> Profile: MedicationDispense (Response) EHR

Profile: Medication

This profile is directly based on the base EHR project’s MedicationDispense resource. It defines the structure for recording medication dispense events.Simplifier project page: Derived from: MedicationDispense (R4)

Canonical_Url	Profile_Status	Profile_Version	FHIR_Version
http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationDispense	active	1.0.0	4.0.1

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work

Usage

The MedicationDispense Resource represents a medication report from DHDR. MedicationDispense shall contain references to other resources such as patient, practitioner, organization, medication, and medicationRequest resources.

Notes

.meta.source

• source can be
  HNS: http://ehealthontario.ca/hns
  NMS: http://ehealthontario.ca/nms
  Pharmacy: http://ehealthontario.ca/pharmacy/[appName]-[appVersion]
  COVAX: http://ehealthontario.ca/covaxon

.identifier

• business identifier for the medication report
• the field contains current Rx Number assigned by the dispensing pharmacy and/or original RX number
• Current Rx Number SHALL be mandatory identifier. The namespace for the identifier value.
  e.g. [id-system-local-base]/ca-on-pharmacy-[Pharmacy ID]-current-rx-number
• Current Rx Number assigned by the PMS that is unique within the particular pharmacy and appears on the label of the dispensed medication/device. This number must match the current prescription number that is submitted to both ODB and NMS.
• Original RX Number system- each pharmacy to be assigned a unique URI (Pharmacy ID is a CPhA National Pharmacy ID Code or eHealth Ontario UPI (Unique Provider Identifier)).
  e.g. [id-system-local-base]/ca-on-pharmacy-[Pharmacy ID]-original-rx-number
• Original Rx Number value should be original Rx Number assigned by the pharmacy system on the first fill. This might be unknown for some dispenses that get loaded to DHDR from non-pharmacy feeds, e.g. ODB or NMS.

.status

• a code specifying the state of the dispense event. For dispense that occurred: completed . For reversed dispense: entered-in-error

.category

• type of medication dispense to distinguish between drugs, devices and professional services.

.medication

• This field SHALL contain a reference to the Medication resource representing the medication that was dispensed for a patient

.performer

• this field identifies the actor that is the dispenser of the medication (despensing pharmacy or dispensing pharmacist). It should contain a reference to an organization or ptactitioner instance in the bundle.

.authorizingPrescription

• this field indicates the medication dispensed or pharmacy service rendered
• SHALL be mandatory if category is drug

.quantity

• this field indicates the quantity of medication/devices dispensed (dosage units or metric weights)
• this field is mandatory for meidcations and devices. Optional for services

.daysSupply

• estimated number of days of treatment based on the directions for use on the prescription and the pharmacists judgment on usage
• SHALL be mandatory if category is drug

.whenPrepared

• this field indicates dispense date (when product was packaged and reviewed) - when pharmacy service was rendered

.whenHandedOver

• this field indicates when product was given out (picked up by a patient or their representative)

Note: whenPrepared and whenHandedOver fields SHALL be populated with the same dateTime format (both with a timestamp or just dates). .dosageInstruction

• dosageInstruction.text SHALL be mandatory. Free text dosage instructions.