Profile Comparison between http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense
copyright
date	2018-08-22
description	Negation profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	QICoreMedicationDispenseDeclined
publisher	HL7 International / Clinical Quality Information
purpose
status	active
title	QICore MedicationDispense Declined
type	MedicationDispense
url	http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined
version	6.0.0	7.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
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" mnd-1: To indicate what medication was not dispensed, either at least one coding in the medication or a notDoneValueSet extension shall be provided	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" mnd-1: To indicate what medication was not dispensed, either at least one coding in the medication or a notDoneValueSet extension shall be provided
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url		1..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣC	1..1	code	(QI-Core)(USCDI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required) Fixed Value: declined	?!SΣC	1..1	code	(QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required) Fixed Value: declined
statusReason[x]		1..1	CodeableConcept	(QI-Core) Why a dispense was not performed Binding: ?? (extensible): The reason the event did not occur or was not performed		1..1	CodeableConcept	(QI) Why a dispense was not performed Binding: ?? (extensible): The reason the event did not occur or was not performed
category		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x]	SΣ	1..1	CodeableConcept, Reference(US Core Medication Profile)	(QI-Core)(USCDI) What medication was supplied Binding: ?? (extensible): The set of RxNorm codes to represent medications	SΣ	1..1	CodeableConcept, Reference(QICore Medication)	(QI) What medication was supplied Binding: ?? (extensible): The set of RxNorm codes to represent medications
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
subject	SΣ	1..1	Reference(QICore Patient)	(QI-Core)(USCDI) Who the dispense is for	SΣ	1..1	Reference(QICore Patient)	(QI) Who the dispense is for
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event	S	0..1	Reference(US Core Encounter Profile S | EpisodeOfCare)	Encounter associated with MedicationDispense	Elements differ in definition for mustSupport: 'false' vs 'true'
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	S	0..*	BackboneElement	(USCDI) Who performed event	S	0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication.		0..1	CodeableConcept	Who performed the dispense and what they did Binding: ?? (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)	(USCDI) Individual who was performing	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		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	S	0..*	Reference(QICore MedicationRequest)	(USCDI) Medication order that authorizes the dispense	S	0..*	Reference(QICore MedicationRequest)	Medication order that authorizes the dispense
type	S	0..1	CodeableConcept	(USCDI) Trial fill, partial fill, emergency fill, etc. Binding: ?? (extensible)	S	0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (extensible)
quantity	S	0..1	Quantity	(USCDI) Amount dispensed Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding	S	0..1	??	Amount dispensed Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding
daysSupply		0..1	??	Amount of medication expressed as a timing amount		0..1	??	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	SC	0..1	dateTime	(USCDI) When product was given out or mailed	SC	0..1	dateTime	When product was given out or mailed
destination		0..1	Reference(Location)	Where the medication was sent		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	Dosage	(USCDI) How the medication is to be used by the patient or administered by the caregiver	S	0..*	Dosage	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		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		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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	(QI-Core)(USCDI) Free text dosage instructions e.g. SIG	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: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental 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".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	(QI-Core) When medication should be administered	SΣ	0..1	Timing	(QI) When medication should be administered
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "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.	Σ	0..1	boolean, CodeableConcept	Take "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.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (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: ?? (preferred)	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	(QI-Core)(USCDI) Amount of medication administered	SΣ	0..*	Element	(QI) Amount of medication administered
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	(QI-Core)(USCDI) The kind of dose or rate specified Binding: ?? (preferred): Medication dose types (e.g., loading, maintenance, etc.)	Σ	1..1	CodeableConcept	(QI) The kind of dose or rate specified Binding: ?? (preferred): Medication dose types (e.g., loading, maintenance, etc.)
dose[x]	SΣ	0..1	Quantity S, Range	(QI-Core)(USCDI) Amount of medication per dose Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding	SΣ	0..1	??, Range	(QI) Amount of medication per dose Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!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		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: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.		0..1	CodeableConcept	Code 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.
reason		0..*	CodeableConcept	Why 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.		0..*	CodeableConcept	Why 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.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events		0..*	Reference(Provenance)	A list of relevant lifecycle events
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