<status value="active" /> <experimental value="false" /> <description value="Information about the dispense action associated with a claim receipt" /> <fhirVersion value="5.0.0" /> <mapping> <identity value="BPCS" /> <name value="Internal BPCS API" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationDispense" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationDispense" /> <derivation value="constraint" /> <differential> <element id="MedicationDispense.id"> <path value="MedicationDispense.id" /> <comment value="This will typically be 'dispense' plus the receipt sequence number" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.extension:prescriberLicense"> <path value="MedicationDispense.extension" /> <sliceName value="prescriberLicense" /> <type> <code value="Extension" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/ext-MedicationDispense-PrescriberLicense" /> </type> <mustSupport value="true" /> </element> <element id="MedicationDispense.identifier"> <path value="MedicationDispense.identifier" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.identifier.value"> <path value="MedicationDispense.identifier.value" /> <short value="Pharmacy Rx number" /> <definition value="Id assigned by the pharmacy to this specific dispense" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="ReceiptDTO.rxNum, DuplicateReceiptDTO.rxNo" /> </mapping> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status" /> <patternCode value="completed" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.medication"> <path value="MedicationDispense.medication" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://bpcs.exchange/fhir/ValueSet/vs-DinPin" /> </binding> </element> <element id="MedicationDispense.medication.concept"> <path value="MedicationDispense.medication.concept" /> <min value="1" /> <constraint> <key value="bpcs-dispense-1" /> <severity value="error" /> <human value="Must have text for Extemporaneous Mixture (9853359) and Unknown Product (9853448)" /> <expression value="coding.exists(system='http://hl7.org/fhir/NamingSystem/ca-hc-din' and (code='9853359' or code='9853448')) implies text.exists()" /> </constraint> <mustSupport value="true" /> </element> <element id="MedicationDispense.medication.concept.coding"> <path value="MedicationDispense.medication.concept.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.medication.concept.coding:receiptDinPin"> <path value="MedicationDispense.medication.concept.coding" /> <sliceName value="receiptDinPin" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.medication.concept.coding:receiptDinPin.system"> <path value="MedicationDispense.medication.concept.coding.system" /> <comment value="Clients and BPCS system are required to differentiate whether drug is a DIN or PIN" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://bpcs.exchange/fhir/ValueSet/vs-DinPinSystem" /> </binding> </element> <element id="MedicationDispense.medication.concept.coding:receiptDinPin.code"> <path value="MedicationDispense.medication.concept.coding.code" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="DrugDTO.receiptDinPin, DuplicateClaimDTO.dinPin" /> </mapping> </element> <element id="MedicationDispense.medication.concept.text"> <path value="MedicationDispense.medication.concept.text" /> <condition value="bpcs-dispense-1" /> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="DrugDTO.receiptDrugName, DuplicateClaimDTO.dinDesc" /> </mapping> </element> <element id="MedicationDispense.medication.reference"> <path value="MedicationDispense.medication.reference" /> <type> <code value="Reference" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Reference-rest" /> <targetProfile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Medication" /> <aggregation value="contained" /> </type> <mustSupport value="true" /> </element> <element id="MedicationDispense.subject"> <path value="MedicationDispense.subject" /> <type> <code value="Reference" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Reference-rest" /> <targetProfile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Patient-create" /> </type> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="ReceiptDTO.odbNum" /> </mapping> </element> <element id="MedicationDispense.performer"> <path value="MedicationDispense.performer" /> <comment value="Ministry assigned code to identify a pharmacy, hospital outpatient dispensary, clinic, dispensing physician or allergen supplier." /> <mustSupport value="true" /> </element> <element id="MedicationDispense.performer.actor"> <path value="MedicationDispense.performer.actor" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.performer.actor.identifier"> <path value="MedicationDispense.performer.actor.identifier" /> <patternIdentifier> <system value="https://bpcs.exchange/fhir/NamingSystem/agency-id" /> </patternIdentifier> <mustSupport value="true" /> </element> <element id="MedicationDispense.performer.actor.identifier.value"> <path value="MedicationDispense.performer.actor.identifier.value" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="ClaimDetailDTO.agencyId" /> </mapping> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.quantity.value"> <path value="MedicationDispense.quantity.value" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="ReceiptDTO.quantity" /> </mapping> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply" /> <patternQuantity> <system value="http://unitsofmeasure.org" /> <code value="d" /> </patternQuantity> <mustSupport value="true" /> </element> <element id="MedicationDispense.daysSupply.value"> <path value="MedicationDispense.daysSupply.value" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="ReceiptDTO.daysSupply" /> </mapping> </element> <element id="MedicationDispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="ReceiptDTO.serviceDate" /> </mapping> </element> <element id="MedicationDispense.substitution"> <path value="MedicationDispense.substitution" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.substitution.reason"> <path value="MedicationDispense.substitution.reason" /> <type> <code value="Coding" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Coding-simple" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://bpcs.exchange/fhir/ValueSet/vs-SubstitutionReason" /> </binding> <mapping> <identity value="BPCS" /> <map value="ReceiptDTO.prodSel" /> </mapping> </element> </differential> </StructureDefinition>