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 
Formats: Narrative, XML, JSON, Turtle
Raw xml
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="qicore-medicationdispense"/> <text> <status value="generated"/> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> </text> <url value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense"/> <version value="3.2.0"/> <name value="QICore-MedicationDispense"/> <status value="draft"/> <experimental value="false"/> <date value="2018-08-22T00:00:00+10:00"/> <publisher value="Health Level Seven, Inc. - CQI WG"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/special/committees/CQI"/> </telecom> </contact> <description value="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 value="urn:iso:std:iso:3166"/> <code value="us"/> </coding> </jurisdiction> <fhirVersion value="3.0.1"/> <mapping> <identity value="qdm"/> <uri value="http://www.healthit.gov/quality-data-model"/> <name value="Quality Data Model"/> </mapping> <mapping> <identity value="qidam"/> <uri value="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378"/> <name value="Quality Improvement Domain Analysis Model"/> </mapping> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="MedicationDispense"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/> <derivation value="constraint"/> <snapshot> <element id="MedicationDispense"> <path value="MedicationDispense"/> <short value="Dispensing a medication to a named patient"/> <definition value="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 value="The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html)."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="mdd-1"/> <severity value="error"/> <human value="whenHandedOver cannot be before whenPrepared"/> <expression value="whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared"/> <xpath value="not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)"/> <source value="MedicationDispense"/> </constraint> <mustSupport value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="..Event"/> </mapping> <mapping> <identity value="rim"/> <map value="Supply[moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> <mapping> <identity value="qdm"/> <map value="Medication, Dispensed"/> </mapping> </element> <element id="MedicationDispense.id"> <path value="MedicationDispense.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <mustSupport value="false"/> <isSummary value="true"/> <mapping> <identity value="qdm"/> <map value="id"/> </mapping> </element> <element id="MedicationDispense.meta"> <path value="MedicationDispense.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="MedicationDispense.implicitRules"> <path value="MedicationDispense.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This 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 value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="MedicationDispense.language"> <path value="MedicationDispense.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages"/> </valueSetReference> </binding> </element> <element id="MedicationDispense.text"> <path value="MedicationDispense.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="MedicationDispense.contained"> <path value="MedicationDispense.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.extension"> <path value="MedicationDispense.extension"/> <slicing id="9"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationDispense.extension:validityPeriod"> <path value="MedicationDispense.extension"/> <sliceName value="validityPeriod"/> <short value="Time interval for medication administration"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/medicationdispense-validityPeriod"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qidam"/> <map value="Dispense.validityPeriod"/> </mapping> <mapping> <identity value="qdm"/> <map value="relevantPeriod"/> </mapping> </element> <element id="MedicationDispense.extension:refillsRemaining"> <path value="MedicationDispense.extension"/> <sliceName value="refillsRemaining"/> <short value="Number of refills allowed"/> <definition value="Number of refills allowed or remaining after a dispensing event."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-refillsRemaining"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="refills"/> </mapping> </element> <element id="MedicationDispense.modifierExtension"> <path value="MedicationDispense.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.identifier"> <path value="MedicationDispense.identifier"/> <short value="External identifier"/> <definition value="Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="workflow"/> <map value="…identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="MedicationDispense.partOf"> <path value="MedicationDispense.partOf"/> <short value="Event that dispense is part of"/> <definition value="The procedure that the dispense is done because of."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.partOf"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> </type> <mapping> <identity value="workflow"/> <map value="…part of"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"/> </mapping> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status"/> <short value="preparation | in-progress | on-hold | completed | entered-in-error | stopped"/> <definition value="A code specifying the state of the set of dispense events."/> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.status"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationDispenseStatus"/> </extension> <strength value="required"/> <description value="A coded concept specifying the state of the dispense event."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-dispense-status"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="…status"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> <mapping> <identity value="qdm"/> <map value="Medication, Dispensed"/> </mapping> </element> <element id="MedicationDispense.category"> <path value="MedicationDispense.category"/> <short value="Type of medication dispense"/> <definition value="Indicates type of medication dispense and where the medication is expected to be consumed or administered."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.category"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationDispenseCategory"/> </extension> <strength value="preferred"/> <description value="A code describing where the dispensed medication is expected to be consumed or administered"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-dispense-category"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication dispense"].value"/> </mapping> </element> <element id="MedicationDispense.medication[x]"> <path value="MedicationDispense.medication[x]"/> <short value="What medication was supplied"/> <definition value="Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications."/> <comment value="If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example if you require form or lot number, then you must reference the Medication resource. ."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.medication[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <strength value="preferred"/> <description value="The set of RxNorm codes to represent medications"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="…code"/> </mapping> <mapping> <identity value="v2"/> <map value="RXD-2-Dispense/Give Code"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRD].role"/> </mapping> <mapping> <identity value="w5"/> <map value="what"/> </mapping> <mapping> <identity value="qdm"/> <map value="code"/> </mapping> </element> <element id="MedicationDispense.subject"> <path value="MedicationDispense.subject"/> <short value="Who the dispense is for"/> <definition value="A link to a resource representing the person or the group to whom the medication will be given."/> <comment value="SubstanceAdministration->subject->Patient."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="…subject"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3-Patient ID List"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="MedicationDispense.context"> <path value="MedicationDispense.context"/> <short value="Encounter / Episode associated with event"/> <definition value="The encounter or episode of care that establishes the context for this event."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> </type> <mapping> <identity value="workflow"/> <map value="…context"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]"/> </mapping> </element> <element id="MedicationDispense.supportingInformation"> <path value="MedicationDispense.supportingInformation"/> <short value="Information that supports the dispensing of the medication"/> <definition value="Additional information that supports the medication being dispensed."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.supportingInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mapping> <identity value="rim"/> <map value=".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)]"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="MedicationDispense.performer"> <path value="MedicationDispense.performer"/> <short value="Who performed event"/> <definition value="Indicates who or what performed the event. It should be assumed that the performer is the dispenser of the medication."/> <comment value="The performer will be reviewed as part of STU4."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.performer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> <mapping> <identity value="workflow"/> <map value="…performer"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> <mapping> <identity value="qdm"/> <map value="source"/> </mapping> </element> <element id="MedicationDispense.performer.id"> <path value="MedicationDispense.performer.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.performer.extension"> <path value="MedicationDispense.performer.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.performer.modifierExtension"> <path value="MedicationDispense.performer.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.performer.actor"> <path value="MedicationDispense.performer.actor"/> <short value="Individual who was performing"/> <definition value="The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.performer.actor"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <mapping> <identity value="workflow"/> <map value="….actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".role"/> </mapping> </element> <element id="MedicationDispense.performer.onBehalfOf"> <path value="MedicationDispense.performer.onBehalfOf"/> <short value="Organization organization was acting for"/> <definition value="The organization the device or practitioner was acting on behalf of."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.performer.onBehalfOf"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <mapping> <identity value="workflow"/> <map value="….onBehalfOf"/> </mapping> <mapping> <identity value="rim"/> <map value=".role.scopingOrganization"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription"/> <short value="Medication order that authorizes the dispense"/> <definition value="Indicates the medication order that is being dispensed against."/> <comment value="Maps to basedOn in Event logical model."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.authorizingPrescription"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/> </type> <mustSupport value="false"/> <mapping> <identity value="workflow"/> <map value="…basedOn"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-2 Placer Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"/> </mapping> </element> <element id="MedicationDispense.type"> <path value="MedicationDispense.type"/> <short value="Trial fill, partial fill, emergency fill, etc."/> <definition value="Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationDispenseType"/> </extension> <strength value="example"/> <description value="Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="RXD-33-Dispense Type"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity"/> <short value="Amount dispensed"/> <definition value="The amount of medication that has been dispensed. Includes unit of measure."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.quantity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mustSupport value="true"/> <mapping> <identity value="v2"/> <map value="RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"/> </mapping> <mapping> <identity value="rim"/> <map value=".quantity"/> </mapping> <mapping> <identity value="qdm"/> <map value="dosage"/> </mapping> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply"/> <short value="Amount of medication expressed as a timing amount"/> <definition value="The amount of medication expressed as a timing amount."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.daysSupply"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mustSupport value="true"/> <mapping> <identity value="v2"/> <map value="TQ1.6 Timing/Quantity Segment Service Duration. Prior 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” From 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^ For 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"/> </mapping> <mapping> <identity value="rim"/> <map value="effectiveUseTime"/> </mapping> <mapping> <identity value="qdm"/> <map value="supply"/> </mapping> </element> <element id="MedicationDispense.whenPrepared"> <path value="MedicationDispense.whenPrepared"/> <short value="When product was packaged and reviewed"/> <definition value="The time when the dispensed product was packaged and reviewed."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.whenPrepared"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXD-3-Date/Time Dispensed"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime[xmi:type=IVL_TS].low"/> </mapping> </element> <element id="MedicationDispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver"/> <short value="When product was given out"/> <definition value="The time the dispensed product was provided to the patient or their representative."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.whenHandedOver"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="…occurrenceDateTime"/> </mapping> <mapping> <identity value="v2"/> <map value="RXD-3-Date/Time Dispensed"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime[xmi:type=IVL_TS].high"/> </mapping> </element> <element id="MedicationDispense.destination"> <path value="MedicationDispense.destination"/> <short value="Where the medication was sent"/> <definition value="Identification of the facility/location where the medication was shipped to, as part of the dispense event."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.destination"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/> </type> <mustSupport value="false"/> <mapping> <identity value="v2"/> <map value="RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=DST].role"/> </mapping> </element> <element id="MedicationDispense.receiver"> <path value="MedicationDispense.receiver"/> <short value="Who collected the medication"/> <definition value="Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.receiver"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <mustSupport value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=RCV].role"/> </mapping> </element> <element id="MedicationDispense.note"> <path value="MedicationDispense.note"/> <short value="Information about the dispense"/> <definition value="Extra information about the dispense that could not be conveyed in the other attributes."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <mapping> <identity value="workflow"/> <map value="…note"/> </mapping> <mapping> <identity value="v2"/> <map value="RXD-9 Dispense Notes"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction"/> <short value="How the medication is to be used by the patient or administered by the caregiver"/> <definition value="Indicates how the medication is to be used by the patient."/> <comment value="When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.dosageInstruction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Dosage"/> </type> <mustSupport value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.id"> <path value="MedicationDispense.dosageInstruction.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension"> <path value="MedicationDispense.dosageInstruction.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:doseType"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="doseType"/> <short value="The type of dose, e.g., loading."/> <definition value="The type of dose, e.g., initial, maintenance, loading."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:doseType.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:doseType.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:doseType.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:doseType.valueCodeableConcept"> <path value="MedicationDispense.dosageInstruction.extension.valueCodeableConcept"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:infuseOver"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="infuseOver"/> <short value="The length of the infusion"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:infuseOver.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:infuseOver.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:infuseOver.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:infuseOver.valueDuration"> <path value="MedicationDispense.dosageInstruction.extension.valueDuration"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Duration"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrement"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="rateIncrement"/> <short value="Change in dosing rate per interval"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrement.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrement.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrement.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrement.valueRatio"> <path value="MedicationDispense.dosageInstruction.extension.valueRatio"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrementInterval"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="rateIncrementInterval"/> <short value="The period of time between rate increments"/> <definition value="Period of time after which the rate increment should be attempted, e.g., 4 hours."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrementInterval.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrementInterval.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrementInterval.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrementInterval.valueDuration"> <path value="MedicationDispense.dosageInstruction.extension.valueDuration"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Duration"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateGoal"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="rateGoal"/> <short value="The target rate for the infusion"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:rateGoal.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateGoal.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateGoal.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:rateGoal.valueRatio"> <path value="MedicationDispense.dosageInstruction.extension.valueRatio"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:minDosePerPeriod"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="minDosePerPeriod"/> <short value="The minimum quantity of substance per period"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:minDosePerPeriod.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:minDosePerPeriod.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:minDosePerPeriod.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:minDosePerPeriod.valueRatio"> <path value="MedicationDispense.dosageInstruction.extension.valueRatio"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryRate"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="maxDeliveryRate"/> <short value="The maximum rate of substance administration"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryRate.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryRate.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryRate.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryRate.valueRatio"> <path value="MedicationDispense.dosageInstruction.extension.valueRatio"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryVolume"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="maxDeliveryVolume"/> <short value="The maximum amount of fluid to infuse"/> <definition value="The maximum volume of fluid to administer to a patient."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.id"> <path value="MedicationDispense.dosageInstruction.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.extension"> <path value="MedicationDispense.dosageInstruction.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.url"> <path value="MedicationDispense.dosageInstruction.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryVolume.valueQuantity"> <path value="MedicationDispense.dosageInstruction.extension.valueQuantity"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.sequence"> <path value="MedicationDispense.dosageInstruction.sequence"/> <short value="The order of the dosage instructions"/> <definition value="Indicates the order in which the dosage instructions should be applied or interpreted."/> <requirements value="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 value="0"/> <max value="1"/> <base> <path value="Dosage.sequence"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.text"> <path value="MedicationDispense.dosageInstruction.text"/> <short value="Free text dosage instructions e.g. SIG"/> <definition value="Free text dosage instructions e.g. SIG."/> <requirements value="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 value="0"/> <max value="1"/> <base> <path value="Dosage.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstruction"> <path value="MedicationDispense.dosageInstruction.additionalInstruction"/> <short value="Supplemental instruction - e.g. "with meals""/> <definition value="Supplemental instruction - e.g. "with meals"."/> <requirements value="Additional instruction such as "Swallow with plenty of water" which may or may not be coded."/> <min value="0"/> <max value="*"/> <base> <path value="Dosage.additionalInstruction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdditionalInstruction"/> </extension> <strength value="example"/> <description value="A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery"."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/additional-instruction-codes"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.patientInstruction"> <path value="MedicationDispense.dosageInstruction.patientInstruction"/> <short value="Patient or consumer oriented instructions"/> <definition value="Instructions in terms that are understood by the patient or consumer."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.patientInstruction"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing"> <path value="MedicationDispense.dosageInstruction.timing"/> <short value="When medication should be administered"/> <definition value="When medication should be administered."/> <comment value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Dosage.timing"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Timing"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="qdm"/> <map value="frequency"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.asNeeded[x]"> <path value="MedicationDispense.dosageInstruction.asNeeded[x]"/> <short value="Take "as needed" (for x)"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Dosage.asNeeded[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAsNeededReason"/> </extension> <strength value="example"/> <description value="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 value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.site"> <path value="MedicationDispense.dosageInstruction.site"/> <short value="Body site to administer to"/> <definition value="Body site to administer to."/> <comment value="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 value="A coded specification of the anatomic site where the medication first enters the body."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.site"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationSite"/> </extension> <strength value="example"/> <description value="A coded concept describing the site location the medicine enters into or onto the body."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/approach-site-codes"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".approachSiteCode"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.route"> <path value="MedicationDispense.dosageInstruction.route"/> <short value="How drug should enter body"/> <definition value="How drug should enter body."/> <requirements value="A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.route"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RouteOfAdministration"/> </extension> <strength value="example"/> <description value="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 value="http://hl7.org/fhir/ValueSet/route-codes"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".routeCode"/> </mapping> <mapping> <identity value="qdm"/> <map value="route"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.method"> <path value="MedicationDispense.dosageInstruction.method"/> <short value="Technique for administering medication"/> <definition value="Technique for administering medication."/> <comment value="Terminologies used often pre-coordinate this term with the route and or form of administration."/> <requirements value="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 value="0"/> <max value="1"/> <base> <path value="Dosage.method"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationMethod"/> </extension> <strength value="example"/> <description value="A coded concept describing the technique by which the medicine is administered."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/administration-method-codes"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".doseQuantity"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.dose[x]"> <path value="MedicationDispense.dosageInstruction.dose[x]"/> <short value="Amount of medication per dose"/> <definition value="Amount of medication per dose."/> <comment value="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 value="The amount of therapeutic or other substance given at one administration event."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.dose[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Range"/> </type> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".doseQuantity"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod"/> <short value="Upper limit on medication per unit of time"/> <definition value="Upper limit on medication per unit of time."/> <comment value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Dosage.maxDosePerPeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".maxDoseQuantity"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerAdministration"> <path value="MedicationDispense.dosageInstruction.maxDosePerAdministration"/> <short value="Upper limit on medication per administration"/> <definition value="Upper limit on medication per administration."/> <comment value="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 value="The maximum total quantity of a therapeutic substance that may be administered to a subject per administration."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.maxDosePerAdministration"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="not supported"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerLifetime"> <path value="MedicationDispense.dosageInstruction.maxDosePerLifetime"/> <short value="Upper limit on medication per lifetime of the patient"/> <definition value="Upper limit on medication per lifetime of the patient."/> <requirements value="The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.maxDosePerLifetime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="not supported"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.rate[x]"> <path value="MedicationDispense.dosageInstruction.rate[x]"/> <short value="Amount of medication per unit of time"/> <definition value="Amount of medication per unit of time."/> <comment value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Dosage.rate[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <type> <code value="Range"/> </type> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".rateQuantity"/> </mapping> </element> <element id="MedicationDispense.substitution"> <path value="MedicationDispense.substitution"/> <short value="Whether a substitution was performed on the dispense"/> <definition value="Indicates whether or not substitution was made as part of the dispense. In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.substitution"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"/> </mapping> </element> <element id="MedicationDispense.substitution.id"> <path value="MedicationDispense.substitution.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.substitution.extension"> <path value="MedicationDispense.substitution.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.substitution.modifierExtension"> <path value="MedicationDispense.substitution.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.substitution.wasSubstituted"> <path value="MedicationDispense.substitution.wasSubstituted"/> <short value="Whether a substitution was or was not performed on the dispense"/> <definition value="True if the dispenser dispensed a different drug or product from what was prescribed."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.substitution.wasSubstituted"/> <min value="1"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="rim"/> <map value=".actionNegationInd"/> </mapping> </element> <element id="MedicationDispense.substitution.type"> <path value="MedicationDispense.substitution.type"/> <short value="Code signifying whether a different drug was dispensed from what was prescribed"/> <definition value="A code signifying whether a different drug was dispensed from what was prescribed."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.substitution.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationIntendedSubstitutionType"/> </extension> <strength value="example"/> <description value="A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="MedicationDispense.substitution.reason"> <path value="MedicationDispense.substitution.reason"/> <short value="Why was substitution made"/> <definition value="Indicates the reason for the substitution of (or lack of substitution) from what was prescribed."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.substitution.reason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationIntendedSubstitutionReason"/> </extension> <strength value="example"/> <description value="A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> </element> <element id="MedicationDispense.substitution.responsibleParty"> <path value="MedicationDispense.substitution.responsibleParty"/> <short value="Who is responsible for the substitution"/> <definition value="The person or organization that has primary responsibility for the substitution."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.substitution.responsibleParty"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <mustSupport value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PFM].role[classCode=ASSIGN]"/> </mapping> </element> <element id="MedicationDispense.detectedIssue"> <path value="MedicationDispense.detectedIssue"/> <short value="Clinical issue with action"/> <definition value="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 value="Contraindication"/> <alias value="Drug Utilization Review (DUR)"/> <alias value="Alert"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.detectedIssue"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/> </type> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"/> </mapping> </element> <element id="MedicationDispense.notDone"> <path value="MedicationDispense.notDone"/> <short value="Whether the dispense was or was not performed"/> <definition value="True if the dispense was not performed for some reason."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.notDone"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="workflow"/> <map value="…notDone"/> </mapping> <mapping> <identity value="rim"/> <map value=".actionNegationInd"/> </mapping> </element> <element id="MedicationDispense.notDoneReason[x]"> <path value="MedicationDispense.notDoneReason[x]"/> <short value="Why a dispense was not performed"/> <definition value="Indicates the reason why a dispense was not performed."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.notDoneReason[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/> </type> <mustSupport value="false"/> <mapping> <identity value="workflow"/> <map value="…notDoneReason"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="not done reason"].value"/> </mapping> <mapping> <identity value="qdm"/> <map value="negationRationale"/> </mapping> </element> <element id="MedicationDispense.eventHistory"> <path value="MedicationDispense.eventHistory"/> <short value="A list of releveant lifecycle events"/> <definition value="A summary of the events of interest that have occurred, such as when the dispense was verified."/> <comment value="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 value="0"/> <max value="*"/> <base> <path value="MedicationDispense.eventHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="MedicationDispense"> <path value="MedicationDispense"/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="Medication, Dispensed"/> </mapping> </element> <element id="MedicationDispense.id"> <path value="MedicationDispense.id"/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="id"/> </mapping> </element> <element id="MedicationDispense.extension:validityPeriod"> <path value="MedicationDispense.extension"/> <sliceName value="validityPeriod"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/medicationdispense-validityPeriod"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qidam"/> <map value="Dispense.validityPeriod"/> </mapping> <mapping> <identity value="qdm"/> <map value="relevantPeriod"/> </mapping> </element> <element id="MedicationDispense.extension:refillsRemaining"> <path value="MedicationDispense.extension"/> <sliceName value="refillsRemaining"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-refillsRemaining"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="refills"/> </mapping> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="Medication, Dispensed"/> </mapping> </element> <element id="MedicationDispense.medication[x]"> <path value="MedicationDispense.medication[x]"/> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="preferred"/> <description value="The set of RxNorm codes to represent medications"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="code"/> </mapping> </element> <element id="MedicationDispense.subject"> <path value="MedicationDispense.subject"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="MedicationDispense.performer"> <path value="MedicationDispense.performer"/> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="source"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="dosage"/> </mapping> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="supply"/> </mapping> </element> <element id="MedicationDispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver"/> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="MedicationDispense.destination"> <path value="MedicationDispense.destination"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.receiver"> <path value="MedicationDispense.receiver"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:doseType"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="doseType"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <binding> <strength value="preferred"/> <description value="Medication dose types (e.g., loading, maintenance, etc.)"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/qicore/ValueSet/qicore-medication-dose-type"/> </valueSetReference> </binding> </element> <element id="MedicationDispense.dosageInstruction.extension:infuseOver"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="infuseOver"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrement"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="rateIncrement"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:rateIncrementInterval"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="rateIncrementInterval"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:rateGoal"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="rateGoal"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:minDosePerPeriod"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="minDosePerPeriod"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryRate"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="maxDeliveryRate"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:maxDeliveryVolume"> <path value="MedicationDispense.dosageInstruction.extension"/> <sliceName value="maxDeliveryVolume"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.timing"> <path value="MedicationDispense.dosageInstruction.timing"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="frequency"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.site"> <path value="MedicationDispense.dosageInstruction.site"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.dosageInstruction.route"> <path value="MedicationDispense.dosageInstruction.route"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="route"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.dose[x]"> <path value="MedicationDispense.dosageInstruction.dose[x]"/> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="MedicationDispense.substitution"> <path value="MedicationDispense.substitution"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.substitution.responsibleParty"> <path value="MedicationDispense.substitution.responsibleParty"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="MedicationDispense.notDoneReason[x]"> <path value="MedicationDispense.notDoneReason[x]"/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="negationRationale"/> </mapping> </element> </differential> </StructureDefinition>
© HL7.org 2011+. Package hl7.fhir.us.qicore#3.2.0 based on FHIR v3.0.1-11917. Generated on 14/04/2019
Links: Search |
QA Page |
|
Propose a change