HIV Screening Clinical Guidelines Implementation Guide
0.1.0 - CI Build
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HIV Screening Clinical Guidelines Implementation Guide, published by National Association of Community Health Centers, Inc. (NACHC). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/hiv-cds/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/pep-dispensed-medications | Version: 0.1.0 | |||
Draft as of 2024-08-12 | Computable Name: PEPDispensedMedications | |||
Usage:Workflow Task: Pep |
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Copyright/Legal: Copyright National Association of Community Health Centers, Inc. (NACHC) |
PEP Dispensed Medications
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from QICoreMedicationDispense
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | 0..* | QICoreMedicationDispense | Dispensing a medication to a named patient | |
medication[x] | S | 1..1 | CodeableConcept | PEP Dispensed Medications Binding: PEP Dispensed Medications Codes Grouper (required) |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.medication[x] | required | PEPDispensedMedicationsCodesGrouperhttp://fhir.org/guides/nachc/hiv-cds/ValueSet/nachc-g1-de143-codes-grouper from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | C | 0..* | QICoreMedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | 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] | S | 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) | |||
medication[x] | SΣ | 1..1 | CodeableConcept | PEP Dispensed Medications Binding: PEP Dispensed Medications Codes Grouper (required) |
subject | SΣ | 0..1 | Reference(QICorePatient) | Who the dispense is for |
quantity | S | 0..1 | SimpleQuantity | Amount dispensed |
daysSupply | S | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount |
whenHandedOver | S | 0..1 | dateTime | When product was given out |
dosageInstruction | 0..* | Dosage | 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 |
timing | SΣ | 0..1 | Timing | When medication should be administered |
route | SΣ | 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. |
doseAndRate | SΣ | 0..* | Element | Amount of medication administered |
type | SΣ | 1..1 | CodeableConcept | The kind of dose or rate specified Binding: SNOMED CT Dosages Codes (preferred): Medication dose types (e.g., loading, maintenance, etc.) |
dose[x] | SΣ | 0..1 | Amount of medication per dose | |
doseRange | Range | |||
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.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | |
MedicationDispense.medication[x] | required | PEPDispensedMedicationsCodesGrouperhttp://fhir.org/guides/nachc/hiv-cds/ValueSet/nachc-g1-de143-codes-grouper from this IG | |
MedicationDispense.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | |
MedicationDispense.dosageInstruction.doseAndRate.type | preferred | QICoreMedicationDoseTypehttp://hl7.org/fhir/us/qicore/ValueSet/qicore-medication-dose-type |
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() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | QICoreMedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared | ||||
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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External identifier | |||||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | 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] | S | 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 | CodeableConcept | PEP Dispensed Medications Binding: PEP Dispensed Medications Codes Grouper (required) | ||||
subject | SΣ | 0..1 | Reference(QICorePatient) | Who the dispense is for | ||||
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | 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 | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing | |||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | 0..* | Reference(QICoreMedicationRequest) | Medication order that authorizes the dispense | |||||
type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||
quantity | S | 0..1 | SimpleQuantity | Amount dispensed | ||||
daysSupply | S | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | ||||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | S | 0..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(QICoreLocation) | Where the medication was sent | |||||
receiver | 0..* | Reference(QICorePatient | QICorePractitioner) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | 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 | |||||
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 | Σ | 0..1 | string | 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 | 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 | SΣ | 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 | 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 | SΣ | 1..1 | CodeableConcept | The kind of dose or rate specified Binding: SNOMED CT Dosages Codes (preferred): Medication dose types (e.g., loading, maintenance, etc.) | ||||
dose[x] | SΣ | 0..1 | Amount of medication per dose | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
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(QICorePractitioner) | 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] | required | PEPDispensedMedicationsCodesGrouperhttp://fhir.org/guides/nachc/hiv-cds/ValueSet/nachc-g1-de143-codes-grouper from this IG | ||||
MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | ||||
MedicationDispense.type | example | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
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 | preferred | QICoreMedicationDoseTypehttp://hl7.org/fhir/us/qicore/ValueSet/qicore-medication-dose-type | ||||
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() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared |
This structure is derived from QICoreMedicationDispense
Differential View
This structure is derived from QICoreMedicationDispense
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | 0..* | QICoreMedicationDispense | Dispensing a medication to a named patient | |
medication[x] | S | 1..1 | CodeableConcept | PEP Dispensed Medications Binding: PEP Dispensed Medications Codes Grouper (required) |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.medication[x] | required | PEPDispensedMedicationsCodesGrouperhttp://fhir.org/guides/nachc/hiv-cds/ValueSet/nachc-g1-de143-codes-grouper from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | C | 0..* | QICoreMedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | 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] | S | 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) | |||
medication[x] | SΣ | 1..1 | CodeableConcept | PEP Dispensed Medications Binding: PEP Dispensed Medications Codes Grouper (required) |
subject | SΣ | 0..1 | Reference(QICorePatient) | Who the dispense is for |
quantity | S | 0..1 | SimpleQuantity | Amount dispensed |
daysSupply | S | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount |
whenHandedOver | S | 0..1 | dateTime | When product was given out |
dosageInstruction | 0..* | Dosage | 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 |
timing | SΣ | 0..1 | Timing | When medication should be administered |
route | SΣ | 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. |
doseAndRate | SΣ | 0..* | Element | Amount of medication administered |
type | SΣ | 1..1 | CodeableConcept | The kind of dose or rate specified Binding: SNOMED CT Dosages Codes (preferred): Medication dose types (e.g., loading, maintenance, etc.) |
dose[x] | SΣ | 0..1 | Amount of medication per dose | |
doseRange | Range | |||
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.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | |
MedicationDispense.medication[x] | required | PEPDispensedMedicationsCodesGrouperhttp://fhir.org/guides/nachc/hiv-cds/ValueSet/nachc-g1-de143-codes-grouper from this IG | |
MedicationDispense.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | |
MedicationDispense.dosageInstruction.doseAndRate.type | preferred | QICoreMedicationDoseTypehttp://hl7.org/fhir/us/qicore/ValueSet/qicore-medication-dose-type |
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() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | QICoreMedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared | ||||
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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External identifier | |||||
partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | 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] | S | 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 | CodeableConcept | PEP Dispensed Medications Binding: PEP Dispensed Medications Codes Grouper (required) | ||||
subject | SΣ | 0..1 | Reference(QICorePatient) | Who the dispense is for | ||||
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | 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 | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing | |||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | 0..* | Reference(QICoreMedicationRequest) | Medication order that authorizes the dispense | |||||
type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||
quantity | S | 0..1 | SimpleQuantity | Amount dispensed | ||||
daysSupply | S | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | ||||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | S | 0..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(QICoreLocation) | Where the medication was sent | |||||
receiver | 0..* | Reference(QICorePatient | QICorePractitioner) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | 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 | |||||
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 | Σ | 0..1 | string | 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 | 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 | SΣ | 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 | 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 | SΣ | 1..1 | CodeableConcept | The kind of dose or rate specified Binding: SNOMED CT Dosages Codes (preferred): Medication dose types (e.g., loading, maintenance, etc.) | ||||
dose[x] | SΣ | 0..1 | Amount of medication per dose | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
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(QICorePractitioner) | 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] | required | PEPDispensedMedicationsCodesGrouperhttp://fhir.org/guides/nachc/hiv-cds/ValueSet/nachc-g1-de143-codes-grouper from this IG | ||||
MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | ||||
MedicationDispense.type | example | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
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 | preferred | QICoreMedicationDoseTypehttp://hl7.org/fhir/us/qicore/ValueSet/qicore-medication-dose-type | ||||
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() | |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared |
This structure is derived from QICoreMedicationDispense
Other representations of profile: CSV, Excel, Schematron