vkp-MedicationDispense
The full profile documentation is published here: vkp-MedicationDispense-v06
Changes from v05 -> v06
XPath | v06 | v05 |
---|---|---|
/meta/profile | http://ehelse.no/fhir/StructureDefinition/vkp-MedicationDispense-v06 | http://ehelse.no/fhir/StructureDefinition/vkp-MedicationDispense-v05 |
/identifier/system | urn:ietf:rfc:3986 | [any local namespace] |
/category/coding/system | http://ehelse.no/fhir/CodeSystem/vkp-medicationdispense-events-v06 | http://ehelse.no/fhir/CodeSystem/vkp-medicationdispense-events-v05 |
/subject/identifier/system | urn:oid:2.16.578.1.12.4.1.4.1 | http://ehelse.no/fhir/identifiertypes/FNR |
Examples
Example | Information |
---|---|
Hendelse MedicationDispense example | Simple Message Bundle containing notification about a MedicationDispense Event |
Hendelse MedicationDispense example with person | Simple Message Bundle containing notification about a MedicationDispense Event, includes information about person handling the medication dispense device |
Hendelse MedicationDispense Composition Bundle | Message Bundle Containing Composition with additional information of the resolution of the MedicationDispense event |
Evondos example 1a | Evondos use-case 1a |
Evondos example 1b | Evondos use-case 1b |
Evondos example 2a | Evondos use-case 2a |
Evondos example 2b | Evondos use-case 2b |
Evondos example 3a | Evondos use-case 3a |
Evondos example 3b | Evondos use-case 3b |
Evondos example 3c | Evondos use-case 3c |
Evondos example 3d | Evondos use-case 3d |
Evondos example 4 | Evondos use-case 4 |
Overview
MedicationDispense | I | MedicationDispense | |
id | Σ | 0..1 | id |
meta | Σ | 0..1 | Meta |
implicitRules | Σ ?! | 0..1 | uri |
language | 0..1 | codeBinding | |
text | I | 0..1 | Narrative |
contained | 0..* | Resource | |
extension | I | 0..* | Extension |
modifierExtension | ?! I | 0..* | Extension |
identifier | 0..* | Identifier | |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | S Σ | 0..1 | uriFixed Value |
value | S Σ | 0..1 | string |
period | Σ I | 0..1 | Period |
assigner | Σ I | 0..1 | Reference(Organization) |
partOf | I | 0..0 | Reference(Procedure) |
status | Σ ?! | 0..1 | codeBinding |
category | 1..1 | CodeableConceptBinding | |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 1..* | Coding |
text | Σ | 0..1 | string |
medicationCodeableConcept | Σ | 1..1 | CodeableConceptFixed Value |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | Coding |
text | Σ | 0..1 | stringFixed Value |
subject | Σ I | 1..1 | Reference(Patient | vkp-Patient-v06 | no-basis-Patient) |
id | 0..1 | string | |
extension | I | 0..* | Extension |
reference | Σ I | 0..0 | string |
identifier | Σ | 1..1 | Identifier |
FNR | Σ | 0..1 | Identifier |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | Σ | 1..1 | uriFixed Value |
value | Σ | 1..1 | string |
period | Σ I | 0..1 | Period |
assigner | Σ I | 0..1 | Reference(Organization) |
DNR | Σ | 0..1 | Identifier |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | Σ | 1..1 | uriFixed Value |
value | Σ | 1..1 | string |
period | Σ I | 0..1 | Period |
assigner | Σ I | 0..1 | Reference(Organization) |
FHN | Σ | 0..1 | Identifier |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | Σ | 1..1 | uriFixed Value |
value | Σ | 1..1 | string |
period | Σ I | 0..1 | Period |
assigner | Σ I | 0..1 | Reference(Organization) |
display | S Σ | 0..1 | string |
context | I | 0..0 | Reference(Encounter | EpisodeOfCare) |
supportingInformation | I | 0..0 | Reference(Resource) |
performer | 1..* | BackboneElement | |
id | 0..1 | string | |
extension | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
actor | I | 1..1 | Reference(Practitioner | Organization | Patient | Device | RelatedPerson) |
id | 0..1 | string | |
extension | I | 0..* | Extension |
reference | Σ I | 0..0 | string |
identifier | Σ | 1..1 | Identifier |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | Σ | 1..1 | uri |
value | Σ | 1..1 | string |
period | Σ I | 0..1 | Period |
assigner | Σ I | 0..1 | Reference(Organization) |
display | Σ | 0..1 | string |
onBehalfOf | I | 0..1 | Reference(Organization) |
authorizingPrescription | I | 0..0 | Reference(MedicationRequest) |
type | 0..0 | CodeableConcept | |
quantity | I | 0..0 | SimpleQuantity |
daysSupply | I | 0..0 | SimpleQuantity |
whenPrepared | Σ | 0..0 | dateTime |
whenHandedOver | 1..1 | dateTime | |
destination | I | 0..0 | Reference(Location) |
receiver | I | 0..0 | Reference(Patient | Practitioner) |
note | 0..0 | Annotation | |
dosageInstruction | 0..* | Dosage | |
id | 0..1 | string | |
extension | I | 0..* | Extension |
sequence | Σ | 0..1 | integer |
text | S Σ | 0..1 | string |
additionalInstruction | Σ | 0..* | CodeableConcept |
patientInstruction | Σ | 0..1 | string |
timing | Σ | 0..1 | Timing |
asNeeded[x] | Σ | 0..1 | |
asNeededBoolean | boolean | ||
asNeededCodeableConcept | CodeableConcept | ||
site | Σ | 0..1 | CodeableConcept |
route | Σ | 0..1 | CodeableConcept |
method | Σ | 0..1 | CodeableConcept |
dose[x] | Σ | 0..1 | |
doseRange | Range | ||
doseQuantity | SimpleQuantity | ||
maxDosePerPeriod | Σ I | 0..1 | Ratio |
maxDosePerAdministration | Σ I | 0..1 | SimpleQuantity |
maxDosePerLifetime | Σ I | 0..1 | SimpleQuantity |
rate[x] | Σ | 0..1 | |
rateRatio | Ratio | ||
rateRange | Range | ||
rateQuantity | SimpleQuantity | ||
substitution | 0..0 | BackboneElement | |
detectedIssue | I | 0..0 | Reference(DetectedIssue) |
notDone | 0..1 | boolean | |
notDoneReason[x] | 0..1 | ||
notDoneReasonCodeableConcept | CodeableConcept | ||
notDoneReasonReference | Reference(DetectedIssue) | ||
eventHistory | I | 0..* | Reference(Provenance) |
Details
MedicationDispense | |
Definition | Profile of the MedicationDispense resource. Used in the Norwegian Personal Connected Health project to document MedicationDispense events from devices dispensing medication to the user at the patients home. The Resource is also used to report that a planned dispense event did not occur according to plan. Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order. |
Cardinality | 0...* |
Comments | The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html). |
Invariants |
|
Mappings |
|
MedicationDispense.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Cardinality | 0...1 |
Type | id |
Summary | True |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
Invariants |
|
Mappings |
|
MedicationDispense.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
Cardinality | 0...1 |
Type | Meta |
Summary | True |
Invariants |
|
Mappings |
|
MedicationDispense.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Cardinality | 0...1 |
Type | uri |
Modifier | True |
Summary | True |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. |
Invariants |
|
Mappings |
|
MedicationDispense.language | |
Definition | The base language in which the resource is written. |
Cardinality | 0...1 |
Type | code |
Binding | A human language. Common Languages (extensible) |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
Invariants |
|
Mappings |
|
MedicationDispense.text | |
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Cardinality | 0...1 |
Type | Narrative |
Alias | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. |
Invariants |
|
Mappings |
|
MedicationDispense.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Cardinality | 0...* |
Type | Resource |
Alias | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
Mappings |
|
MedicationDispense.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Cardinality | 0...* |
Type | Extension |
Modifier | True |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.identifier | |
Definition | Unique code or number identifying the MedicationDispense VKP project uses UUID. Example: ~~~ "identifier": [ { "system":"urn:ietf:rfc:3986", "value":"urn:uuid:a76d9bbf-f293-4fb7-ad4c-2851cac77162" } ] ~~~ |
Cardinality | 0...* |
Type | Identifier |
Comments | Should be a UUID |
Invariants |
|
Mappings |
|
MedicationDispense.identifier.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.identifier.use | |
Definition | The purpose of this identifier. |
Cardinality | 0...1 |
Type | code |
Binding | Identifies the purpose for this identifier, if known . IdentifierUse (required) |
Modifier | True |
Summary | True |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants |
|
Mappings |
|
MedicationDispense.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) |
Summary | True |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Invariants |
|
Mappings |
|
MedicationDispense.identifier.system | |
Definition | VKP project uses UUID identifiers, the namespace of UUID is identified by urn:ietf:rfc:3986 Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Cardinality | 0...1 |
Type | uri |
Must Support | True |
Summary | True |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Comments | see http://en.wikipedia.org/wiki/Uniform_resource_identifier |
Invariants |
|
Fixed Value | urn:ietf:rfc:3986 |
Mappings |
|
MedicationDispense.identifier.value | |
Definition | The actual UUID value. The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Cardinality | 0...1 |
Type | string |
Must Support | True |
Summary | True |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. |
Invariants |
|
Examples | General 123456 |
Mappings |
|
MedicationDispense.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Comments | This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration. |
Invariants |
|
Mappings |
|
MedicationDispense.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Summary | True |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Invariants |
|
Mappings |
|
MedicationDispense.partOf | |
Definition | The procedure that the dispense is done because of. |
Cardinality | 0...0 |
Type | Reference(Procedure) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.status | |
Definition | A code specifying the state of the set of dispense events. The VKP project uses a subset of the message-status (http://hl7.org/fhir/medication-admin-status) CodeSystem containing the codes: - in-progress - completed - Normal reporting of medication dispenced should have status completed |
Cardinality | 0...1 |
Type | code |
Binding | A coded concept specifying the state of the dispense event. vkp-medicationdispense-message-status-v05.valueset (required) |
Modifier | True |
Summary | True |
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
Invariants |
|
Mappings |
|
MedicationDispense.category | |
Definition | Event types when medication dispencer performs the medication dispense. Values from http://ehelse.no/fhir/CodeSystem/vkp-medicationdispense-events-v06 is required |
Cardinality | 1...1 |
Type | CodeableConcept |
Binding | A code describing where the dispensed medication is expected to be consumed or administered vkp-medicationdispense-events-v06.valueset (required) |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
|
Mappings |
|
MedicationDispense.category.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.category.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.category.coding | |
Definition | A reference to a code defined by a terminology system. |
Cardinality | 1...* |
Type | Coding |
Summary | True |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Invariants |
|
Mappings |
|
MedicationDispense.category.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
Invariants |
|
Mappings |
|
MedicationDispense.medication[x]:medicationCodeableConcept | |
Definition | VKP project always uses unknown value Fixed value: "Ukjent medisin" |
Cardinality | 1...1 |
Type | CodeableConcept |
Binding | A coded concept identifying which substance or product can be dispensed SNOMED CT Medication Codes (example) |
Summary | True |
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example if you require form or lot number, then you must reference the Medication resource. . |
Invariants |
|
Fixed Value | { "text": "Ukjent medisin" } |
Mappings |
|
MedicationDispense.medication[x]:medicationCodeableConcept.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.medication[x]:medicationCodeableConcept.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.medication[x]:medicationCodeableConcept.coding | |
Definition | A reference to a code defined by a terminology system. |
Cardinality | 0...* |
Type | Coding |
Summary | True |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Invariants |
|
Mappings |
|
MedicationDispense.medication[x]:medicationCodeableConcept.text | |
Definition | VKP expects a fixed value of "Ukjent medisin" A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
Invariants |
|
Fixed Value | Ukjent medisin |
Mappings |
|
MedicationDispense.subject | |
Definition | A link to a resource representing the person or the group to whom the medication will be given. VKP always references a Patient Resource using a norwegian Fødslesnummer, Felles hjelpenummer or D-nummer in a logical identifier in the subject.identifier element. The Name of the patient should be given in the subject.display element. Example: ~~~~ "subject":{ "identifier":{ "system":"urn:oid:2.16.578.1.12.4.1.4.1", "value":"05073500186" }, "display":"Ærlend Sørgård" } ~~~~ |
Cardinality | 1...1 |
Type | Reference(Patient | vkp-Patient-v06 | no-basis-Patient) |
Summary | True |
Comments | SubstanceAdministration->subject->Patient. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.subject.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.subject.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Cardinality | 0...0 |
Type | string |
Summary | True |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier | |
Definition | VKP expects a FNR for the patient given using system and value elements, as well as the name in the subject.display element. An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
Cardinality | 1...1 |
Type | Identifier |
Summary | True |
Comments | VKP expects a FNR, DNR or Felles hjelpenummer for the patient that is subject of the medicationdispense. The subject should be identified using system and value elements, as well as the name of the patient in the subject.display element. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. |
Slicing | Unordered, Closed, by system(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FNR | |
Definition | Fødselsnummer for the patient. Fødselsnummer as one of the possible patient identifier, should at least be sent unless there is a reason not to. Reasons for not sending the Fødselsnummer include but are not limited to, research and apps without a contract for processing data. Multiple FNR can exist for a person. If several FNR is provided the time period that each identifier is valid should be provided. No information about period is required when only one FNR is provided. |
Cardinality | 0...1 |
Type | Identifier |
Summary | True |
Alias | Fødselsnummer |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FNR.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FNR.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FNR.use | |
Definition | The purpose of this identifier. |
Cardinality | 0...1 |
Type | code |
Binding | Identifies the purpose for this identifier, if known . IdentifierUse (required) |
Modifier | True |
Summary | True |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FNR.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) |
Summary | True |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FNR.system | |
Definition | Identifies that this is a Norwegian Fødselsnummer |
Cardinality | 1...1 |
Type | uri |
Summary | True |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Comments | see http://en.wikipedia.org/wiki/Uniform_resource_identifier |
Invariants |
|
Fixed Value | urn:oid:2.16.578.1.12.4.1.4.1 |
Mappings |
|
MedicationDispense.subject.identifier:FNR.value | |
Definition | The Norwegian Fødselsnummer |
Cardinality | 1...1 |
Type | string |
Summary | True |
Alias | Fødselsnummer |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. |
Invariants |
|
Examples | General 123456 |
Mappings |
|
MedicationDispense.subject.identifier:FNR.period | |
Definition | Time period during which identifier is/was valid for use. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Comments | This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FNR.assigner | |
Definition | Organization that issued/manages the identifier. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Summary | True |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:DNR | |
Definition | The D-nummer of the patient. (assigned by the norwegian Skatteetaten) |
Cardinality | 0...1 |
Type | Identifier |
Summary | True |
Alias | D-nummer |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:DNR.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:DNR.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:DNR.use | |
Definition | The purpose of this identifier. |
Cardinality | 0...1 |
Type | code |
Binding | Identifies the purpose for this identifier, if known . IdentifierUse (required) |
Modifier | True |
Summary | True |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:DNR.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) |
Summary | True |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:DNR.system | |
Definition | The identification of the Norwegian D-nummer |
Cardinality | 1...1 |
Type | uri |
Summary | True |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Comments | see http://en.wikipedia.org/wiki/Uniform_resource_identifier |
Invariants |
|
Fixed Value | urn:oid:2.16.578.1.12.4.1.4.2 |
Mappings |
|
MedicationDispense.subject.identifier:DNR.value | |
Definition | The actual Norwegian D-nummer |
Cardinality | 1...1 |
Type | string |
Summary | True |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. |
Invariants |
|
Examples | General 123456 |
Mappings |
|
MedicationDispense.subject.identifier:DNR.period | |
Definition | Time period during which identifier is/was valid for use. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Comments | This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:DNR.assigner | |
Definition | Organization that issued/manages the identifier. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Summary | True |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FHN | |
Definition | Felles hjelpenummer for the patient. Felles hjelpenummer as one of the possible patient identification numbers. The norwegian Felles hjelpenummer shoud only be used when the Fødselsnummer og D-number is unknown. |
Cardinality | 0...1 |
Type | Identifier |
Summary | True |
Alias | Felles hjelpenummer |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FHN.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FHN.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FHN.use | |
Definition | The purpose of this identifier. |
Cardinality | 0...1 |
Type | code |
Binding | Identifies the purpose for this identifier, if known . IdentifierUse (required) |
Modifier | True |
Summary | True |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FHN.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) |
Summary | True |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FHN.system | |
Definition | Identification of the Norwegian felles hjelpenummer system |
Cardinality | 1...1 |
Type | uri |
Summary | True |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Comments | see http://en.wikipedia.org/wiki/Uniform_resource_identifier |
Invariants |
|
Fixed Value | urn:oid:2.16.578.1.12.4.1.4.3 |
Mappings |
|
MedicationDispense.subject.identifier:FHN.value | |
Definition | The actual Norwegian Hjelpenummer |
Cardinality | 1...1 |
Type | string |
Summary | True |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. |
Invariants |
|
Examples | General 123456 |
Mappings |
|
MedicationDispense.subject.identifier:FHN.period | |
Definition | Time period during which identifier is/was valid for use. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Comments | This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.identifier:FHN.assigner | |
Definition | Organization that issued/manages the identifier. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Summary | True |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Invariants |
|
Mappings |
|
MedicationDispense.subject.display | |
Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
Cardinality | 0...1 |
Type | string |
Must Support | True |
Summary | True |
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
Invariants |
|
Mappings |
|
MedicationDispense.context | |
Definition | The encounter or episode of care that establishes the context for this event. |
Cardinality | 0...0 |
Type | Reference(Encounter | EpisodeOfCare) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.supportingInformation | |
Definition | Additional information that supports the medication being dispensed. |
Cardinality | 0...0 |
Type | Reference(Resource) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.performer | |
Definition | Indicates what device and person that performed the event. It should be assumed that the performer is the dispenser of the medication. The Practitioner handling tthe device can be indicated in addition to the identity of he the device used. Example: ~~~ "performer": [ { "actor": { "identifier": { "system": "https://fhir.evondos.com/e300-codes/serialnumber", "value": "PP000533" }, "display": "Evondos E300 multidosedispenser" } }, { "actor":{ "identifier":{ "system":"urn:oid:2.16.578.1.12.4.1.4.1", "value":"04056600324" }, "display":"Magnar Koman" } } ] ~~~ |
Cardinality | 1...* |
Type | BackboneElement |
Comments | The performer will be reviewed as part of STU4. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.performer.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.performer.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Cardinality | 0...* |
Type | Extension |
Modifier | True |
Summary | True |
Alias | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor | |
Definition | The device used to dispense the medication to the patient. For example, a particular medication dispense device VKP-norway: Should be a logical reference containing the IMEI/serial number of the device. display value should contain the name of the device type. Example: ~~~~ "performer": [ { "actor":{ "identifier":{ "system":"http://dignio.no/IMEInummer", "value":"123456789101112" }, "display":"Medido multidosesdispenser" } } ] ~~~~ |
Cardinality | 1...1 |
Type | Reference(Practitioner | Organization | Patient | Device | RelatedPerson) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Cardinality | 0...0 |
Type | string |
Summary | True |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.identifier | |
Definition | Logical reference to the medication dispenser VKP-norway: Should be a logical reference containing the IMEI/serial number of the device. display value should contain the name of the device type. VKP uses serial numbers decided by the manufacturer of the device. |
Cardinality | 1...1 |
Type | Identifier |
Summary | True |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.identifier.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.identifier.use | |
Definition | The purpose of this identifier. |
Cardinality | 0...1 |
Type | code |
Binding | Identifies the purpose for this identifier, if known . IdentifierUse (required) |
Modifier | True |
Summary | True |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) |
Summary | True |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Cardinality | 1...1 |
Type | uri |
Summary | True |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Comments | see http://en.wikipedia.org/wiki/Uniform_resource_identifier |
Invariants |
|
Examples | General http://www.acme.com/identifiers/patient |
Mappings |
|
MedicationDispense.performer.actor.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Cardinality | 1...1 |
Type | string |
Summary | True |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. |
Invariants |
|
Examples | General 123456 |
Mappings |
|
MedicationDispense.performer.actor.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Comments | This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Summary | True |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.actor.display | |
Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
Invariants |
|
Mappings |
|
MedicationDispense.performer.onBehalfOf | |
Definition | The organization the device or practitioner was acting on behalf of. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.authorizingPrescription | |
Definition | Indicates the medication order that is being dispensed against. |
Cardinality | 0...0 |
Type | Reference(MedicationRequest) |
Comments | Maps to basedOn in Event logical model. |
Invariants |
|
Mappings |
|
MedicationDispense.type | |
Definition | Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. |
Cardinality | 0...0 |
Type | CodeableConcept |
Binding | Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. ActPharmacySupplyType (example) |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
|
Mappings |
|
MedicationDispense.quantity | |
Definition | The amount of medication that has been dispensed. Includes unit of measure. |
Cardinality | 0...0 |
Type | SimpleQuantity |
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
Invariants |
|
Mappings |
|
MedicationDispense.daysSupply | |
Definition | The amount of medication expressed as a timing amount. |
Cardinality | 0...0 |
Type | SimpleQuantity |
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
Invariants |
|
Mappings |
|
MedicationDispense.whenPrepared | |
Definition | The time when the dispensed product was packaged and reviewed. |
Cardinality | 0...0 |
Type | dateTime |
Summary | True |
Invariants |
|
Mappings |
|
MedicationDispense.whenHandedOver | |
Definition | Timestamp defining the point in time the MedicationDispense event took place. The timestamp could also be set for "negative" events, when a product was not provided to the patient according to plan. The time the dispensed product was/was not provided to the patient or their representative. Example: ~~~ "timestamp":"2018-07-18T07:01:06+00:00" ~~~ |
Cardinality | 1...1 |
Type | dateTime |
Invariants |
|
Mappings |
|
MedicationDispense.destination | |
Definition | Identification of the facility/location where the medication was shipped to, as part of the dispense event. |
Cardinality | 0...0 |
Type | Reference(Location) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.receiver | |
Definition | Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional. |
Cardinality | 0...0 |
Type | Reference(Patient | Practitioner) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.note | |
Definition | VKP: In the VPK project additional information about the MedicationDispense event sould be documented in a Composition in the Message Bundle 'Extra information about the dispense that could not be conveyed in the other attributes. |
Cardinality | 0...0 |
Type | Annotation |
Comments | For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction | |
Definition | VKP takes handles information about the dosage given in the text element. Example text could be: «10 doser medisin ble matet ut for bruk på reise. Første dose: 22/6 kl. 19:00. Siste dose: 24/6 kl. 19:00.» Indicates how the medication is to be used by the patient. Example code: ~~~ "dosageInstruction": [ { "text":"Husk øyedråper!" } ] ~~~ |
Cardinality | 0...* |
Type | Dosage |
Comments | When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.sequence | |
Definition | Indicates the order in which the dosage instructions should be applied or interpreted. |
Cardinality | 0...1 |
Type | integer |
Summary | True |
Requirements | If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.text | |
Definition | Free text dosage instructions e.g. SIG. from the medication dispenser. VKP handles information from the medication dispenser given in the text element. Example text: VKP takes handles information about the dosage given in the text element. Example text could be: «10 doser medisin ble matet ut for bruk på reise. Første dose: 22/6 kl. 19:00. Siste dose: 24/6 kl. 19:00.» |
Cardinality | 0...1 |
Type | string |
Must Support | True |
Summary | True |
Requirements | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.additionalInstruction | |
Definition | Supplemental instruction - e.g. "with meals". |
Cardinality | 0...* |
Type | CodeableConcept |
Binding | A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMED CT Additional Dosage Instructions (example) |
Summary | True |
Requirements | Additional instruction such as "Swallow with plenty of water" which may or may not be coded. |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.patientInstruction | |
Definition | Instructions in terms that are understood by the patient or consumer. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.timing | |
Definition | When medication should be administered. |
Cardinality | 0...1 |
Type | Timing |
Summary | True |
Requirements | The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Comments | This attribute may not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.asNeeded[x] | |
Definition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). |
Cardinality | 0...1 |
Type | boolean, CodeableConcept |
Binding | 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. SNOMED CT Medication As Needed Reason Codes (example) |
Summary | True |
Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.site | |
Definition | Body site to administer to. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded concept describing the site location the medicine enters into or onto the body. SNOMED CT Anatomical Structure for Administration Site Codes (example) |
Summary | True |
Requirements | A coded specification of the anatomic site where the medication first enters the body. |
Comments | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.route | |
Definition | How drug should enter body. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMED CT Route Codes (example) |
Summary | True |
Requirements | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.method | |
Definition | Technique for administering medication. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded concept describing the technique by which the medicine is administered. SNOMED CT Administration Method Codes (example) |
Summary | True |
Requirements | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. |
Comments | Terminologies used often pre-coordinate this term with the route and or form of administration. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.dose[x] | |
Definition | Amount of medication per dose. |
Cardinality | 0...1 |
Type | Range, SimpleQuantity |
Summary | True |
Requirements | The amount of therapeutic or other substance given at one administration event. |
Comments | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.maxDosePerPeriod | |
Definition | Upper limit on medication per unit of time. |
Cardinality | 0...1 |
Type | Ratio |
Summary | True |
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. |
Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.maxDosePerAdministration | |
Definition | Upper limit on medication per administration. |
Cardinality | 0...1 |
Type | SimpleQuantity |
Summary | True |
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. |
Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.maxDosePerLifetime | |
Definition | Upper limit on medication per lifetime of the patient. |
Cardinality | 0...1 |
Type | SimpleQuantity |
Summary | True |
Requirements | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. |
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
Invariants |
|
Mappings |
|
MedicationDispense.dosageInstruction.rate[x] | |
Definition | Amount of medication per unit of time. |
Cardinality | 0...1 |
Type | Ratio, Range, SimpleQuantity |
Summary | True |
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. |
Invariants |
|
Mappings |
|
MedicationDispense.substitution | |
Definition | Indicates whether or not substitution was made as part of the dispense. In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done. |
Cardinality | 0...0 |
Type | BackboneElement |
Invariants |
|
Mappings |
|
MedicationDispense.substitution.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings may not exceed 1MB in size |
Invariants |
|
Mappings |
|
MedicationDispense.substitution.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
MedicationDispense.substitution.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Cardinality | 0...* |
Type | Extension |
Modifier | True |
Summary | True |
Alias | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants |
|
Mappings |
|
MedicationDispense.substitution.wasSubstituted | |
Definition | True if the dispenser dispensed a different drug or product from what was prescribed. |
Cardinality | 1...1 |
Type | boolean |
Invariants |
|
Mappings |
|
MedicationDispense.substitution.type | |
Definition | A code signifying whether a different drug was dispensed from what was prescribed. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription ActSubstanceAdminSubstitutionCode (example) |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
|
Mappings |
|
MedicationDispense.substitution.reason | |
Definition | Indicates the reason for the substitution of (or lack of substitution) from what was prescribed. |
Cardinality | 0...* |
Type | CodeableConcept |
Binding | A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed SubstanceAdminSubstitutionReason (example) |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
|
Mappings |
|
MedicationDispense.substitution.responsibleParty | |
Definition | The person or organization that has primary responsibility for the substitution. |
Cardinality | 0...* |
Type | Reference(Practitioner) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.detectedIssue | |
Definition | Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc. |
Cardinality | 0...0 |
Type | Reference(DetectedIssue) |
Alias | Contraindication, Drug Utilization Review (DUR), Alert |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
MedicationDispense.notDone | |
Definition | True if the dispense was not performed for some reason. |
Cardinality | 0...1 |
Type | boolean |
Invariants |
|
Mappings |
|
MedicationDispense.notDoneReason[x] | |
Definition | Indicates the reason why a dispense was not performed. |
Cardinality | 0...1 |
Type | Reference(DetectedIssue), CodeableConcept |
Invariants |
|
Mappings |
|
MedicationDispense.eventHistory | |
Definition | A summary of the events of interest that have occurred, such as when the dispense was verified. |
Cardinality | 0...* |
Type | Reference(Provenance) |
Comments | This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). |
Invariants |
|
Mappings |
|