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4.15.12.3 StructureDefinition: QICore-MedicationDispense

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/medicationdispense-qicore-qicore-medicationdispense

Profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile was published on Fri, Feb 27, 2015 00:00+1100 as a draft by Health Level Seven, Inc. - CQI WG.

4.15.12.3.1 Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I1..1MedicationDispenseDispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... meta 0..1MetaMetadata about the resource
... implicitRules ?!0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... medicationdispense-validityPeriod 0..1PeriodExtension
... pharmacy-core-refillsRemaining 0..1integerExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..1IdentifierExternal identifier
... status ?! S0..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... patient S0..1patient-qicore-qicore-patientWho the dispense is for
... dispenser 0..1practitioner-qicore-qicore-practitionerPractitioner responsible for dispensing medication
... authorizingPrescription 0..*medicationprescription-qicore-qicore-medicationprescriptionMedication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: MedicationDispenseType (example)
... quantity S0..1QuantityAmount dispensed
... daysSupply S0..1QuantityDays Supply
... medication S0..1MedicationWhat medication was supplied
... whenPrepared 0..1dateTimeDispense processing time
... whenHandedOver S0..1dateTimeHandover time
... destination 0..1location-qicore-qicore-locationWhere the medication was sent
... receiver 0..*patient-qicore-qicore-patient, practitioner-qicore-qicore-practitionerWho collected the medication
... note 0..1stringInformation about the dispense
... dosageInstruction 0..*Medicine administration instructions to the patient/carer
.... pharmacy-core-doseType 0..1CodeableConceptExtension
Binding: QICoreMedicationDoseType (preferred)
.... pharmacy-core-infuseOver 0..1DurationExtension
.... pharmacy-core-rateIncrement 0..1RatioExtension
.... pharmacy-core-rateIncrementInterval 0..1DurationExtension
.... pharmacy-core-rateGoal 0..1RatioExtension
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
.... pharmacy-core-maxDeliveryRate 0..1RatioExtension
.... pharmacy-core-maxDeliveryVolume 0..1QuantityExtension
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... additionalInstructions 0..1CodeableConceptE.g. "Take with food"
.... schedule[x] S0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] 0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (required)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example)
.... route S0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example)
.... dose[x] S0..1Range, QuantityAmount of medication per dose
.... rate 0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod 0..1RatioUpper limit on medication per unit of time
... substitution 0..1Deals with substitution of one medicine for another
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type 1..1CodeableConceptType of substitiution
Binding: MedicationIntendedSubstitutionType (example)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: MedicationIntendedSubstitutionReason (example)
.... responsibleParty 0..*practitioner-qicore-qicore-practitionerWho is responsible for the substitution

todo

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I1..1MedicationDispenseDispensing a medication to a named patient
mdd-1: whenHandedOver cannot be before whenPrepared
... meta 0..1MetaMetadata about the resource
... implicitRules ?!0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... medicationdispense-validityPeriod 0..1PeriodExtension
... pharmacy-core-refillsRemaining 0..1integerExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..1IdentifierExternal identifier
... status ?! S0..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... patient S0..1patient-qicore-qicore-patientWho the dispense is for
... dispenser 0..1practitioner-qicore-qicore-practitionerPractitioner responsible for dispensing medication
... authorizingPrescription 0..*medicationprescription-qicore-qicore-medicationprescriptionMedication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: MedicationDispenseType (example)
... quantity S0..1QuantityAmount dispensed
... daysSupply S0..1QuantityDays Supply
... medication S0..1MedicationWhat medication was supplied
... whenPrepared 0..1dateTimeDispense processing time
... whenHandedOver S0..1dateTimeHandover time
... destination 0..1location-qicore-qicore-locationWhere the medication was sent
... receiver 0..*patient-qicore-qicore-patient, practitioner-qicore-qicore-practitionerWho collected the medication
... note 0..1stringInformation about the dispense
... dosageInstruction 0..*Medicine administration instructions to the patient/carer
.... pharmacy-core-doseType 0..1CodeableConceptExtension
Binding: QICoreMedicationDoseType (preferred)
.... pharmacy-core-infuseOver 0..1DurationExtension
.... pharmacy-core-rateIncrement 0..1RatioExtension
.... pharmacy-core-rateIncrementInterval 0..1DurationExtension
.... pharmacy-core-rateGoal 0..1RatioExtension
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
.... pharmacy-core-maxDeliveryRate 0..1RatioExtension
.... pharmacy-core-maxDeliveryVolume 0..1QuantityExtension
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... additionalInstructions 0..1CodeableConceptE.g. "Take with food"
.... schedule[x] S0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] 0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (required)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example)
.... route S0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example)
.... dose[x] S0..1Range, QuantityAmount of medication per dose
.... rate 0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod 0..1RatioUpper limit on medication per unit of time
... substitution 0..1Deals with substitution of one medicine for another
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type 1..1CodeableConceptType of substitiution
Binding: MedicationIntendedSubstitutionType (example)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: MedicationIntendedSubstitutionReason (example)
.... responsibleParty 0..*practitioner-qicore-qicore-practitionerWho is responsible for the substitution

XML Template

JSON Template

todo

 

Other representations of profile: (todo)

4.15.12.3.2 Terminology Bindings

PathNameConformanceValueSet
MedicationDispense.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
MedicationDispense.statusMedicationDispenseStatusrequiredMedicationDispenseStatus
MedicationDispense.typeMedicationDispenseTypeexampleActPharmacySupplyType
MedicationDispense.dosageInstruction.extension
http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType		QICoreMedicationDoseTypepreferredSNOMED CT Dietary Finding Codes
MedicationDispense.dosageInstruction.asNeeded[x]MedicationAsNeededReasonrequired
MedicationDispense.dosageInstruction.siteMedicationAdministrationSiteexampleSNOMED CT Anatomical Structure for Administration Site Codes
MedicationDispense.dosageInstruction.routeRouteOfAdministrationexampleSNOMED CT Route Codes
MedicationDispense.dosageInstruction.methodMedicationAdministrationMethodexampleSNOMED CT Introduction (procedure) for Administration Method Codes
MedicationDispense.substitution.typeMedicationIntendedSubstitutionTypeexampleActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonMedicationIntendedSubstitutionReasonexampleSubstanceAdminSubstitutionReason

4.15.12.3.3 Constraints

IdPathNameDetails
mdd-1MedicationDispenseTimingwhenHandedOver cannot be before whenPrepared
XPath: not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)
.