Left: | QICoreMedicationDispenseNotDone (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotdispensed) |
Right: | QICoreMedicationDispenseNotDone (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotdispensed) |
Error | StructureDefinition.version | Values for version differ: '4.1.0' vs '4.1.1' |
Error | MedicationDispense.subject | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]]) |
Error | MedicationDispense.authorizingPrescription | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest]]) |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationDispense | ||
copyright | |||
date | 2018-08-22 | ||
description | Negation profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. | ||
experimental | false | ||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | QICoreMedicationDispenseNotDone | ||
publisher | http://www.hl7.org/Special/committees/cqi/index.cfm | ||
purpose | |||
status | draft | ||
title | |||
type | MedicationDispense | ||
url | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotdispensed | ||
version | 4.1.0 | 4.1.1 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
MedicationDispense | I | 0..* | MedicationDispense | Dispensing a medication to a named patient mnd-1: To indicate what medication was not dispensed, either at least one coding in the medication or a notDoneValueSet extension shall be provided | I | 0..* | MedicationDispense | Dispensing a medication to a named patient mnd-1: To indicate what medication was not dispensed, either at least one coding in the medication or a notDoneValueSet extension shall be provided | |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | string | Logical id of this artifact | |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |
identifier | 0..* | Identifier | External identifier | 0..* | Identifier | External identifier | |||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of | 0..* | Reference(Procedure) | Event that dispense is part of | |||
status | ?!SΣ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Fixed Value: declined | ?!SΣ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Fixed Value: declined | |
statusReason[x] | S | 1..1 | CodeableConcept | Why a dispense was not performed Binding: Negation Reason Codes (extensible): The reason the event did not occur or was not performed | S | 1..1 | CodeableConcept | Why a dispense was not performed Binding: Negation Reason Codes (extensible): The reason the event did not occur or was not performed | |
category | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | |||
medication[x] | SΣ | 1..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | SΣ | 1..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | |
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||
coding | Σ | 0..* | Coding | Code defined by a terminology system | Σ | 0..* | Coding | Code defined by a terminology system | |
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept | |
subject | SΣ | 0..1 | Reference(QICorePatient) | Who the dispense is for | SΣ | 0..1 | Reference(QICorePatient) | Who the dispense is for |
|
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||
performer | 0..* | BackboneElement | Who performed event | 0..* | BackboneElement | Who performed event | |||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
function | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | |||
actor | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing | |||
location | 0..1 | Reference(Location) | Where the dispense occurred | 0..1 | Reference(Location) | Where the dispense occurred | |||
authorizingPrescription | 0..* | Reference(QICoreMedicationRequest) | Medication order that authorizes the dispense | 0..* | Reference(QICoreMedicationRequest) | Medication order that authorizes the dispense |
| ||
type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||
quantity | 0..1 | SimpleQuantity | Amount dispensed | 0..1 | SimpleQuantity | Amount dispensed | |||
daysSupply | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | Σ | 0..1 | dateTime | When product was packaged and reviewed | |
whenHandedOver | 0..1 | dateTime | When product was given out | 0..1 | dateTime | When product was given out | |||
destination | 0..1 | Reference(Location) | Where the medication was sent | 0..1 | Reference(Location) | Where the medication was sent | |||
receiver | 0..* | Reference(Patient | Practitioner) | Who collected the medication | 0..* | Reference(Patient | Practitioner) | Who collected the medication | |||
note | 0..* | Annotation | Information about the dispense | 0..* | Annotation | Information about the dispense | |||
dosageInstruction | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver | |||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
sequence | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions | |
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG | Σ | 0..1 | string | Free text dosage instructions e.g. SIG | |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions | |
timing | SΣ | 0..1 | Timing | When medication should be administered | SΣ | 0..1 | Timing | When medication should be administered | |
asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |
route | SΣ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | SΣ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |
doseAndRate | SΣ | 0..* | Element | Amount of medication administered | SΣ | 0..* | Element | Amount of medication administered | |
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||
type | SΣ | 1..1 | CodeableConcept | The kind of dose or rate specified Binding: SNOMED CT Dosages Codes (preferred): Medication dose types (e.g., loading, maintenance, etc.) | SΣ | 1..1 | CodeableConcept | The kind of dose or rate specified Binding: SNOMED CT Dosages Codes (preferred): Medication dose types (e.g., loading, maintenance, etc.) | |
dose[x] | SΣ | 0..1 | Range, SimpleQuantity | Amount of medication per dose | SΣ | 0..1 | Range, SimpleQuantity | Amount of medication per dose | |
rate[x] | Σ | 0..1 | Ratio, Range, SimpleQuantity | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, SimpleQuantity | Amount of medication per unit of time | |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | |
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | |
substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||
reason | 0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | 0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||
responsibleParty | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | |||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||
Documentation for this format |