Generated Narrative: StructureDefinition ext-R2-MedicationDispense.dosageInstruction Name Flags Card. Type Description & Constraints Extension 0..* Extension(4.0.1) Medicine administration instructions to the patient/caregiver #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:text 0..1 Extension Dosage Instructions #xD; url 1..1 uri "text" #xD; value[x] 0..1 string Dosage Instructions #xD; extension:additionalInstructions 0..1 Extension E.g. "Take with food" #xD; url 1..1 uri "additionalInstructions" #xD; value[x] 0..1 CodeableConcept E.g. "Take with food" #xD; <a href="StructureDefinition-ext-R2-MedicationDispense.dosageInstruction-definitions.html#Extension.extension:timing" title="Slice timing: 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".">extension:timing 0..1 Extension When medication should be administered #xD; url 1..1 uri "timing" #xD; <a href="StructureDefinition-ext-R2-MedicationDispense.dosageInstruction-definitions.html#Extension.extension:timing.value[x]" title="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".">value[x] 0..1 Timing When medication should be administered #xD; <a href="StructureDefinition-ext-R2-MedicationDispense.dosageInstruction-definitions.html#Extension.extension:asNeeded[x]" title="Slice asNeeded[x]: 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). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.">extension:asNeeded[x] 0..1 Extension Take "as needed" f(or x) #xD; url 1..1 uri "asNeeded[x]" #xD; <a href="StructureDefinition-ext-R2-MedicationDispense.dosageInstruction-definitions.html#Extension.extension:asNeeded[x].value[x]" title="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). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.">value[x] 0..1 Take "as needed" f(or x) #xD; valueBoolean boolean #xD; valueCodeableConcept CodeableConcept #xD; extension:site[x] 0..1 Extension Body site to administer to #xD; url 1..1 uri "site[x]" #xD; value[x] 0..1 Body site to administer to Binding: R2_approach_site_codes_for_R4 (0.0.1-snapshot-2) (example): A coded concept describing the site location the medicine enters into or onto the body #xD; valueCodeableConcept CodeableConcept #xD; valueReference Reference(Any) #xD; extension:route 0..1 Extension How drug should enter body #xD; url 1..1 uri "route" #xD; value[x] 0..1 CodeableConcept How drug should enter body Binding: R2_route_codes_for_R4 (0.0.1-snapshot-2) (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject #xD; extension:method 0..1 Extension Technique for administering medication #xD; url 1..1 uri "method" #xD; value[x] 0..1 CodeableConcept Technique for administering medication #xD; extension:dose[x] 0..1 Extension Amount of medication per dose #xD; url 1..1 uri "dose[x]" #xD; value[x] 0..1 Amount of medication per dose #xD; valueRange Range #xD; valueQuantity Quantity(SimpleQuantity) #xD; <a href="StructureDefinition-ext-R2-MedicationDispense.dosageInstruction-definitions.html#Extension.extension:rate[x]" title="Slice rate[x]: 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. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.">extension:rate[x] 0..1 Extension Amount of medication per unit of time #xD; url 1..1 uri "rate[x]" #xD; <a href="StructureDefinition-ext-R2-MedicationDispense.dosageInstruction-definitions.html#Extension.extension:rate[x].value[x]" title="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. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.">value[x] 0..1 Amount of medication per unit of time #xD; valueRatio Ratio #xD; valueRange Range #xD; extension:maxDosePerPeriod 0..1 Extension Upper limit on medication per unit of time #xD; url 1..1 uri "maxDosePerPeriod" #xD; value[x] 0..1 Ratio Upper limit on medication per unit of time #xD; url 1..1 uri "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction" #xD; Documentation for this format
Cross-version Extension for R2.MedicationDispense.dosageInstruction for use in FHIR R4
This cross-version extension represents MedicationDispense.dosageInstruction from http://hl7.org/fhir/StructureDefinition/MedicationDispense|1.0.2 for use in FHIR R4.
Medicine administration instructions to the patient/caregiver
Indicates how the medication is to be used by the patient.
`MedicationDispense.dosageInstruction` maps to R4 `MedicationDispense.dosageInstruction`. So is mapped as SourceIsNarrowerThanTarget.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Free text dosage instructions can be used for cases where the instructions are too complex to code. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication.
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. 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.
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.
Source of the definition for the extension code - a logical name or a URL.
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.
Additional instructions such as "Swallow with plenty of water" which may or may not be coded.
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".
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). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.
A coded specification of the anatomic site where the medication first enters the body.
A coded concept describing the site location the medicine enters into or onto the body
A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.
A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject
A coded value indicating the method by which the medication is intended to be or was introduced into or on the body.
The amount of therapeutic or other substance given at one administration event.
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. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
Upper limit on medication per unit of time
The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time, e.g. 1000mg in 24 hours.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).