\"].value"
},
{
"identity" : "qdm",
"map" : "negationRationale"
}
]
},
{
"id" : "MedicationDispense.eventHistory",
"path" : "MedicationDispense.eventHistory",
"short" : "A list of releveant lifecycle events",
"definition" : "A summary of the events of interest that have occurred, such as when the dispense was verified.",
"comment" : "This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "MedicationDispense.eventHistory",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Provenance"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "MedicationDispense",
"path" : "MedicationDispense",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "Medication, Dispensed"
}
]
},
{
"id" : "MedicationDispense.id",
"path" : "MedicationDispense.id",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "id"
}
]
},
{
"id" : "MedicationDispense.extension:validityPeriod",
"path" : "MedicationDispense.extension",
"sliceName" : "validityPeriod",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/medicationdispense-validityPeriod"
}
],
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qidam",
"map" : "Dispense.validityPeriod"
},
{
"identity" : "qdm",
"map" : "relevantPeriod"
}
]
},
{
"id" : "MedicationDispense.extension:refillsRemaining",
"path" : "MedicationDispense.extension",
"sliceName" : "refillsRemaining",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-refillsRemaining"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "refills"
}
]
},
{
"id" : "MedicationDispense.status",
"path" : "MedicationDispense.status",
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "Medication, Dispensed"
}
]
},
{
"id" : "MedicationDispense.medication[x]",
"path" : "MedicationDispense.medication[x]",
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "preferred",
"description" : "The set of RxNorm codes to represent medications",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"
}
},
"mapping" : [
{
"identity" : "qdm",
"map" : "code"
}
]
},
{
"id" : "MedicationDispense.subject",
"path" : "MedicationDispense.subject",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "MedicationDispense.performer",
"path" : "MedicationDispense.performer",
"type" : [
{
"code" : "BackboneElement"
}
],
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "source"
}
]
},
{
"id" : "MedicationDispense.authorizingPrescription",
"path" : "MedicationDispense.authorizingPrescription",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.quantity",
"path" : "MedicationDispense.quantity",
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "dosage"
}
]
},
{
"id" : "MedicationDispense.daysSupply",
"path" : "MedicationDispense.daysSupply",
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "supply"
}
]
},
{
"id" : "MedicationDispense.whenHandedOver",
"path" : "MedicationDispense.whenHandedOver",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "MedicationDispense.destination",
"path" : "MedicationDispense.destination",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.receiver",
"path" : "MedicationDispense.receiver",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction",
"path" : "MedicationDispense.dosageInstruction",
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:doseType",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "doseType",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType"
}
],
"mustSupport" : false,
"isModifier" : false,
"binding" : {
"strength" : "preferred",
"description" : "Medication dose types (e.g., loading, maintenance, etc.)",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/qicore/ValueSet/qicore-medication-dose-type"
}
}
},
{
"id" : "MedicationDispense.dosageInstruction.extension:infuseOver",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "infuseOver",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrement",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "rateIncrement",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateIncrementInterval",
"path" : "MedicationDispense.dosageInstruction.extension",
"sliceName" : "rateIncrementInterval",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "MedicationDispense.dosageInstruction.extension:rateGoal",
"path" : "MedicationDispense.dosageInstruction.extension",
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{
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{
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}
© HL7.org 2011+. Package hl7.fhir.us.qicore#3.2.0 based on FHIR v3.0.1-11917. Generated on 14/04/2019
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