QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense | Version: 7.0.0 | |||
Active as of 2018-08-22 | Computable Name: QICoreMedicationDispense |
Profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
The MedicationDispense profile defines the conformance expectations for a MedicationDispense event, regardless of whether it is a positive or negative statement. The MedicationDispenseDone and MedicationDispenseDeclined profiles represent the positive and negative statements for a MedicationDispense event.
To create an expression indicating existence of a MedicationDispense event, use the profile QICoreMedicationDispenseDone; to specifically request information that a MedicationDispense intentionally did not occur for a medical, patient or system reason, use the profile QICoreMedicationDispenseDeclined.
The following example illustrates the use of the MedicationDispense profile
define "Dementia Medication Dispensed":
["MedicationDispense": "Dementia Medications"] MedicationDispense
where MedicationDispense.status in { 'active', 'completed', 'on-hold' }
Penicillin MedicationDispense Example |
MedicationDispense Cumulative Duration Example |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreMedicationDispenseProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | C | 0..* | USCoreMedicationDispenseProfile | Dispensing a medication to a named patient mdp-1: To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided |
Slices for extension | Content/Rules for all slices | |||
recorded | 0..1 | dateTime | (QI) When recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded | |
status | 1..1 | code | (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown | |
medication[x] | 1..1 | (QI) What medication was supplied Binding: Medication Clinical Drug (extensible): The set of RxNorm codes to represent medications | ||
medication[x]All Types | Content/Rules for all Types | |||
Slices for extension | Content/Rules for all slices | |||
codeOptions | 0..1 | canonical(ValueSet) | (QI) Url of a value set of candidate medications URL: http://hl7.org/fhir/StructureDefinition/codeOptions | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(QICore Medication) | |||
subject | 1..1 | Reference(QICore Patient) | (QI) Who the dispense is for | |
authorizingPrescription | 0..* | Reference(QICore MedicationRequest) | (QI) Medication order that authorizes the dispense | |
type | 0..1 | CodeableConcept | (QI) Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | |
quantity | 0..1 | SimpleQuantity | (QI) Amount dispensed | |
daysSupply | 0..1 | SimpleQuantity | (QI) Amount of medication expressed as a timing amount | |
whenPrepared | 0..1 | dateTime | (QI) When product was packaged and reviewed | |
whenHandedOver | 0..1 | dateTime | (QI) When product was given out or mailed | |
dosageInstruction | 0..* | Dosage | (QI) How the medication is to be used by the patient or administered by the caregiver | |
text | 0..1 | string | (QI) Free text dosage instructions e.g. SIG | |
timing | 0..1 | Timing | (QI) When medication should be administered | |
doseAndRate | 0..* | Element | (QI) Amount of medication administered | |
dose[x] | 0..1 | (QI) Amount of medication per dose | ||
doseQuantity | Quantity(SimpleQuantity) | |||
doseRange | Range | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType |
Id | Grade | Path(s) | Details | Requirements |
mdp-1 | error | MedicationDispense | To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided : (medication is Reference).not() implies medication.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor medication.coding.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | USCoreMedicationDispenseProfile | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared us-core-20: whenHandedOver SHALL be present if the status is "completed" mdp-1: To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
Slices for extension | Content/Rules for all slices | |||||||
recorded | 0..1 | dateTime | (QI) When recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!SΣC | 1..1 | code | (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
medication[x] | SΣ | 1..1 | (QI) What medication was supplied Binding: Medication Clinical Drug (extensible): The set of RxNorm codes to represent medications | |||||
medication[x]All Types | Content/Rules for all Types | |||||||
Slices for extension | Content/Rules for all slices | |||||||
codeOptions | 0..1 | canonical(ValueSet) | (QI) Url of a value set of candidate medications URL: http://hl7.org/fhir/StructureDefinition/codeOptions | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(QICore Medication) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the dispense is for | ||||
context | S | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with MedicationDispense | ||||
performer | S | 0..* | BackboneElement | Who performed event | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
actor | S | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile) | Individual who was performing | ||||
authorizingPrescription | S | 0..* | Reference(QICore MedicationRequest) | (QI) Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | (QI) Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount dispensed Binding: Common UCUM units (preferred)
| ||||
daysSupply | 0..1 | SimpleQuantity | (QI) Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | (QI) When product was packaged and reviewed | ||||
whenHandedOver | SC | 0..1 | dateTime | (QI) When product was given out or mailed | ||||
dosageInstruction | S | 0..* | Dosage | (QI) How the medication is to be used by the patient or administered by the caregiver | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | (QI) Free text dosage instructions e.g. SIG | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdp-1 | error | MedicationDispense | To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided : (medication is Reference).not() implies medication.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor medication.coding.exists() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared | |
us-core-20 | error | MedicationDispense | whenHandedOver SHALL be present if the status is "completed" : status='completed' implies whenHandedOver.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | USCoreMedicationDispenseProfile | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared us-core-20: whenHandedOver SHALL be present if the status is "completed" mdp-1: To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | (QI) When recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External identifier | |||||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
status | ?!SΣC | 1..1 | code | (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
statusReason[x] | 0..1 | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed. | ||||||
statusReasonCodeableConcept | CodeableConcept | |||||||
statusReasonReference | Reference(DetectedIssue) | |||||||
category | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | |||||
medication[x] | SΣ | 1..1 | (QI) What medication was supplied Binding: Medication Clinical Drug (extensible): The set of RxNorm codes to represent medications | |||||
medication[x]All Types | Content/Rules for all Types | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
codeOptions | 0..1 | canonical(ValueSet) | (QI) Url of a value set of candidate medications URL: http://hl7.org/fhir/StructureDefinition/codeOptions | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(QICore Medication) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the dispense is for | ||||
context | S | 0..1 | Reference(US Core Encounter Profile S | EpisodeOfCare) | Encounter associated with MedicationDispense | ||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | S | 0..* | BackboneElement | Who performed event | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | |||||
actor | S | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | Individual who was performing | ||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(QICore MedicationRequest) | (QI) Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | (QI) Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount dispensed Binding: Common UCUM units (preferred)
| ||||
daysSupply | 0..1 | SimpleQuantity | (QI) Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | (QI) When product was packaged and reviewed | ||||
whenHandedOver | SC | 0..1 | dateTime | (QI) When product was given out or mailed | ||||
destination | 0..1 | Reference(Location) | Where the medication was sent | |||||
receiver | 0..* | Reference(Patient | Practitioner) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | S | 0..* | Dosage | (QI) How the medication is to be used by the patient or administered by the caregiver | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | (QI) Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity S(SimpleQuantity) | |||||||
doseRange | Range | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||||
reason | 0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
responsibleParty | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | ||||
MedicationDispense.category | preferred | MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-category from the FHIR Standard | ||||
MedicationDispense.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationDispense.substitution.type | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationDispense.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdp-1 | error | MedicationDispense | To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided : (medication is Reference).not() implies medication.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor medication.coding.exists() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared | |
us-core-20 | error | MedicationDispense | whenHandedOver SHALL be present if the status is "completed" : status='completed' implies whenHandedOver.exists() |
This structure is derived from USCoreMedicationDispenseProfile
Summary
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from USCoreMedicationDispenseProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | C | 0..* | USCoreMedicationDispenseProfile | Dispensing a medication to a named patient mdp-1: To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided |
Slices for extension | Content/Rules for all slices | |||
recorded | 0..1 | dateTime | (QI) When recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded | |
status | 1..1 | code | (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown | |
medication[x] | 1..1 | (QI) What medication was supplied Binding: Medication Clinical Drug (extensible): The set of RxNorm codes to represent medications | ||
medication[x]All Types | Content/Rules for all Types | |||
Slices for extension | Content/Rules for all slices | |||
codeOptions | 0..1 | canonical(ValueSet) | (QI) Url of a value set of candidate medications URL: http://hl7.org/fhir/StructureDefinition/codeOptions | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(QICore Medication) | |||
subject | 1..1 | Reference(QICore Patient) | (QI) Who the dispense is for | |
authorizingPrescription | 0..* | Reference(QICore MedicationRequest) | (QI) Medication order that authorizes the dispense | |
type | 0..1 | CodeableConcept | (QI) Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | |
quantity | 0..1 | SimpleQuantity | (QI) Amount dispensed | |
daysSupply | 0..1 | SimpleQuantity | (QI) Amount of medication expressed as a timing amount | |
whenPrepared | 0..1 | dateTime | (QI) When product was packaged and reviewed | |
whenHandedOver | 0..1 | dateTime | (QI) When product was given out or mailed | |
dosageInstruction | 0..* | Dosage | (QI) How the medication is to be used by the patient or administered by the caregiver | |
text | 0..1 | string | (QI) Free text dosage instructions e.g. SIG | |
timing | 0..1 | Timing | (QI) When medication should be administered | |
doseAndRate | 0..* | Element | (QI) Amount of medication administered | |
dose[x] | 0..1 | (QI) Amount of medication per dose | ||
doseQuantity | Quantity(SimpleQuantity) | |||
doseRange | Range | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType |
Id | Grade | Path(s) | Details | Requirements |
mdp-1 | error | MedicationDispense | To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided : (medication is Reference).not() implies medication.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor medication.coding.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | USCoreMedicationDispenseProfile | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared us-core-20: whenHandedOver SHALL be present if the status is "completed" mdp-1: To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
Slices for extension | Content/Rules for all slices | |||||||
recorded | 0..1 | dateTime | (QI) When recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!SΣC | 1..1 | code | (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
medication[x] | SΣ | 1..1 | (QI) What medication was supplied Binding: Medication Clinical Drug (extensible): The set of RxNorm codes to represent medications | |||||
medication[x]All Types | Content/Rules for all Types | |||||||
Slices for extension | Content/Rules for all slices | |||||||
codeOptions | 0..1 | canonical(ValueSet) | (QI) Url of a value set of candidate medications URL: http://hl7.org/fhir/StructureDefinition/codeOptions | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(QICore Medication) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the dispense is for | ||||
context | S | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with MedicationDispense | ||||
performer | S | 0..* | BackboneElement | Who performed event | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
actor | S | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile) | Individual who was performing | ||||
authorizingPrescription | S | 0..* | Reference(QICore MedicationRequest) | (QI) Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | (QI) Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount dispensed Binding: Common UCUM units (preferred)
| ||||
daysSupply | 0..1 | SimpleQuantity | (QI) Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | (QI) When product was packaged and reviewed | ||||
whenHandedOver | SC | 0..1 | dateTime | (QI) When product was given out or mailed | ||||
dosageInstruction | S | 0..* | Dosage | (QI) How the medication is to be used by the patient or administered by the caregiver | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | (QI) Free text dosage instructions e.g. SIG | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdp-1 | error | MedicationDispense | To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided : (medication is Reference).not() implies medication.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor medication.coding.exists() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared | |
us-core-20 | error | MedicationDispense | whenHandedOver SHALL be present if the status is "completed" : status='completed' implies whenHandedOver.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | USCoreMedicationDispenseProfile | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared us-core-20: whenHandedOver SHALL be present if the status is "completed" mdp-1: To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | (QI) When recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External identifier | |||||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
status | ?!SΣC | 1..1 | code | (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
statusReason[x] | 0..1 | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed. | ||||||
statusReasonCodeableConcept | CodeableConcept | |||||||
statusReasonReference | Reference(DetectedIssue) | |||||||
category | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | |||||
medication[x] | SΣ | 1..1 | (QI) What medication was supplied Binding: Medication Clinical Drug (extensible): The set of RxNorm codes to represent medications | |||||
medication[x]All Types | Content/Rules for all Types | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
codeOptions | 0..1 | canonical(ValueSet) | (QI) Url of a value set of candidate medications URL: http://hl7.org/fhir/StructureDefinition/codeOptions | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(QICore Medication) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the dispense is for | ||||
context | S | 0..1 | Reference(US Core Encounter Profile S | EpisodeOfCare) | Encounter associated with MedicationDispense | ||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | S | 0..* | BackboneElement | Who performed event | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | |||||
actor | S | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | Individual who was performing | ||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(QICore MedicationRequest) | (QI) Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | (QI) Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount dispensed Binding: Common UCUM units (preferred)
| ||||
daysSupply | 0..1 | SimpleQuantity | (QI) Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | (QI) When product was packaged and reviewed | ||||
whenHandedOver | SC | 0..1 | dateTime | (QI) When product was given out or mailed | ||||
destination | 0..1 | Reference(Location) | Where the medication was sent | |||||
receiver | 0..* | Reference(Patient | Practitioner) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | S | 0..* | Dosage | (QI) How the medication is to be used by the patient or administered by the caregiver | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | (QI) Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity S(SimpleQuantity) | |||||||
doseRange | Range | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||||
reason | 0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
responsibleParty | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | ||||
MedicationDispense.category | preferred | MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-category from the FHIR Standard | ||||
MedicationDispense.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationDispense.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationDispense.substitution.type | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationDispense.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdp-1 | error | MedicationDispense | To indicate what medication, either a reference to a Medication, or at least one coding in the medication or a codeOptions extension shall be provided : (medication is Reference).not() implies medication.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor medication.coding.exists() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared | |
us-core-20 | error | MedicationDispense | whenHandedOver SHALL be present if the status is "completed" : status='completed' implies whenHandedOver.exists() |
This structure is derived from USCoreMedicationDispenseProfile
Summary
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron