<status value="active" /> <experimental value="false" /> <date value="2022-07-27" /> <publisher value="b.Well Connected Health" /> <description value="Medication (re)fills" /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="US" /> <display value="United States of America" /> </coding> <text value="United States of America" /> </jurisdiction> <fhirVersion value="4.0.0" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationDispense" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationDispense" /> <derivation value="constraint" /> <differential> <element id="MedicationDispense"> <path value="MedicationDispense" /> </element> <element id="MedicationDispense.id"> <path value="MedicationDispense.id" /> </element> <element id="MedicationDispense.meta"> <path value="MedicationDispense.meta" /> <label value="meta" /> <min value="1" /> <max value="1" /> <type> <code value="Meta" /> </type> </element> <element id="MedicationDispense.meta.source"> <path value="MedicationDispense.meta.source" /> <sliceName value="meta-source" /> <label value="meta" /> <short value="uri of the data source" /> <definition value="Typically the data owner's URL followed by a source/file description" /> <requirements value="mandatory for all resources in bWell's FHIR Server" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <example> <label value="example of meta.source" /> <valueUri value="https://www.icanbwell.com/provider-directory" /> </example> </element> <element id="MedicationDispense.meta.security"> <path value="MedicationDispense.meta.security" /> <sliceName value="meta-security" /> <label value="meta" /> <short value="security tags representing the data's owner, vendor, and accessibility" /> <definition value="data owner: data vendor: data access:" /> <requirements value="/owner & /access are mandatory for all resources in bWell's FHIR Server" /> <min value="1" /> <max value="*" /> <type> <code value="Coding" /> </type> <example> <label value="example of data owner security tag" /> <valueCoding> <system value="https://www.icanbwell.com/owner" /> <code value="bwell" /> </valueCoding> </example> <example> <label value="example of data access security tag" /> <valueCoding> <system value="https://www.icanbwell.com/access" /> <code value="bwell" /> </valueCoding> </example> <example> <label value="example of data vendor security tag" /> <valueCoding> <system value="https://www.icanbwell.com/vendor" /> <code value="bwell" /> </valueCoding> </example> </element> <element id="MedicationDispense.extension"> <path value="MedicationDispense.extension" /> <slicing> <description value="slice by url" /> <rules value="open" /> </slicing> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> </type> </element> <element id="ex-refills-remaining"> <path value="MedicationDispense.extension" /> <sliceName value="refills-remaining" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/ex-refills-remaining" /> </type> </element> <element id="de-identifier"> <path value="MedicationDispense.identifier" /> <label value="identifier" /> <slicing> <description value="slice by types" /> <rules value="open" /> </slicing> <short value="a value to identify the resource by" /> <type> <code value="Identifier" /> </type> </element> <element id="identifier.id"> <path value="MedicationDispense.identifier.id" /> <label value="identifier" /> <short value="set case-by-case" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="identifier.use"> <path value="MedicationDispense.identifier.use" /> <label value="identifier" /> <short value="usual | official | temp | secondary | old (If known)" /> <definition value="The purpose of this identifier." /> <min value="0" /> <max value="1" /> <type> <code value="code" /> </type> </element> <element id="identifier.type"> <path value="MedicationDispense.identifier.type" /> <label value="identifier" /> <short value="Description of identifier" /> <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." /> <requirements value="Needs binding valueset" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="identifier.system"> <path value="MedicationDispense.identifier.system" /> <label value="identifier" /> <short value="The system which created the identifier" /> <definition value="Values may be an oid, uri, url, or canonical" /> <comment value="for mapped data, this is frequently a canonical url" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <example> <label value="a client's unknown system" /> <valueUri value="https://www.health.org/person-identifier" /> </example> </element> <element id="identifier.value"> <path value="MedicationDispense.identifier.value" /> <label value="identifier" /> <short value="The unique value" /> <definition value="The raw identifier value that represents a resource" /> <requirements value="This should be the raw value, as it exists in the source data (ie without prefix)" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="de-rx-number"> <path value="MedicationDispense.identifier" /> <sliceName value="identifier-rx-number" /> <label value="identifier-rx-number" /> <code> <system value="https://www.icanbwell.com/product-feature-code" /> </code> <short value="The prescription (rx) number" /> <requirements value="system = source URI" /> <type> <code value="Identifier" /> </type> <example> <label value="RX Number" /> <valueIdentifier id="rx-number"> <type> <coding id="rx-number-type"> <system value="https://fhir.icanbwell.com/4_0_0/CodeSystem/vs-identifier-type" /> <code value="RX" /> </coding> </type> </valueIdentifier> </example> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status" /> <min value="1" /> <max value="1" /> <type> <code value="code" /> </type> </element> <element id="MedicationDispense.medication[x]"> <path value="MedicationDispense.medication[x]" /> <short value="The value representing the medication" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <type> <code value="Reference" /> </type> </element> <element id="MedicationDispense.subject"> <path value="MedicationDispense.subject" /> <short value="The patient" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-patient" /> </type> </element> <element id="MedicationDispense.supportingInformation"> <path value="MedicationDispense.supportingInformation" /> <short value="Reference to the MedicationStatement, if there is one" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-medication-statement" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-medication-request" /> </type> </element> <element id="MedicationDispense.performer"> <path value="MedicationDispense.performer" /> <slicing> <description value="slice by types" /> <rules value="open" /> </slicing> <short value="The providers involved with the medication authoring and dispensing" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="MedicationDispense.performer.id"> <path value="MedicationDispense.performer.id" /> <min value="1" /> <max value="1" /> </element> <element id="MedicationDispense.performer.function"> <path value="MedicationDispense.performer.function" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="MedicationDispense.performer.actor"> <path value="MedicationDispense.performer.actor" /> <short value="A reference to the provider" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-practitioner" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-organization" /> </type> </element> <element id="de-medication-dispense-performer-prescribing"> <path value="MedicationDispense.performer" /> <sliceName value="prescriber" /> <short value="The prescribing practitioner" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="de-medication-dispense-performer-prescribing-function"> <path value="MedicationDispense.performer.function" /> <sliceName value="prescriber" /> <short value="The coded function" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <patternCodeableConcept> <coding id="prescribing"> <system value="https://fhir.icanbwell.com/4_0_0/CodeSystem/vs-performer-role-code" /> <code value="prescribing" /> </coding> </patternCodeableConcept> </element> <element id="de-medication-dispense-performer-prescribing-actor"> <path value="MedicationDispense.performer.actor" /> <sliceName value="prescriber" /> <short value="The practitioner" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-practitioner" /> </type> </element> <element id="de-medication-dispense-performer-dispensing"> <path value="MedicationDispense.performer" /> <sliceName value="dispensing-pharmacy" /> <short value="The dispensing pharmacy" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="de-medication-dispense-performer-dispensing-function"> <path value="MedicationDispense.performer.function" /> <sliceName value="dispensing-pharmacy" /> <short value="The coded function" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <patternCodeableConcept> <coding id="dispensing"> <system value="https://fhir.icanbwell.com/4_0_0/CodeSystem/vs-performer-role-code" /> <code value="dispensing" /> </coding> </patternCodeableConcept> </element> <element id="de-medication-dispense-performer-dispensing-actor"> <path value="MedicationDispense.performer.actor" /> <sliceName value="dispensing-pharmacy" /> <short value="The pharmacy organization" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-organization" /> </type> </element> <element id="MedicationDispense.location"> <path value="MedicationDispense.location" /> <label value="dispensing-pharmacy-location" /> <short value="The pharmacy location" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-location" /> </type> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription" /> <short value="The prescription" /> <min value="0" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-medication-request" /> </type> </element> <element id="MedicationDispense.type"> <path value="MedicationDispense.type" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <example> <label value="refill" /> <valueCodeableConcept> <coding id="refill"> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="RF" /> <display value="Refill" /> </coding> </valueCodeableConcept> </example> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity" /> <min value="0" /> <max value="1" /> <example> <label value="quantity" /> <valueQuantity> <value value="250" /> <system value="http://unitsofmeasure.org" /> <code value="mL" /> </valueQuantity> </example> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply" /> <min value="0" /> <max value="1" /> <example> <label value="days-supply" /> <valueQuantity> <value value="1" /> <unit value="Day" /> <system value="http://unitsofmeasure.org" /> <code value="d" /> </valueQuantity> </example> </element> <element id="MedicationDispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver" /> <short value="When the medication was dispensed" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction" /> <short value="When the medication was dispensed" /> <min value="0" /> <max value="*" /> <type> <code value="Dosage" /> </type> </element> <element id="MedicationDispense.dosageInstruction.patientInstruction"> <path value="MedicationDispense.dosageInstruction.patientInstruction" /> <short value="Specific dosage instruction or verbal instruction given to the patient" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> </differential> </StructureDefinition>