Union of http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined and http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined

This is the set of resources that conform to either of the profiles QICore MedicationDispense Declined (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined) and QICore MedicationDispense Declined (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C0..*Dispensing a medication to a named patient
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
mdd-1: whenHandedOver cannot be before whenPrepared
us-core-20: whenHandedOver SHALL be present if the status is "completed"
mnd-1: To indicate what medication was not dispensed, either at least one coding in the medication or a notDoneValueSet extension shall be provided
... meta Σ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... text 0..1NarrativeText summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 1..*ExtensionExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier 0..*IdentifierExternal identifier
ele-1: All FHIR elements must have a @value or children
... partOf 0..*Reference(Procedure)Event that dispense is part of
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ1..1codeleft: (QI-Core)(USCDI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown; right: (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: ?? (required)
ele-1: All FHIR elements must have a @value or children
... statusReason[x] 1..1CodeableConceptleft: (QI-Core) Why a dispense was not performed; right: (QI) Why a dispense was not performed
Binding: ?? (extensible): The reason the event did not occur or was not performed


ele-1: All FHIR elements must have a @value or children
... category 0..1CodeableConceptType of medication dispense
Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.


ele-1: All FHIR elements must have a @value or children
... medication[x] SΣ1..1left: (QI-Core)(USCDI) What medication was supplied; right: (QI) What medication was supplied
Binding: ?? (extensible): The set of RxNorm codes to represent medications


ele-1: All FHIR elements must have a @value or children
.... medication[x]All Types Content/Rules for all Types
..... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(US Core Medication Profile)
... subject SΣ1..1Reference(QICore Patient | #sd-qicore-patient-qicore-patient)left: (QI-Core)(USCDI) Who the dispense is for; right: (QI) Who the dispense is for
ele-1: All FHIR elements must have a @value or children
... context S0..1Reference(Encounter | EpisodeOfCare)left: Encounter / Episode associated with event; right: Encounter associated with MedicationDispense
ele-1: All FHIR elements must have a @value or children
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
ele-1: All FHIR elements must have a @value or children
... performer S0..*BackboneElementleft: (USCDI) Who performed event; right: Who performed event
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... function 0..1CodeableConceptWho performed the dispense and what they did
Binding: ?? (example): A code describing the role an individual played in dispensing a medication.


ele-1: All FHIR elements must have a @value or children
.... actor S1..1Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device | #sd-us-core-practitioner-us-core-practitioner)left: (USCDI) Individual who was performing; right: Individual who was performing
ele-1: All FHIR elements must have a @value or children
... location 0..1Reference(Location)Where the dispense occurred
ele-1: All FHIR elements must have a @value or children
... authorizingPrescription S0..*Reference(QICore MedicationRequest | #sd-qicore-medicationrequest-qicore-medicationrequest)left: (USCDI) Medication order that authorizes the dispense; right: Medication order that authorizes the dispense
ele-1: All FHIR elements must have a @value or children
... type S0..1CodeableConceptleft: (USCDI) Trial fill, partial fill, emergency fill, etc.; right: Trial fill, partial fill, emergency fill, etc.
Binding: ?? (extensible)
ele-1: All FHIR elements must have a @value or children
... quantity S0..1Quantityleft: (USCDI) Amount dispensed; right: Amount dispensed
Binding: ?? (preferred)
ele-1: All FHIR elements must have a @value or children
... daysSupply 0..1??Amount of medication expressed as a timing amount
ele-1: All FHIR elements must have a @value or children
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
ele-1: All FHIR elements must have a @value or children
... whenHandedOver S0..1dateTimeleft: (USCDI) When product was given out or mailed; right: When product was given out or mailed
ele-1: All FHIR elements must have a @value or children
... destination 0..1Reference(Location)Where the medication was sent
ele-1: All FHIR elements must have a @value or children
... receiver 0..*Reference(Patient | Practitioner)Who collected the medication
ele-1: All FHIR elements must have a @value or children
... note 0..*AnnotationInformation about the dispense
ele-1: All FHIR elements must have a @value or children
... dosageInstruction S0..*Dosageleft: (USCDI) How the medication is to be used by the patient or administered by the caregiver; right: How the medication is to be used by the patient or administered by the caregiver
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... sequence Σ0..1integerThe order of the dosage instructions
ele-1: All FHIR elements must have a @value or children
.... text SΣ0..1stringleft: (QI-Core)(USCDI) Free text dosage instructions e.g. SIG; right: (QI) Free text dosage instructions e.g. SIG
ele-1: All FHIR elements must have a @value or children
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


ele-1: All FHIR elements must have a @value or children
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions
ele-1: All FHIR elements must have a @value or children
.... timing SΣ0..1Timingleft: (QI-Core) When medication should be administered; right: (QI) When medication should be administered
ele-1: All FHIR elements must have a @value or children
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: ?? (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.


ele-1: All FHIR elements must have a @value or children
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.


ele-1: All FHIR elements must have a @value or children
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: ?? (preferred)
ele-1: All FHIR elements must have a @value or children
.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.


ele-1: All FHIR elements must have a @value or children
.... doseAndRate SΣ0..*Elementleft: (QI-Core)(USCDI) Amount of medication administered; right: (QI) Amount of medication administered
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... type Σ1..1CodeableConceptleft: (QI-Core)(USCDI) The kind of dose or rate specified; right: (QI) The kind of dose or rate specified
Binding: ?? (preferred): Medication dose types (e.g., loading, maintenance, etc.)


ele-1: All FHIR elements must have a @value or children
..... dose[x] SΣ0..1left: (QI-Core)(USCDI) Amount of medication per dose; right: (QI) Amount of medication per dose
Binding: ?? (preferred)
ele-1: All FHIR elements must have a @value or children
...... doseQuantityQuantity S
...... doseRangeRange
..... rate[x] Σ0..1Amount of medication per unit of time
ele-1: All FHIR elements must have a @value or children
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
ele-1: All FHIR elements must have a @value or children
.... maxDosePerAdministration Σ0..1??Upper limit on medication per administration
ele-1: All FHIR elements must have a @value or children
.... maxDosePerLifetime Σ0..1??Upper limit on medication per lifetime of the patient
ele-1: All FHIR elements must have a @value or children
... substitution 0..1BackboneElementWhether a substitution was performed on the dispense
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
ele-1: All FHIR elements must have a @value or children
.... type 0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.


ele-1: All FHIR elements must have a @value or children
.... reason 0..*CodeableConceptWhy was substitution made
Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.


ele-1: All FHIR elements must have a @value or children
.... responsibleParty 0..*Reference(Practitioner | PractitionerRole)Who is responsible for the substitution
ele-1: All FHIR elements must have a @value or children
... detectedIssue 0..*Reference(DetectedIssue)Clinical issue with action
ele-1: All FHIR elements must have a @value or children
... eventHistory 0..*Reference(Provenance)A list of relevant lifecycle events
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format