Current Build

This page is part of the Pharmacist Care Plan FHIR IG (v0.1.0: STU 1 Draft) based on FHIR v3.1.0. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

This is a pre-release of a future version of the Pharmacist Care Plan FHIR IG (expected to be STU 1). There is no current official version.
For a full list of available versions, see the Directory of published versions .

D.4.1 StructureDefinition: PhCP-MedicationDispense

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is: 

http://hl7.org/fhir/STU3/us/phcp/StructureDefinition/PhCP-MedicationDispense

This profile builds on MedicationDispense.

This profile was published on Fri Jul 21 05:29:09 AEST 2017 as a draft by null.

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

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I1..*Dispensing a medication to a named patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal identifier
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ1..1codepreparation | in-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... category 0..1CodeableConceptType of medication dispense
Binding: MedicationDispenseCategory (preferred)
... medication[x] Σ1..1CodeableConcept, Reference(US Core Medication Profile)What medication was supplied
Binding: Medication Clinical Drug (RxNorm) (preferred)
... subject Σ0..1Reference(Patient), Reference(Group)Who the dispense is for
... context 0..1Reference(Encounter), Reference(EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer I1..*BackboneElementWho performed event
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... actor 1..1Reference(US Core Practitioner Profile)Individual who was performing
.... onBehalfOf 0..1Reference(US Core Organization Core Profile)Organization was acting for
... authorizingPrescription 1..*Reference(US Core MedicationRequest Profile)Medication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity 1..1SimpleQuantityAmount dispensed
... daysSupply 1..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver 1..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient), Reference(Practitioner)Who collected the medication
... note 0..*AnnotationInformation about the dispense
... dosageInstruction 0..*DosageHow the medication is to be used by the patient or administered by the caregiver
... substitution I0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: SubstanceAdminSubstitutionReason (example)
.... responsibleParty 0..*Reference(Practitioner)Who is responsible for the substitution
... detectedIssue 0..*Reference(DetectedIssue)Clinical issue with action
... notDone 0..1booleanWhether the dispense was or was not performed
... notDoneReason[x] 0..1CodeableConcept, Reference(DetectedIssue)Why a dispense was not performed
... eventHistory 0..*Reference(Provenance)A list of releveant lifecycle events

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I1..*Dispensing a medication to a named patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal identifier
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ1..1codepreparation | in-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationDispenseStatus (required)
... category 0..1CodeableConceptType of medication dispense
Binding: MedicationDispenseCategory (preferred)
... medication[x] Σ1..1CodeableConcept, Reference(US Core Medication Profile)What medication was supplied
Binding: Medication Clinical Drug (RxNorm) (preferred)
... subject Σ0..1Reference(Patient), Reference(Group)Who the dispense is for
... context 0..1Reference(Encounter), Reference(EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer I1..*BackboneElementWho performed event
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... actor 1..1Reference(US Core Practitioner Profile)Individual who was performing
.... onBehalfOf 0..1Reference(US Core Organization Core Profile)Organization was acting for
... authorizingPrescription 1..*Reference(US Core MedicationRequest Profile)Medication order that authorizes the dispense
... type 0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example)
... quantity 1..1SimpleQuantityAmount dispensed
... daysSupply 1..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver 1..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient), Reference(Practitioner)Who collected the medication
... note 0..*AnnotationInformation about the dispense
... dosageInstruction 0..*DosageHow the medication is to be used by the patient or administered by the caregiver
... substitution I0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason 0..*CodeableConceptWhy was substitution made
Binding: SubstanceAdminSubstitutionReason (example)
.... responsibleParty 0..*Reference(Practitioner)Who is responsible for the substitution
... detectedIssue 0..*Reference(DetectedIssue)Clinical issue with action
... notDone 0..1booleanWhether the dispense was or was not performed
... notDoneReason[x] 0..1CodeableConcept, Reference(DetectedIssue)Why a dispense was not performed
... eventHistory 0..*Reference(Provenance)A list of releveant lifecycle events

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathNameConformanceValueSet
MedicationDispense.languageCommon LanguagesextensibleCommon Languages
MedicationDispense.statusMedicationDispenseStatusrequiredMedicationDispenseStatus
MedicationDispense.categoryMedicationDispenseCategorypreferredMedicationDispenseCategory
MedicationDispense.medication[x]Medication Clinical Drug (RxNorm)preferredMedication Clinical Drug (RxNorm)
MedicationDispense.typeActPharmacySupplyTypeexampleActPharmacySupplyType
MedicationDispense.substitution.typeActSubstanceAdminSubstitutionCodeexampleActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonSubstanceAdminSubstitutionReasonexampleSubstanceAdminSubstitutionReason

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2MedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1MedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4MedicationDispenseIf 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-3MedicationDispenseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
mdd-1MedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
ele-1MedicationDispense.performerAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1MedicationDispense.substitutionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
.