Extensions for Using Data Elements from FHIR R5 in FHIR R4B
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Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_DeviceDispense_R4B - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-DeviceDispense resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Basic
Definition

Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.

ShortResource for non-supported content
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate NamesZ-resource, Extension-resource, Custom-resource
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Basic.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Basic.extension
Definition

An Extension


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.

ShortExtensionAdditional content defined by implementations
Comments

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.

Control10..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Basic.extension:basedOn
    Slice NamebasedOn
    Definition

    R5: DeviceDispense.basedOn (new:Reference(CarePlan,DeviceRequest))

    ShortR5: The order or request that this dispense is fulfilling (new)
    Comments

    Element DeviceDispense.basedOn is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.basedOn has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The order or request that this dispense is fulfilling (new)) (Extension Type: Reference(Cross-version Profile for R5.CarePlan for use in FHIR R4B, CarePlan, Cross-version Profile for R5.DeviceRequest for use in FHIR R4B, DeviceRequest))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Basic.extension:partOf
    Slice NamepartOf
    Definition

    R5: DeviceDispense.partOf (new:Reference(Procedure))

    ShortR5: The bigger event that this dispense is a part of (new)
    Comments

    Element DeviceDispense.partOf is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.partOf has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The bigger event that this dispense is a part of (new)) (Extension Type: Reference(Cross-version Profile for R5.Procedure for use in FHIR R4B, Procedure))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Basic.extension:statusReason
    Slice NamestatusReason
    Definition

    R5: DeviceDispense.statusReason (new:CodeableReference(DetectedIssue))

    ShortR5: Why a dispense was or was not performed (new)
    Comments

    Element DeviceDispense.statusReason is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.statusReason has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Why a dispense was or was not performed (new)) (Extension Type: CodeableReference(Cross-version Profile for R5.DetectedIssue for use in FHIR R4B, DetectedIssue))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Basic.extension:category
    Slice Namecategory
    Definition

    R5: DeviceDispense.category (new:CodeableConcept)

    ShortR5: Type of device dispense (new)
    Comments

    Element DeviceDispense.category is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.category has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The category can be used to include where the device is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Type of device dispense (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Basic.extension:device
    Slice Namedevice
    Definition

    R5: DeviceDispense.device (new:CodeableReference(Device,DeviceDefinition))

    ShortR5: What device was supplied (new)
    Comments

    Element DeviceDispense.device is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.device has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: What device was supplied (new)) (Extension Type: CodeableReference(Cross-version Profile for R5.Device for use in FHIR R4B, Device, Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B, DeviceDefinition))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Basic.extension:receiver
    Slice Namereceiver
    Definition

    R5: DeviceDispense.receiver (new:Reference(Patient,Practitioner,RelatedPerson,Location,PractitionerRole))

    ShortR5: Who collected the device or where the medication was delivered (new)
    Comments

    Element DeviceDispense.receiver is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.receiver has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Who collected the device or where the medication was delivered (new)) (Extension Type: Reference(Cross-version Profile for R5.Patient for use in FHIR R4B, Patient, Cross-version Profile for R5.Practitioner for use in FHIR R4B, Practitioner, Cross-version Profile for R5.RelatedPerson for use in FHIR R4B, RelatedPerson, Cross-version Profile for R5.Location for use in FHIR R4B, Location, Cross-version Profile for R5.PractitionerRole for use in FHIR R4B, PractitionerRole))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Basic.extension:encounter
    Slice Nameencounter
    Definition

    R5: DeviceDispense.encounter (new:Reference(Encounter))

    ShortR5: Encounter associated with event (new)
    Comments

    Element DeviceDispense.encounter is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.encounter has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Encounter associated with event (new)) (Extension Type: Reference(Cross-version Profile for R5.Encounter for use in FHIR R4B, Encounter))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. Basic.extension:supportingInformation
    Slice NamesupportingInformation
    Definition

    R5: DeviceDispense.supportingInformation (new:Reference(Resource))

    ShortR5: Information that supports the dispensing of the device (new)
    Comments

    Element DeviceDispense.supportingInformation is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.supportingInformation has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Information that supports the dispensing of the device (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4B, Resource))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Basic.extension:performer
    Slice Nameperformer
    Definition

    R5: DeviceDispense.performer (new:BackboneElement)

    ShortR5: Who performed event (new)
    Comments

    Element DeviceDispense.performer is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.performer has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Who performed event (new)) (Complex Extension)
    Is Modifierfalse
    Must Supportfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Basic.extension:location
    Slice Namelocation
    Definition

    R5: DeviceDispense.location (new:Reference(Location))

    ShortR5: Where the dispense occurred (new)
    Comments

    Element DeviceDispense.location is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.location has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Where the dispense occurred (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4B, Location))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    26. Basic.extension:type
    Slice Nametype
    Definition

    R5: DeviceDispense.type (new:CodeableConcept)

    ShortR5: Trial fill, partial fill, emergency fill, etc (new)
    Comments

    Element DeviceDispense.type is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.type has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Trial fill, partial fill, emergency fill, etc (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. Basic.extension:quantity
    Slice Namequantity
    Definition

    R5: DeviceDispense.quantity (new:Quantity[SimpleQuantity])

    ShortR5: Amount dispensed (new)
    Comments

    Element DeviceDispense.quantity is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.quantity has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Amount dispensed (new)) (Extension Type: Quantity(SimpleQuantity))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. Basic.extension:preparedDate
    Slice NamepreparedDate
    Definition

    R5: DeviceDispense.preparedDate (new:dateTime)

    ShortR5: When product was packaged and reviewed (new)
    Comments

    Element DeviceDispense.preparedDate is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.preparedDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: When product was packaged and reviewed (new)) (Extension Type: dateTime)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    32. Basic.extension:whenHandedOver
    Slice NamewhenHandedOver
    Definition

    R5: DeviceDispense.whenHandedOver (new:dateTime)

    ShortR5: When product was given out (new)
    Comments

    Element DeviceDispense.whenHandedOver is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.whenHandedOver has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: When product was given out (new)) (Extension Type: dateTime)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    34. Basic.extension:destination
    Slice Namedestination
    Definition

    R5: DeviceDispense.destination (new:Reference(Location))

    ShortR5: Where the device was sent or should be sent (new)
    Comments

    Element DeviceDispense.destination is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.destination has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Where the device was sent or should be sent (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4B, Location))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    36. Basic.extension:note
    Slice Namenote
    Definition

    R5: DeviceDispense.note (new:Annotation)

    ShortR5: Information about the dispense (new)
    Comments

    Element DeviceDispense.note is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.note has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Information about the dispense (new)) (Extension Type: Annotation)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    38. Basic.extension:usageInstruction
    Slice NameusageInstruction
    Definition

    R5: DeviceDispense.usageInstruction (new:markdown)

    ShortR5: Full representation of the usage instructions (new)
    Comments

    Element DeviceDispense.usageInstruction is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.usageInstruction has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Full representation of the usage instructions (new)) (Extension Type: markdown)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    40. Basic.extension:eventHistory
    Slice NameeventHistory
    Definition

    R5: DeviceDispense.eventHistory (new:Reference(Provenance))

    ShortR5: A list of relevant lifecycle events (new)
    Comments

    Element DeviceDispense.eventHistory is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.eventHistory has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This might 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.).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: A list of relevant lifecycle events (new)) (Extension Type: Reference(Cross-version Profile for R5.Provenance for use in FHIR R4B, Provenance))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    42. Basic.modifierExtension
    Definition

    An Extension


    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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensionExtensions that cannot be ignored
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Must Supportfalse
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 44. Basic.modifierExtension:status
      Slice Namestatus
      Definition

      R5: DeviceDispense.status (new:code)

      ShortR5: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (new)
      Comments

      Element DeviceDispense.status is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.status has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

      Control1..1
      This element is affected by the following invariants: ele-1
      TypeExtension(R5: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (new)) (Extension Type: code)
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      46. Basic.code
      Definition

      Identifies the 'type' of resource - equivalent to the resource name for other resources.

      ShortKind of Resource
      Comments

      Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.

      This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.

      Control1..1
      BindingFor example codes, see BasicResourceTypeshttp://hl7.org/fhir/ValueSet/basic-resource-type|4.3.0
      (example to http://hl7.org/fhir/ValueSet/basic-resource-type|4.3.0)

      HL7-maintained set of codes for "Basic" resources

      TypeCodeableConcept
      Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
      Must Supportfalse
      Summarytrue
      Requirements

      Must be able to distinguish different types of Basic resources.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Guidance on how to interpret the contents of this table can be foundhere

      0. Basic
      2. Basic.extension
      Control1..*
      SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 4. Basic.extension:basedOn
        Slice NamebasedOn
        Definition

        R5: DeviceDispense.basedOn (new:Reference(CarePlan,DeviceRequest))

        ShortR5: The order or request that this dispense is fulfilling (new)
        Comments

        Element DeviceDispense.basedOn is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.basedOn has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: The order or request that this dispense is fulfilling (new)) (Extension Type: Reference(Cross-version Profile for R5.CarePlan for use in FHIR R4B, CarePlan, Cross-version Profile for R5.DeviceRequest for use in FHIR R4B, DeviceRequest))
        6. Basic.extension:partOf
        Slice NamepartOf
        Definition

        R5: DeviceDispense.partOf (new:Reference(Procedure))

        ShortR5: The bigger event that this dispense is a part of (new)
        Comments

        Element DeviceDispense.partOf is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.partOf has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: The bigger event that this dispense is a part of (new)) (Extension Type: Reference(Cross-version Profile for R5.Procedure for use in FHIR R4B, Procedure))
        8. Basic.extension:statusReason
        Slice NamestatusReason
        Definition

        R5: DeviceDispense.statusReason (new:CodeableReference(DetectedIssue))

        ShortR5: Why a dispense was or was not performed (new)
        Comments

        Element DeviceDispense.statusReason is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.statusReason has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Why a dispense was or was not performed (new)) (Extension Type: CodeableReference(Cross-version Profile for R5.DetectedIssue for use in FHIR R4B, DetectedIssue))
        10. Basic.extension:category
        Slice Namecategory
        Definition

        R5: DeviceDispense.category (new:CodeableConcept)

        ShortR5: Type of device dispense (new)
        Comments

        Element DeviceDispense.category is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.category has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The category can be used to include where the device is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.

        Control0..*
        TypeExtension(R5: Type of device dispense (new)) (Extension Type: CodeableConcept)
        12. Basic.extension:device
        Slice Namedevice
        Definition

        R5: DeviceDispense.device (new:CodeableReference(Device,DeviceDefinition))

        ShortR5: What device was supplied (new)
        Comments

        Element DeviceDispense.device is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.device has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control1..1
        TypeExtension(R5: What device was supplied (new)) (Extension Type: CodeableReference(Cross-version Profile for R5.Device for use in FHIR R4B, Device, Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B, DeviceDefinition))
        14. Basic.extension:receiver
        Slice Namereceiver
        Definition

        R5: DeviceDispense.receiver (new:Reference(Patient,Practitioner,RelatedPerson,Location,PractitionerRole))

        ShortR5: Who collected the device or where the medication was delivered (new)
        Comments

        Element DeviceDispense.receiver is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.receiver has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Who collected the device or where the medication was delivered (new)) (Extension Type: Reference(Cross-version Profile for R5.Patient for use in FHIR R4B, Patient, Cross-version Profile for R5.Practitioner for use in FHIR R4B, Practitioner, Cross-version Profile for R5.RelatedPerson for use in FHIR R4B, RelatedPerson, Cross-version Profile for R5.Location for use in FHIR R4B, Location, Cross-version Profile for R5.PractitionerRole for use in FHIR R4B, PractitionerRole))
        16. Basic.extension:encounter
        Slice Nameencounter
        Definition

        R5: DeviceDispense.encounter (new:Reference(Encounter))

        ShortR5: Encounter associated with event (new)
        Comments

        Element DeviceDispense.encounter is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.encounter has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Encounter associated with event (new)) (Extension Type: Reference(Cross-version Profile for R5.Encounter for use in FHIR R4B, Encounter))
        18. Basic.extension:supportingInformation
        Slice NamesupportingInformation
        Definition

        R5: DeviceDispense.supportingInformation (new:Reference(Resource))

        ShortR5: Information that supports the dispensing of the device (new)
        Comments

        Element DeviceDispense.supportingInformation is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.supportingInformation has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: Information that supports the dispensing of the device (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4B, Resource))
        20. Basic.extension:performer
        Slice Nameperformer
        Definition

        R5: DeviceDispense.performer (new:BackboneElement)

        ShortR5: Who performed event (new)
        Comments

        Element DeviceDispense.performer is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.performer has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: Who performed event (new)) (Complex Extension)
        22. Basic.extension:location
        Slice Namelocation
        Definition

        R5: DeviceDispense.location (new:Reference(Location))

        ShortR5: Where the dispense occurred (new)
        Comments

        Element DeviceDispense.location is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.location has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Where the dispense occurred (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4B, Location))
        24. Basic.extension:type
        Slice Nametype
        Definition

        R5: DeviceDispense.type (new:CodeableConcept)

        ShortR5: Trial fill, partial fill, emergency fill, etc (new)
        Comments

        Element DeviceDispense.type is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.type has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Trial fill, partial fill, emergency fill, etc (new)) (Extension Type: CodeableConcept)
        26. Basic.extension:quantity
        Slice Namequantity
        Definition

        R5: DeviceDispense.quantity (new:Quantity[SimpleQuantity])

        ShortR5: Amount dispensed (new)
        Comments

        Element DeviceDispense.quantity is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.quantity has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Amount dispensed (new)) (Extension Type: Quantity(SimpleQuantity))
        28. Basic.extension:preparedDate
        Slice NamepreparedDate
        Definition

        R5: DeviceDispense.preparedDate (new:dateTime)

        ShortR5: When product was packaged and reviewed (new)
        Comments

        Element DeviceDispense.preparedDate is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.preparedDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: When product was packaged and reviewed (new)) (Extension Type: dateTime)
        30. Basic.extension:whenHandedOver
        Slice NamewhenHandedOver
        Definition

        R5: DeviceDispense.whenHandedOver (new:dateTime)

        ShortR5: When product was given out (new)
        Comments

        Element DeviceDispense.whenHandedOver is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.whenHandedOver has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: When product was given out (new)) (Extension Type: dateTime)
        32. Basic.extension:destination
        Slice Namedestination
        Definition

        R5: DeviceDispense.destination (new:Reference(Location))

        ShortR5: Where the device was sent or should be sent (new)
        Comments

        Element DeviceDispense.destination is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.destination has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Where the device was sent or should be sent (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4B, Location))
        34. Basic.extension:note
        Slice Namenote
        Definition

        R5: DeviceDispense.note (new:Annotation)

        ShortR5: Information about the dispense (new)
        Comments

        Element DeviceDispense.note is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.note has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: Information about the dispense (new)) (Extension Type: Annotation)
        36. Basic.extension:usageInstruction
        Slice NameusageInstruction
        Definition

        R5: DeviceDispense.usageInstruction (new:markdown)

        ShortR5: Full representation of the usage instructions (new)
        Comments

        Element DeviceDispense.usageInstruction is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.usageInstruction has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content.

        Control0..1
        TypeExtension(R5: Full representation of the usage instructions (new)) (Extension Type: markdown)
        38. Basic.extension:eventHistory
        Slice NameeventHistory
        Definition

        R5: DeviceDispense.eventHistory (new:Reference(Provenance))

        ShortR5: A list of relevant lifecycle events (new)
        Comments

        Element DeviceDispense.eventHistory is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.eventHistory has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This might 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.).

        Control0..*
        TypeExtension(R5: A list of relevant lifecycle events (new)) (Extension Type: Reference(Cross-version Profile for R5.Provenance for use in FHIR R4B, Provenance))
        40. Basic.modifierExtension
        Control0..*
        SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 42. Basic.modifierExtension:status
          Slice Namestatus
          Definition

          R5: DeviceDispense.status (new:code)

          ShortR5: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (new)
          Comments

          Element DeviceDispense.status is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.status has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

          Control1..1
          TypeExtension(R5: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (new)) (Extension Type: code)

          Guidance on how to interpret the contents of this table can be foundhere

          0. Basic
          Definition

          Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.

          ShortResource for non-supported content
          Control0..*
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate NamesZ-resource, Extension-resource, Custom-resource
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. Basic.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Must Supportfalse
          Summarytrue
          4. Basic.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Basic.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Basic.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          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).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.3.0)

          IETF language tag

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Basic.text
          Definition

          A human-readable narrative that contains a summary of the resource and can 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.

          ShortText summary of the resource, for human interpretation
          Comments

          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 information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Basic.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          Invariantsdom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems (($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic))
          14. Basic.extension
          Definition

          An Extension

          ShortExtension
          Control1..*
          TypeExtension
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. Basic.extension:basedOn
            Slice NamebasedOn
            Definition

            R5: DeviceDispense.basedOn (new:Reference(CarePlan,DeviceRequest))

            ShortR5: The order or request that this dispense is fulfilling (new)
            Comments

            Element DeviceDispense.basedOn is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.basedOn has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The order or request that this dispense is fulfilling (new)) (Extension Type: Reference(Cross-version Profile for R5.CarePlan for use in FHIR R4B, CarePlan, Cross-version Profile for R5.DeviceRequest for use in FHIR R4B, DeviceRequest))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Basic.extension:partOf
            Slice NamepartOf
            Definition

            R5: DeviceDispense.partOf (new:Reference(Procedure))

            ShortR5: The bigger event that this dispense is a part of (new)
            Comments

            Element DeviceDispense.partOf is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.partOf has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The bigger event that this dispense is a part of (new)) (Extension Type: Reference(Cross-version Profile for R5.Procedure for use in FHIR R4B, Procedure))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. Basic.extension:statusReason
            Slice NamestatusReason
            Definition

            R5: DeviceDispense.statusReason (new:CodeableReference(DetectedIssue))

            ShortR5: Why a dispense was or was not performed (new)
            Comments

            Element DeviceDispense.statusReason is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.statusReason has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Why a dispense was or was not performed (new)) (Extension Type: CodeableReference(Cross-version Profile for R5.DetectedIssue for use in FHIR R4B, DetectedIssue))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. Basic.extension:category
            Slice Namecategory
            Definition

            R5: DeviceDispense.category (new:CodeableConcept)

            ShortR5: Type of device dispense (new)
            Comments

            Element DeviceDispense.category is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.category has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The category can be used to include where the device is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Type of device dispense (new)) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            24. Basic.extension:device
            Slice Namedevice
            Definition

            R5: DeviceDispense.device (new:CodeableReference(Device,DeviceDefinition))

            ShortR5: What device was supplied (new)
            Comments

            Element DeviceDispense.device is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.device has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control1..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: What device was supplied (new)) (Extension Type: CodeableReference(Cross-version Profile for R5.Device for use in FHIR R4B, Device, Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B, DeviceDefinition))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            26. Basic.extension:receiver
            Slice Namereceiver
            Definition

            R5: DeviceDispense.receiver (new:Reference(Patient,Practitioner,RelatedPerson,Location,PractitionerRole))

            ShortR5: Who collected the device or where the medication was delivered (new)
            Comments

            Element DeviceDispense.receiver is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.receiver has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Who collected the device or where the medication was delivered (new)) (Extension Type: Reference(Cross-version Profile for R5.Patient for use in FHIR R4B, Patient, Cross-version Profile for R5.Practitioner for use in FHIR R4B, Practitioner, Cross-version Profile for R5.RelatedPerson for use in FHIR R4B, RelatedPerson, Cross-version Profile for R5.Location for use in FHIR R4B, Location, Cross-version Profile for R5.PractitionerRole for use in FHIR R4B, PractitionerRole))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Basic.extension:encounter
            Slice Nameencounter
            Definition

            R5: DeviceDispense.encounter (new:Reference(Encounter))

            ShortR5: Encounter associated with event (new)
            Comments

            Element DeviceDispense.encounter is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.encounter has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Encounter associated with event (new)) (Extension Type: Reference(Cross-version Profile for R5.Encounter for use in FHIR R4B, Encounter))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            30. Basic.extension:supportingInformation
            Slice NamesupportingInformation
            Definition

            R5: DeviceDispense.supportingInformation (new:Reference(Resource))

            ShortR5: Information that supports the dispensing of the device (new)
            Comments

            Element DeviceDispense.supportingInformation is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.supportingInformation has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Information that supports the dispensing of the device (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4B, Resource))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            32. Basic.extension:performer
            Slice Nameperformer
            Definition

            R5: DeviceDispense.performer (new:BackboneElement)

            ShortR5: Who performed event (new)
            Comments

            Element DeviceDispense.performer is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.performer has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Who performed event (new)) (Complex Extension)
            Is Modifierfalse
            Must Supportfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            34. Basic.extension:location
            Slice Namelocation
            Definition

            R5: DeviceDispense.location (new:Reference(Location))

            ShortR5: Where the dispense occurred (new)
            Comments

            Element DeviceDispense.location is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.location has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Where the dispense occurred (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4B, Location))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            36. Basic.extension:type
            Slice Nametype
            Definition

            R5: DeviceDispense.type (new:CodeableConcept)

            ShortR5: Trial fill, partial fill, emergency fill, etc (new)
            Comments

            Element DeviceDispense.type is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.type has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Trial fill, partial fill, emergency fill, etc (new)) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            38. Basic.extension:quantity
            Slice Namequantity
            Definition

            R5: DeviceDispense.quantity (new:Quantity[SimpleQuantity])

            ShortR5: Amount dispensed (new)
            Comments

            Element DeviceDispense.quantity is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.quantity has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Amount dispensed (new)) (Extension Type: Quantity(SimpleQuantity))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            40. Basic.extension:preparedDate
            Slice NamepreparedDate
            Definition

            R5: DeviceDispense.preparedDate (new:dateTime)

            ShortR5: When product was packaged and reviewed (new)
            Comments

            Element DeviceDispense.preparedDate is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.preparedDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: When product was packaged and reviewed (new)) (Extension Type: dateTime)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            42. Basic.extension:whenHandedOver
            Slice NamewhenHandedOver
            Definition

            R5: DeviceDispense.whenHandedOver (new:dateTime)

            ShortR5: When product was given out (new)
            Comments

            Element DeviceDispense.whenHandedOver is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.whenHandedOver has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: When product was given out (new)) (Extension Type: dateTime)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            44. Basic.extension:destination
            Slice Namedestination
            Definition

            R5: DeviceDispense.destination (new:Reference(Location))

            ShortR5: Where the device was sent or should be sent (new)
            Comments

            Element DeviceDispense.destination is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.destination has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Where the device was sent or should be sent (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4B, Location))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            46. Basic.extension:note
            Slice Namenote
            Definition

            R5: DeviceDispense.note (new:Annotation)

            ShortR5: Information about the dispense (new)
            Comments

            Element DeviceDispense.note is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.note has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Information about the dispense (new)) (Extension Type: Annotation)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            48. Basic.extension:usageInstruction
            Slice NameusageInstruction
            Definition

            R5: DeviceDispense.usageInstruction (new:markdown)

            ShortR5: Full representation of the usage instructions (new)
            Comments

            Element DeviceDispense.usageInstruction is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.usageInstruction has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Full representation of the usage instructions (new)) (Extension Type: markdown)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            50. Basic.extension:eventHistory
            Slice NameeventHistory
            Definition

            R5: DeviceDispense.eventHistory (new:Reference(Provenance))

            ShortR5: A list of relevant lifecycle events (new)
            Comments

            Element DeviceDispense.eventHistory is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.eventHistory has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This might 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.).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: A list of relevant lifecycle events (new)) (Extension Type: Reference(Cross-version Profile for R5.Provenance for use in FHIR R4B, Provenance))
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            52. Basic.modifierExtension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 54. Basic.modifierExtension:status
              Slice Namestatus
              Definition

              R5: DeviceDispense.status (new:code)

              ShortR5: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (new)
              Comments

              Element DeviceDispense.status is not mapped to FHIR R4B, since FHIR R5 DeviceDispense is not mapped. Element DeviceDispense.status has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

              Control1..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (new)) (Extension Type: code)
              Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              56. Basic.identifier
              Definition

              Identifier assigned to the resource for business purposes, outside the context of FHIR.

              ShortBusiness identifier
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. Basic.code
              Definition

              Identifies the 'type' of resource - equivalent to the resource name for other resources.

              ShortKind of Resource
              Comments

              Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.

              This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.

              Control1..1
              BindingFor example codes, see BasicResourceTypes
              (example to http://hl7.org/fhir/ValueSet/basic-resource-type|4.3.0)

              HL7-maintained set of codes for "Basic" resources

              TypeCodeableConcept
              Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
              Must Supportfalse
              Summarytrue
              Requirements

              Must be able to distinguish different types of Basic resources.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              60. Basic.subject
              Definition

              Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource.

              ShortIdentifies the focus of this resource
              Comments

              Optional as not all potential resources will have subjects. Resources associated with multiple subjects can handle this via extension.

              Control0..1
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Requirements

              Needed for partitioning the resource by Patient.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. Basic.created
              Definition

              Identifies when the resource was first created.

              ShortWhen created
              Control0..1
              Typedate
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Requirements

              Allows ordering resource instances by time.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              64. Basic.author
              Definition

              Indicates who was responsible for creating the resource instance.

              ShortWho created
              Control0..1
              TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Requirements

              Needed for partitioning the resource.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))