Profile Comparison between http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationDispenseRwd vs http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationDispenseRwd

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationDispense
copyright
date	2022-12-04T19:34:20+00:00	2023-05-26T22:51:53+10:00	Values Differ
description	A profile on MedicationDispense that indicates the minimum set of attributes required for finding patients who may be taking certain medications.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001
kind	resource
name	MedicationDispenseRwd
publisher	HL7 International - Biomedical Research & Regulation Work Group
purpose
status	active
title
type	MedicationDispense
url	http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationDispenseRwd
version	1.0.0-ballot	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient	C	0..*	MedicationDispense	Dispensing a medication to a named patient
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required): A coded concept specifying the state of the dispense event.	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required): A coded concept specifying the state of the dispense event.
statusReason[x]		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.
category		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x]	SΣ	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Binding: ?? (example): A coded concept identifying which substance or product can be dispensed.	SΣ	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Open by type:$this Binding: ?? (example): A coded concept identifying which substance or product can be dispensed.
subject	SΣ	0..1	Reference(Patient (IPS))	Who the dispense is for	SΣ	0..1	Reference(IPA-Patient)	Who the dispense is for
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	BackboneElement	Who performed event		0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication.		0..1	CodeableConcept	Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication.
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	S	0..1	??	Amount dispensed	S	0..1	??	Amount dispensed
daysSupply	S	0..1	??	Amount of medication expressed as a timing amount	S	0..1	??	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	0..1	dateTime	When product was given out	S	0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was sent		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver	S	0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG	SΣ	0..1	string	Free text dosage instructions e.g. SIG	Elements differ in definition for mustSupport: 'false' vs 'true'
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered	Σ	0..1	Timing	When medication should be administered	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur	ΣC	0..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	SΣ	0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits	Σ	0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits	Elements differ in definition for mustSupport: 'true' vs 'false'
count	Σ	0..1	positiveInt	Number of times to repeat	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: ?? (required)	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: ?? (required)
timeOfDay	Σ	0..*	time	Time of day for action	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: ?? (required): Real world event relating to the schedule.	Σ	0..*	code	Code for time period of occurrence Binding: ?? (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern.	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern.
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x]	Σ	0..1	Range, ??	Amount of medication per dose	Σ	0..1	Range, ??	Amount of medication per dose
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..*	CodeableConcept	Why was substitution made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format