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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationDispense
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2022-09-28	2018-08-22	Values Differ
description	This profile sets minimum expectations for the MedicationDispense resource to record, search, and fetch the "state of a medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed)" associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific use cases.	Negation profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.	Values Differ
experimental		false	Added the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreMedicationDispenseProfile	QICoreMedicationDispenseDeclined	Values Differ
publisher	HL7 International - Cross-Group Projects	http://www.hl7.org/Special/committees/cqi/index.cfm	Values Differ
purpose
status	active
title	US Core MedicationDispense Profile	QICore MedicationDispense Declined	Values Differ
type	MedicationDispense
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense	http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined	Values Differ
version	6.0.0-ballot	5.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient	C	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	id	Logical id of this artifact	Σ	0..1	id	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: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url	Elements differ in short: 'Additional content defined by implementations' vs 'Extension' Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
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: ?? (required): A coded concept specifying the state of the dispense event.	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required): A coded concept specifying the state of the dispense event. Fixed Value: declined
statusReason[x]		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.	S	1..1	CodeableConcept	Why a dispense was not performed Binding: ?? (extensible): The reason the event did not occur or was not performed	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1' Elements differ in binding.description: 'A code describing why a dispense was not performed.' vs 'The reason the event did not occur or was not performed'
category		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x]	SΣ	1..1	CodeableConcept, Reference(US Core Medication Profile)	What medication was supplied Binding: ?? (extensible)	SΣ	1..1	CodeableConcept	What medication was supplied Binding: ?? (preferred)
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	1..1	Reference(US Core Patient Profile)	Who the dispense is for	SΣ	0..1	Reference(QICore Patient)	Who the dispense is for	Element minimum cardinalities differ: '1' vs '0'
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	S	0..*	BackboneElement	Who performed event		0..*	BackboneElement	Who performed event	Elements differ in definition for mustSupport: 'true' vs 'false'
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: ?? (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: ?? (example): A code describing the role an individual played in dispensing a medication.
actor	S	1..1	Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	Individual who was performing		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing	Elements differ in definition for mustSupport: 'true' vs 'false'
location		0..1	Reference(Location)	Where the dispense occurred		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	S	0..*	Reference(US Core MedicationRequest Profile)	Medication order that authorizes the dispense		0..*	Reference(QICore MedicationRequest)	Medication order that authorizes the dispense	Elements differ in definition for mustSupport: 'true' vs 'false'
type	S	0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (extensible)		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.	Elements differ in definition for mustSupport: 'true' vs 'false'
quantity	S	0..1	Quantity	Amount dispensed Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding		0..1	??	Amount dispensed	Elements differ in definition for mustSupport: 'true' vs 'false'
daysSupply		0..1	??	Amount of medication expressed as a timing amount		0..1	??	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	S	1..1	dateTime	When product was given out		0..1	dateTime	When product was given out	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
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	S	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	Elements differ in definition for mustSupport: 'true' vs 'false'
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	SΣ	0..1	string	Free text dosage instructions e.g. SIG	Σ	0..1	string	Free text dosage instructions e.g. SIG	Elements differ in definition for mustSupport: 'true' vs 'false'
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
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: ?? (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: ?? (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: ?? (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: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (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: ?? (preferred)	Elements differ in definition for mustSupport: 'false' vs 'true'
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (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	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	SΣ	1..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (preferred): Medication dose types (e.g., loading, maintenance, etc.)	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1' Example/preferred bindings differ at MedicationDispense.dosageInstruction.doseAndRate.type using binding from QICoreMedicationDispenseDeclined Elements differ in binding.description: 'The kind of dose or rate specified.' vs 'Medication dose types (e.g., loading, maintenance, etc.)'
dose[x]	SΣ	0..1	Quantity S, Range	Amount of medication per dose Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding	SΣ	0..1	Range, ??	Amount of medication per dose
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	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	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	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: ?? (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: ?? (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: ?? (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: ?? (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