Indicates that a medication product is to be or has been dispensed for a named person/patient.
| MedicationDispense | I | MedicationDispense | There are no (further) constraints on this element Element idMedicationDispense Dispensing a medication to a named patient DefinitionIndicates 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. The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html).
| |
| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idMedicationDispense.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
|
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationDispense.meta Metadata about the resource DefinitionThe 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.
|
| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. 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.
|
| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.language Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language. Common Languages (extensible)Constraints
| |
| text | I | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationDispense.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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. 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.
|
| contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationDispense.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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.
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationDispense.identifier External identifier DefinitionIdentifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.identifier.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.identifier.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.identifier.use usual | official | temp | secondary (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. 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. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
|
| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationDispense.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
|
| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
General http://www.acme.com/identifiers/patient Mappings
|
| value | Σ | 1..1 | string | There are no (further) constraints on this element Element idMedicationDispense.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. 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.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idMedicationDispense.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
|
| assigner | Σ I | 0..1 | Reference(CareConnect-Organization-1) | Element idMedicationDispense.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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. Reference(CareConnect-Organization-1) Constraints
|
| partOf | I | 0..* | Reference(CareConnect-Procedure-1) | Element idMedicationDispense.partOf Event that dispense is part of DefinitionThe procedure that the dispense is done because of. 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. Reference(CareConnect-Procedure-1) Constraints
|
| status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.status preparation | in-progress | on-hold | completed | entered-in-error | stopped DefinitionA code specifying the state of the set of dispense events. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A coded concept specifying the state of the dispense event. MedicationDispenseStatus (required)Constraints
|
| category | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationDispense.category Type of medication dispense DefinitionIndicates type of medication dispense and where the medication is expected to be consumed or administered. 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. A code describing where the dispensed medication is expected to be consumed or administered MedicationDispenseCategory (preferred)Constraints
| |
| medication[x] | Σ | 1..1 | Element idMedicationDispense.medication[x] What medication was supplied DefinitionIdentifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 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. . A coded concept identifying which substance or product can be dispensed SNOMED CT Medication Codes (example)Constraints
| |
| medicationCodeableConcept | CodeableConcept | Data type | ||
| medicationReference | Reference(CareConnect-Medication-1) | Data type | ||
| subject | Σ I | 0..1 | Reference(Group | CareConnect-Patient-1) | Element idMedicationDispense.subject Who the dispense is for DefinitionA link to a resource representing the person or the group to whom the medication will be given. SubstanceAdministration->subject->Patient. Reference(Group | CareConnect-Patient-1) Constraints
|
| context | I | 0..1 | Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1) | Element idMedicationDispense.context Encounter / Episode associated with event DefinitionThe encounter or episode of care that establishes the context for this event. 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. Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1) Constraints
|
| supportingInformation | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idMedicationDispense.supportingInformation Information that supports the dispensing of the medication DefinitionAdditional information that supports the medication being dispensed. 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.
|
| performer | 0..* | BackboneElement | There are no (further) constraints on this element Element idMedicationDispense.performer Who performed event DefinitionIndicates who or what performed the event. It should be assumed that the performer is the dispenser of the medication. The performer will be reviewed as part of STU4.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.performer.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.performer.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.performer.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay 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. 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.
|
| actor | I | 1..1 | Reference(Device | CareConnect-RelatedPerson-1 | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Element idMedicationDispense.performer.actor Individual who was performing DefinitionThe device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication. 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. Reference(Device | CareConnect-RelatedPerson-1 | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) Constraints
|
| onBehalfOf | I | 0..1 | Reference(CareConnect-Organization-1) | Element idMedicationDispense.performer.onBehalfOf Organization organization was acting for DefinitionThe organization the device or practitioner was acting on behalf of. 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. Reference(CareConnect-Organization-1) Constraints
|
| authorizingPrescription | I | 0..* | Reference(CareConnect-MedicationRequest-1) | Element idMedicationDispense.authorizingPrescription Medication order that authorizes the dispense DefinitionIndicates the medication order that is being dispensed against. Maps to basedOn in Event logical model. Reference(CareConnect-MedicationRequest-1) Constraints
|
| type | 0..1 | CodeableConceptBinding | Element idMedicationDispense.type To identify the type of medication supply. DefinitionIndicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. 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. A ValueSet to identify the type of medication supply. Care Connect Medication Supply Type (preferred)Constraints
| |
| quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationDispense.quantity Amount dispensed DefinitionThe amount of medication that has been dispensed. Includes unit of measure. 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.
|
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.quantity.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | Element idMedicationDispense.quantity.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| quantityText | I | 0..1 | Extension(string) | Element idMedicationDispense.quantity.extension:quantityText Quantity representation Alternate namesextensions, user content DefinitionQuantity representation. 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. https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1 Constraints
|
| value | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationDispense.quantity.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
|
| comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.quantity.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
|
| unit | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.quantity.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings may not exceed 1MB in size
|
| system | Σ I | 0..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.quantity.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
|
| code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedicationDispense.quantity.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
|
| daysSupply | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationDispense.daysSupply Amount of medication expressed as a timing amount DefinitionThe amount of medication expressed as a timing amount. 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.
|
| whenPrepared | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.whenPrepared When product was packaged and reviewed DefinitionThe time when the dispensed product was packaged and reviewed.
|
| whenHandedOver | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.whenHandedOver When product was given out DefinitionThe time the dispensed product was provided to the patient or their representative.
| |
| destination | I | 0..1 | Reference(CareConnect-Location-1) | Element idMedicationDispense.destination Where the medication was sent DefinitionIdentification of the facility/location where the medication was shipped to, as part of the dispense event. 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. Reference(CareConnect-Location-1) Constraints
|
| receiver | I | 0..* | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1) | Element idMedicationDispense.receiver Who collected the medication DefinitionIdentifies 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. 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. Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1) Constraints
|
| note | 0..* | Annotation | There are no (further) constraints on this element Element idMedicationDispense.note Information about the dispense DefinitionExtra information about the dispense that could not be conveyed in the other attributes. 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).
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.note.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.note.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationDispense.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation.
| |
| authorString | string | Data type | ||
| authorReference | Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Data type Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | ||
| time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
|
| text | 1..1 | string | There are no (further) constraints on this element Element idMedicationDispense.note.text The annotation - text content DefinitionThe text of the annotation. Note that FHIR strings may not exceed 1MB in size
| |
| dosageInstruction | 0..* | Dosage | There are no (further) constraints on this element Element idMedicationDispense.dosageInstruction How the medication is to be used by the patient or administered by the caregiver DefinitionIndicates how the medication is to be used by the patient. 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.
| |
| substitution | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationDispense.substitution Whether a substitution was performed on the dispense DefinitionIndicates 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.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.substitution.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.substitution.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.substitution.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay 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. 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.
|
| wasSubstituted | 1..1 | boolean | There are no (further) constraints on this element Element idMedicationDispense.substitution.wasSubstituted Whether a substitution was or was not performed on the dispense DefinitionTrue if the dispenser dispensed a different drug or product from what was prescribed.
| |
| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationDispense.substitution.type Code signifying whether a different drug was dispensed from what was prescribed DefinitionA code signifying whether a different drug was dispensed from what was prescribed. 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. A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription ActSubstanceAdminSubstitutionCode (example)Constraints
| |
| reason | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationDispense.substitution.reason Why was substitution made DefinitionIndicates the reason for the substitution of (or lack of substitution) from what was prescribed. 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. A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed SubstanceAdminSubstitutionReason (example)Constraints
| |
| responsibleParty | I | 0..* | Reference(CareConnect-Practitioner-1) | Element idMedicationDispense.substitution.responsibleParty Who is responsible for the substitution DefinitionThe person or organization that has primary responsibility for the substitution. 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. Reference(CareConnect-Practitioner-1) Constraints
|
| detectedIssue | I | 0..* | Reference(DetectedIssue) | There are no (further) constraints on this element Element idMedicationDispense.detectedIssue Clinical issue with action Alternate namesContraindication, Drug Utilization Review (DUR), Alert DefinitionIndicates 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. 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.
|
| notDone | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationDispense.notDone Whether the dispense was or was not performed DefinitionTrue if the dispense was not performed for some reason.
| |
| notDoneReason[x] | 0..1 | There are no (further) constraints on this element Element idMedicationDispense.notDoneReason[x] Why a dispense was not performed DefinitionIndicates the reason why a dispense was not performed.
| ||
| notDoneReasonCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
| notDoneReasonReference | Reference(DetectedIssue) | There are no (further) constraints on this element Data type | ||
| eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationDispense.eventHistory A list of releveant lifecycle events DefinitionA summary of the events of interest that have occurred, such as when the dispense was verified. 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.).
|
| MedicationDispense | I | MedicationDispense | There are no (further) constraints on this element Element idMedicationDispense Dispensing a medication to a named patient DefinitionIndicates 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. The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html).
| |
| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idMedicationDispense.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
|
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationDispense.meta Metadata about the resource DefinitionThe 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.
|
| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. 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.
|
| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.language Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language. Common Languages (extensible)Constraints
| |
| text | I | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationDispense.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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. 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.
|
| contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationDispense.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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.
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationDispense.identifier External identifier DefinitionIdentifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.identifier.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.identifier.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.identifier.use usual | official | temp | secondary (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. 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. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
|
| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationDispense.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
|
| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
General http://www.acme.com/identifiers/patient Mappings
|
| value | Σ | 1..1 | string | There are no (further) constraints on this element Element idMedicationDispense.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. 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.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idMedicationDispense.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
|
| assigner | Σ I | 0..1 | Reference(CareConnect-Organization-1) | Element idMedicationDispense.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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. Reference(CareConnect-Organization-1) Constraints
|
| partOf | I | 0..* | Reference(CareConnect-Procedure-1) | Element idMedicationDispense.partOf Event that dispense is part of DefinitionThe procedure that the dispense is done because of. 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. Reference(CareConnect-Procedure-1) Constraints
|
| status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.status preparation | in-progress | on-hold | completed | entered-in-error | stopped DefinitionA code specifying the state of the set of dispense events. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A coded concept specifying the state of the dispense event. MedicationDispenseStatus (required)Constraints
|
| category | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationDispense.category Type of medication dispense DefinitionIndicates type of medication dispense and where the medication is expected to be consumed or administered. 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. A code describing where the dispensed medication is expected to be consumed or administered MedicationDispenseCategory (preferred)Constraints
| |
| medication[x] | Σ | 1..1 | Element idMedicationDispense.medication[x] What medication was supplied DefinitionIdentifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 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. . A coded concept identifying which substance or product can be dispensed SNOMED CT Medication Codes (example)Constraints
| |
| medicationCodeableConcept | CodeableConcept | Data type | ||
| medicationReference | Reference(CareConnect-Medication-1) | Data type | ||
| subject | Σ I | 0..1 | Reference(Group | CareConnect-Patient-1) | Element idMedicationDispense.subject Who the dispense is for DefinitionA link to a resource representing the person or the group to whom the medication will be given. SubstanceAdministration->subject->Patient. Reference(Group | CareConnect-Patient-1) Constraints
|
| context | I | 0..1 | Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1) | Element idMedicationDispense.context Encounter / Episode associated with event DefinitionThe encounter or episode of care that establishes the context for this event. 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. Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1) Constraints
|
| supportingInformation | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idMedicationDispense.supportingInformation Information that supports the dispensing of the medication DefinitionAdditional information that supports the medication being dispensed. 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.
|
| performer | 0..* | BackboneElement | There are no (further) constraints on this element Element idMedicationDispense.performer Who performed event DefinitionIndicates who or what performed the event. It should be assumed that the performer is the dispenser of the medication. The performer will be reviewed as part of STU4.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.performer.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.performer.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.performer.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay 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. 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.
|
| actor | I | 1..1 | Reference(Device | CareConnect-RelatedPerson-1 | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Element idMedicationDispense.performer.actor Individual who was performing DefinitionThe device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication. 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. Reference(Device | CareConnect-RelatedPerson-1 | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) Constraints
|
| onBehalfOf | I | 0..1 | Reference(CareConnect-Organization-1) | Element idMedicationDispense.performer.onBehalfOf Organization organization was acting for DefinitionThe organization the device or practitioner was acting on behalf of. 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. Reference(CareConnect-Organization-1) Constraints
|
| authorizingPrescription | I | 0..* | Reference(CareConnect-MedicationRequest-1) | Element idMedicationDispense.authorizingPrescription Medication order that authorizes the dispense DefinitionIndicates the medication order that is being dispensed against. Maps to basedOn in Event logical model. Reference(CareConnect-MedicationRequest-1) Constraints
|
| type | 0..1 | CodeableConceptBinding | Element idMedicationDispense.type To identify the type of medication supply. DefinitionIndicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. 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. A ValueSet to identify the type of medication supply. Care Connect Medication Supply Type (preferred)Constraints
| |
| quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationDispense.quantity Amount dispensed DefinitionThe amount of medication that has been dispensed. Includes unit of measure. 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.
|
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.quantity.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | Element idMedicationDispense.quantity.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| quantityText | I | 0..1 | Extension(string) | Element idMedicationDispense.quantity.extension:quantityText Quantity representation Alternate namesextensions, user content DefinitionQuantity representation. 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. https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1 Constraints
|
| value | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationDispense.quantity.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
|
| comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.quantity.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
|
| unit | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.quantity.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings may not exceed 1MB in size
|
| system | Σ I | 0..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.quantity.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
|
| code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedicationDispense.quantity.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
|
| daysSupply | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationDispense.daysSupply Amount of medication expressed as a timing amount DefinitionThe amount of medication expressed as a timing amount. 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.
|
| whenPrepared | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.whenPrepared When product was packaged and reviewed DefinitionThe time when the dispensed product was packaged and reviewed.
|
| whenHandedOver | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.whenHandedOver When product was given out DefinitionThe time the dispensed product was provided to the patient or their representative.
| |
| destination | I | 0..1 | Reference(CareConnect-Location-1) | Element idMedicationDispense.destination Where the medication was sent DefinitionIdentification of the facility/location where the medication was shipped to, as part of the dispense event. 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. Reference(CareConnect-Location-1) Constraints
|
| receiver | I | 0..* | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1) | Element idMedicationDispense.receiver Who collected the medication DefinitionIdentifies 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. 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. Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1) Constraints
|
| note | 0..* | Annotation | There are no (further) constraints on this element Element idMedicationDispense.note Information about the dispense DefinitionExtra information about the dispense that could not be conveyed in the other attributes. 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).
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.note.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.note.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationDispense.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation.
| |
| authorString | string | Data type | ||
| authorReference | Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Data type Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | ||
| time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
|
| text | 1..1 | string | There are no (further) constraints on this element Element idMedicationDispense.note.text The annotation - text content DefinitionThe text of the annotation. Note that FHIR strings may not exceed 1MB in size
| |
| dosageInstruction | 0..* | Dosage | There are no (further) constraints on this element Element idMedicationDispense.dosageInstruction How the medication is to be used by the patient or administered by the caregiver DefinitionIndicates how the medication is to be used by the patient. 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.
| |
| substitution | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationDispense.substitution Whether a substitution was performed on the dispense DefinitionIndicates 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.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.substitution.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.substitution.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.substitution.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay 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. 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.
|
| wasSubstituted | 1..1 | boolean | There are no (further) constraints on this element Element idMedicationDispense.substitution.wasSubstituted Whether a substitution was or was not performed on the dispense DefinitionTrue if the dispenser dispensed a different drug or product from what was prescribed.
| |
| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationDispense.substitution.type Code signifying whether a different drug was dispensed from what was prescribed DefinitionA code signifying whether a different drug was dispensed from what was prescribed. 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. A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription ActSubstanceAdminSubstitutionCode (example)Constraints
| |
| reason | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationDispense.substitution.reason Why was substitution made DefinitionIndicates the reason for the substitution of (or lack of substitution) from what was prescribed. 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. A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed SubstanceAdminSubstitutionReason (example)Constraints
| |
| responsibleParty | I | 0..* | Reference(CareConnect-Practitioner-1) | Element idMedicationDispense.substitution.responsibleParty Who is responsible for the substitution DefinitionThe person or organization that has primary responsibility for the substitution. 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. Reference(CareConnect-Practitioner-1) Constraints
|
| detectedIssue | I | 0..* | Reference(DetectedIssue) | There are no (further) constraints on this element Element idMedicationDispense.detectedIssue Clinical issue with action Alternate namesContraindication, Drug Utilization Review (DUR), Alert DefinitionIndicates 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. 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.
|
| notDone | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationDispense.notDone Whether the dispense was or was not performed DefinitionTrue if the dispense was not performed for some reason.
| |
| notDoneReason[x] | 0..1 | There are no (further) constraints on this element Element idMedicationDispense.notDoneReason[x] Why a dispense was not performed DefinitionIndicates the reason why a dispense was not performed.
| ||
| notDoneReasonCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
| notDoneReasonReference | Reference(DetectedIssue) | There are no (further) constraints on this element Data type | ||
| eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationDispense.eventHistory A list of releveant lifecycle events DefinitionA summary of the events of interest that have occurred, such as when the dispense was verified. 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.).
|
| MedicationDispense | I | MedicationDispense | There are no (further) constraints on this element Element idMedicationDispense Dispensing a medication to a named patient DefinitionIndicates 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. The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html).
| |
| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idMedicationDispense.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
|
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationDispense.meta Metadata about the resource DefinitionThe 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.
|
| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. 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.
|
| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.language Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language. Common Languages (extensible)Constraints
| |
| text | I | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationDispense.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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. 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.
|
| contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationDispense.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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.
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationDispense.identifier External identifier DefinitionIdentifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.identifier.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.identifier.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.identifier.use usual | official | temp | secondary (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. 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. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
|
| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationDispense.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
|
| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
General http://www.acme.com/identifiers/patient Mappings
|
| value | Σ | 1..1 | string | There are no (further) constraints on this element Element idMedicationDispense.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. 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.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idMedicationDispense.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
|
| assigner | Σ I | 0..1 | Reference(CareConnect-Organization-1) | Element idMedicationDispense.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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. Reference(CareConnect-Organization-1) Constraints
|
| partOf | I | 0..* | Reference(CareConnect-Procedure-1) | Element idMedicationDispense.partOf Event that dispense is part of DefinitionThe procedure that the dispense is done because of. 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. Reference(CareConnect-Procedure-1) Constraints
|
| status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.status preparation | in-progress | on-hold | completed | entered-in-error | stopped DefinitionA code specifying the state of the set of dispense events. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A coded concept specifying the state of the dispense event. MedicationDispenseStatus (required)Constraints
|
| category | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationDispense.category Type of medication dispense DefinitionIndicates type of medication dispense and where the medication is expected to be consumed or administered. 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. A code describing where the dispensed medication is expected to be consumed or administered MedicationDispenseCategory (preferred)Constraints
| |
| medication[x] | Σ | 1..1 | Element idMedicationDispense.medication[x] What medication was supplied DefinitionIdentifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 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. . A coded concept identifying which substance or product can be dispensed SNOMED CT Medication Codes (example)Constraints
| |
| medicationCodeableConcept | CodeableConcept | Data type | ||
| medicationReference | Reference(CareConnect-Medication-1) | Data type | ||
| subject | Σ I | 0..1 | Reference(Group | CareConnect-Patient-1) | Element idMedicationDispense.subject Who the dispense is for DefinitionA link to a resource representing the person or the group to whom the medication will be given. SubstanceAdministration->subject->Patient. Reference(Group | CareConnect-Patient-1) Constraints
|
| context | I | 0..1 | Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1) | Element idMedicationDispense.context Encounter / Episode associated with event DefinitionThe encounter or episode of care that establishes the context for this event. 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. Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1) Constraints
|
| supportingInformation | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idMedicationDispense.supportingInformation Information that supports the dispensing of the medication DefinitionAdditional information that supports the medication being dispensed. 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.
|
| performer | 0..* | BackboneElement | There are no (further) constraints on this element Element idMedicationDispense.performer Who performed event DefinitionIndicates who or what performed the event. It should be assumed that the performer is the dispenser of the medication. The performer will be reviewed as part of STU4.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.performer.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.performer.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.performer.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay 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. 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.
|
| actor | I | 1..1 | Reference(Device | CareConnect-RelatedPerson-1 | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Element idMedicationDispense.performer.actor Individual who was performing DefinitionThe device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication. 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. Reference(Device | CareConnect-RelatedPerson-1 | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) Constraints
|
| onBehalfOf | I | 0..1 | Reference(CareConnect-Organization-1) | Element idMedicationDispense.performer.onBehalfOf Organization organization was acting for DefinitionThe organization the device or practitioner was acting on behalf of. 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. Reference(CareConnect-Organization-1) Constraints
|
| authorizingPrescription | I | 0..* | Reference(CareConnect-MedicationRequest-1) | Element idMedicationDispense.authorizingPrescription Medication order that authorizes the dispense DefinitionIndicates the medication order that is being dispensed against. Maps to basedOn in Event logical model. Reference(CareConnect-MedicationRequest-1) Constraints
|
| type | 0..1 | CodeableConceptBinding | Element idMedicationDispense.type To identify the type of medication supply. DefinitionIndicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. 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. A ValueSet to identify the type of medication supply. Care Connect Medication Supply Type (preferred)Constraints
| |
| quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationDispense.quantity Amount dispensed DefinitionThe amount of medication that has been dispensed. Includes unit of measure. 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.
|
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.quantity.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | Element idMedicationDispense.quantity.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| quantityText | I | 0..1 | Extension(string) | Element idMedicationDispense.quantity.extension:quantityText Quantity representation Alternate namesextensions, user content DefinitionQuantity representation. 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. https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1 Constraints
|
| value | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationDispense.quantity.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
|
| comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedicationDispense.quantity.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
|
| unit | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.quantity.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings may not exceed 1MB in size
|
| system | Σ I | 0..1 | uri | There are no (further) constraints on this element Element idMedicationDispense.quantity.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
|
| code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedicationDispense.quantity.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
|
| daysSupply | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationDispense.daysSupply Amount of medication expressed as a timing amount DefinitionThe amount of medication expressed as a timing amount. 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.
|
| whenPrepared | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.whenPrepared When product was packaged and reviewed DefinitionThe time when the dispensed product was packaged and reviewed.
|
| whenHandedOver | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.whenHandedOver When product was given out DefinitionThe time the dispensed product was provided to the patient or their representative.
| |
| destination | I | 0..1 | Reference(CareConnect-Location-1) | Element idMedicationDispense.destination Where the medication was sent DefinitionIdentification of the facility/location where the medication was shipped to, as part of the dispense event. 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. Reference(CareConnect-Location-1) Constraints
|
| receiver | I | 0..* | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1) | Element idMedicationDispense.receiver Who collected the medication DefinitionIdentifies 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. 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. Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1) Constraints
|
| note | 0..* | Annotation | There are no (further) constraints on this element Element idMedicationDispense.note Information about the dispense DefinitionExtra information about the dispense that could not be conveyed in the other attributes. 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).
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.note.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.note.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationDispense.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation.
| |
| authorString | string | Data type | ||
| authorReference | Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Data type Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | ||
| time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationDispense.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
|
| text | 1..1 | string | There are no (further) constraints on this element Element idMedicationDispense.note.text The annotation - text content DefinitionThe text of the annotation. Note that FHIR strings may not exceed 1MB in size
| |
| dosageInstruction | 0..* | Dosage | There are no (further) constraints on this element Element idMedicationDispense.dosageInstruction How the medication is to be used by the patient or administered by the caregiver DefinitionIndicates how the medication is to be used by the patient. 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.
| |
| substitution | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationDispense.substitution Whether a substitution was performed on the dispense DefinitionIndicates 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.
| |
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationDispense.substitution.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
| |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.substitution.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationDispense.substitution.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay 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. 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.
|
| wasSubstituted | 1..1 | boolean | There are no (further) constraints on this element Element idMedicationDispense.substitution.wasSubstituted Whether a substitution was or was not performed on the dispense DefinitionTrue if the dispenser dispensed a different drug or product from what was prescribed.
| |
| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationDispense.substitution.type Code signifying whether a different drug was dispensed from what was prescribed DefinitionA code signifying whether a different drug was dispensed from what was prescribed. 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. A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription ActSubstanceAdminSubstitutionCode (example)Constraints
| |
| reason | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationDispense.substitution.reason Why was substitution made DefinitionIndicates the reason for the substitution of (or lack of substitution) from what was prescribed. 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. A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed SubstanceAdminSubstitutionReason (example)Constraints
| |
| responsibleParty | I | 0..* | Reference(CareConnect-Practitioner-1) | Element idMedicationDispense.substitution.responsibleParty Who is responsible for the substitution DefinitionThe person or organization that has primary responsibility for the substitution. 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. Reference(CareConnect-Practitioner-1) Constraints
|
| detectedIssue | I | 0..* | Reference(DetectedIssue) | There are no (further) constraints on this element Element idMedicationDispense.detectedIssue Clinical issue with action Alternate namesContraindication, Drug Utilization Review (DUR), Alert DefinitionIndicates 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. 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.
|
| notDone | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationDispense.notDone Whether the dispense was or was not performed DefinitionTrue if the dispense was not performed for some reason.
| |
| notDoneReason[x] | 0..1 | There are no (further) constraints on this element Element idMedicationDispense.notDoneReason[x] Why a dispense was not performed DefinitionIndicates the reason why a dispense was not performed.
| ||
| notDoneReasonCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
| notDoneReasonReference | Reference(DetectedIssue) | There are no (further) constraints on this element Data type | ||
| eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationDispense.eventHistory A list of releveant lifecycle events DefinitionA summary of the events of interest that have occurred, such as when the dispense was verified. 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.).
|
| MedicationDispense | .. | |
| MedicationDispense.identifier | .. | |
| MedicationDispense.identifier.system | 1.. | |
| MedicationDispense.identifier.value | 1.. | |
| MedicationDispense.identifier.assigner | Reference(CareConnect-Organization-1) | .. |
| MedicationDispense.partOf | Reference(CareConnect-Procedure-1) | .. |
| MedicationDispense.medication[x] | Reference(CareConnect-Medication-1), CodeableConcept | .. |
| MedicationDispense.subject | Reference(Group | CareConnect-Patient-1) | .. |
| MedicationDispense.context | Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1) | .. |
| MedicationDispense.performer | .. | |
| MedicationDispense.performer.actor | Reference(Device | CareConnect-RelatedPerson-1 | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1) | .. |
| MedicationDispense.performer.onBehalfOf | Reference(CareConnect-Organization-1) | .. |
| MedicationDispense.authorizingPrescription | Reference(CareConnect-MedicationRequest-1) | .. |
| MedicationDispense.type | .. | |
| MedicationDispense.quantity | .. | |
| MedicationDispense.quantity.extension | 0.. | |
| MedicationDispense.quantity.extension | Extension | 0..1 |
| MedicationDispense.destination | Reference(CareConnect-Location-1) | .. |
| MedicationDispense.receiver | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1) | .. |
| MedicationDispense.note | .. | |
| MedicationDispense.note.author[x] | Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1), string | .. |
| MedicationDispense.substitution | .. | |
| MedicationDispense.substitution.responsibleParty | Reference(CareConnect-Practitioner-1) | .. |
There is no specific guidance for this profile.
