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Formal definitions for the elements in the MedicationDispense resource.
| MedicationDispense | |
| Definition | Dispensing a medication to a named patient. This includes a description of the supply provided and the instructions for administering the medication. |
| Control | 1..1 |
| MedicationDispense.identifier | |
| Definition | Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR. |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | true |
| MedicationDispense.status | |
| Definition | A code specifying the state of the set of dispense events. |
| Control | 0..1 |
| Binding | MedicationDispenseStatus: A code specifying the state of the dispense event. (see http://hl7.org/fhir/medication-dispense-status for values) |
| Type | code |
| Is Modifier | true |
| MedicationDispense.patient | |
| Definition | A link to a resource representing the person to whom the medication will be given. |
| Control | 0..1 |
| Type | Resource(Patient) |
| Comments | SubstanceAdministration->subject->Patient. |
| MedicationDispense.dispenser | |
| Definition | The individual responsible for dispensing the medication. |
| Control | 0..1 |
| Type | Resource(Practitioner) |
| MedicationDispense.authorizingPrescription | |
| Definition | Indicates the medication order that is being dispensed against. |
| Control | 0..* |
| Type | Resource(MedicationPrescription) |
| MedicationDispense.dispense | |
| Definition | Indicates the details of the dispense event such as the days supply and quantity of medication dispensed. |
| Control | 0..* |
| Invariants | Defined on this element Inv-1: whenHandedOver cannot be before whenPrepared (xpath: not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)) |
| MedicationDispense.dispense.identifier | |
| Definition | Identifier assigned by the dispensing facility. This is an identifier assigned outside FHIR. |
| Control | 0..1 |
| Type | Identifier |
| MedicationDispense.dispense.status | |
| Definition | A code specifying the state of the dispense event. |
| Control | 0..1 |
| Binding | MedicationDispenseStatus: A code specifying the state of the dispense event. (see http://hl7.org/fhir/medication-dispense-status for values) |
| Type | code |
| Is Modifier | true |
| MedicationDispense.dispense.type | |
| Definition | Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. |
| Control | 0..1 |
| Binding | MedicationDispenseType: Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. (Value Set Definition) |
| Type | CodeableConcept |
| MedicationDispense.dispense.quantity | |
| Definition | The amount of medication that has been dispensed. Includes unit of measure. |
| Control | 0..1 |
| Type | Quantity |
| MedicationDispense.dispense.medication | |
| Definition | Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. |
| Control | 0..1 |
| Type | Resource(Medication) |
| Comments | Note: do not use Medication.name to describe the dispensed medication. When the only available information is a text description of the medication, Medication.code.text should be used. |
| MedicationDispense.dispense.whenPrepared | |
| Definition | The time when the dispensed product was packaged and reviewed. |
| Control | 0..1 |
| Type | dateTime |
| MedicationDispense.dispense.whenHandedOver | |
| Definition | The time the dispensed product was provided to the patient or their representative. |
| Control | 0..1 |
| Type | dateTime |
| MedicationDispense.dispense.destination | |
| Definition | Identification of the facility/location where the medication was shipped to, as part of the dispense event. |
| Control | 0..1 |
| Type | Resource(Location) |
| MedicationDispense.dispense.receiver | |
| Definition | Identifies the person who picked up the medication. This will usually be a patient or their carer, but some cases exist where it can be a healthcare professional. |
| Control | 0..* |
| Type | Resource(Patient | Practitioner) |
| MedicationDispense.dispense.dosage | |
| Definition | Indicates how the medication is to be used by the patient. |
| Control | 0..* |
| MedicationDispense.dispense.dosage.additionalInstructions | |
| Definition | Additional instructions such as "Swallow with plenty of water" which may or may not be coded. |
| Control | 0..1 |
| Type | CodeableConcept |
| MedicationDispense.dispense.dosage.timing[x] | |
| Definition | The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". |
| Control | 0..1 |
| Type | dateTime|Period|Schedule |
| MedicationDispense.dispense.dosage.asNeeded[x] | |
| Definition | If set to true or if specified as a CodeableConcept, indicates that the medication is only taken when needed within the specified schedule rather than at every scheduled dose. If a CodeableConcept is present, it indicates the pre-condition for taking the Medication. |
| Control | 0..1 |
| Binding | MedicationAsNeededReason: A coded concept identifying the pre-condition that should hold prior to consuming a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up", etc. |
| Type | boolean|CodeableConcept |
| MedicationDispense.dispense.dosage.site | |
| Definition | A coded specification of the anatomic site where the medication first enters the body. |
| Control | 0..1 |
| Binding | MedicationAdministrationSite: (See http://hl7.org/fhir/vs/approach-site-codes) |
| Type | CodeableConcept |
| MedicationDispense.dispense.dosage.route | |
| Definition | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject. |
| Control | 0..1 |
| Binding | RouteOfAdministration: (See http://hl7.org/fhir/vs/route-codes) |
| Type | CodeableConcept |
| MedicationDispense.dispense.dosage.method | |
| Definition | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. Examples: Slow Push; Deep IV. Terminologies used often pre-coordinate this term with the route and or form of administration. |
| Control | 0..1 |
| Binding | MedicationAdministrationMethod: (See http://hl7.org/fhir/vs/administration-method-codes) |
| Type | CodeableConcept |
| Comments | SubstanceAdministration.methodCode. |
| MedicationDispense.dispense.dosage.quantity | |
| Definition | The amount of therapeutic or other substance given at one administration event. |
| Control | 0..1 |
| Type | Quantity |
| MedicationDispense.dispense.dosage.rate | |
| Definition | Identifies the speed with which the substance is introduced into the subject. Typically the rate for an infusion. 200ml in 2 hours. |
| Control | 0..1 |
| Type | Ratio |
| MedicationDispense.dispense.dosage.maxDosePerPeriod | |
| Definition | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time, e.g. 1000mg in 24 hours. |
| Control | 0..1 |
| Type | Ratio |
| MedicationDispense.substitution | |
| Definition | Indicates whether or not substitution was made as part of the dispense. In some cases substitution will be expected but doesn't happen, in other cases substitution is not expected but does happen. This block explains what substitition did or did not happen and why. |
| Control | 0..1 |
| MedicationDispense.substitution.type | |
| Definition | A code signifying whether a different drug was dispensed from what was prescribed. |
| Control | 1..1 |
| Binding | MedicationIntendedSubstitutionType: A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription (Value Set Definition) |
| Type | CodeableConcept |
| MedicationDispense.substitution.reason | |
| Definition | Indicates the reason for the substitution of (or lack of substitution) from what was prescribed. |
| Control | 0..* |
| Binding | MedicationIntendedSubstitutionReason: A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. (Value Set Definition) |
| Type | CodeableConcept |
| MedicationDispense.substitution.responsibleParty | |
| Definition | The person or organization that has primary responsibility for the substitution. |
| Control | 0..* |
| Type | Resource(Practitioner) |
| Comments | rename. |
© HL7.org 2011+. FHIR DSTU (v0.0.82.2943) generated on Tue, Sep 30, 2014 18:09+1000.
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