HL7 FHIR Implementation Guide Dossier Farmaceutico
0.1.0 - ci-build Italy flag

HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. 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/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationDispense - Dossier Farmaceutico

Official URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/MedicationDispense-it-dossierPharma Version: 0.1.0
Active as of 2024-06-17 Computable Name: MedicationDispenseItDossierPharma

Profilo MedicationDispense per Dossier Farmaceutico

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense MedicationDispense
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... recorded 1..1 dateTime Data di inizio erogazione
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationDispense-recorded
... identifier 0..1 Identifier External identifier
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) What medication was supplied
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(Medication - Dossier Farmaceutico) What medication was supplied
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What medication was supplied
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
...... coding:ATC 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
...... coding:AIC 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
...... coding:gruppoEquivalenza 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
...... coding:eccezioni 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text 0..1 string Descrizione testuale del farmaco
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier
..... value 0..1 string Codice Fiscale
... Slices for performer 1..* BackboneElement Who performed event
Slice: Unordered, Open by type:$this
.... performer:CFErogatore 1..1 BackboneElement Who performed event
..... actor
...... identifier 1..1 Identifier Logical reference, when literal reference is not known
....... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
....... value 1..1 string CF dell'erogatore
... location 0..1 Reference(Location - Dossier Farmaceutico) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest - Dossier Farmaceutico) Prescrizione dei farmaci che autorizza l'erogazione
... quantity 1..1 SimpleQuantity Amount dispensed
.... value 1..1 decimal Numero confezioni erogate
... whenHandedOver 1..1 dateTime Data erogazione ricetta
... substitution
.... type 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
..... coding 1..* Coding Code defined by a terminology system
Binding: Codice sostituzione sostanza (required)
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... reason 1..* CodeableConcept Why was substitution made
..... coding 1..* Coding Code defined by a terminology system
Binding: Motivazione di sostituzione (required)
...... system 1..1 uri OID flagErog
...... code 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationDispense.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationDispense.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-aic
from this IG
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-ge
from this IG
MedicationDispense.substitution.type.codingrequiredVsCodiceSostituzoneSostanza (a valid code from Codice sostituzione sostanza)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-codice-sostituzione-sostanza
from this IG
MedicationDispense.substitution.reason.codingrequiredVsMotivoSostituzione (a valid code from Motivazione di sostituzione)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-motivo-sostituzone
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense 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
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... recorded 1..1 dateTime Data di inizio erogazione
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationDispense-recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 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.

... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) What medication was supplied
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
...... coding:ATC Σ 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject Σ 0..1 Reference(Patient - base) Who the dispense is for
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
... Slices for performer 1..* BackboneElement Who performed event
Slice: Unordered, Open by type:$this
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
.... performer:CFErogatore 1..1 BackboneElement Who performed event
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

....... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
....... value Σ 1..1 string CF dell'erogatore
Example General: 123456
... location 0..1 Reference(Location - Dossier Farmaceutico) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest - Dossier Farmaceutico) Prescrizione dei farmaci che autorizza l'erogazione
... quantity 1..1 SimpleQuantity Amount dispensed
.... value Σ 1..1 decimal Numero confezioni erogate
... whenHandedOver 1..1 dateTime Data erogazione ricetta

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationDispense.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-aic
from this IG
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-ge
from this IG
MedicationDispense.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... recorded 1..1 dateTime Data di inizio erogazione
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationDispense-recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..1 Identifier External identifier
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!Σ 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] 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.

... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) What medication was supplied
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:ATC Σ 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject Σ 0..1 Reference(Patient - base) Who the dispense is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 0..1 string Codice Fiscale
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... Slices for performer 1..* BackboneElement Who performed event
Slice: Unordered, Open by type:$this
.... performer:All Slices Content/Rules for all slices
..... 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
.... performer:CFErogatore 1..1 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

....... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

....... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
....... value Σ 1..1 string CF dell'erogatore
Example General: 123456
....... period Σ 0..1 Period Time period when id is/was valid for use
....... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
...... display Σ 0..1 string Text alternative for the resource
... location 0..1 Reference(Location - Dossier Farmaceutico) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest - Dossier Farmaceutico) Prescrizione dei farmaci che autorizza l'erogazione
... 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 1..1 SimpleQuantity Amount dispensed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value Σ 1..1 decimal Numero confezioni erogate
.... unit Σ 0..1 string Unit representation
.... system ΣC 0..1 uri System that defines coded unit form
.... code Σ 0..1 code Coded form of the unit
... daysSupply 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 1..1 dateTime Data erogazione ricetta
... 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 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
... 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 1..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.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
Binding: Codice sostituzione sostanza (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... reason 1..* 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.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
Binding: Motivazione di sostituzione (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri OID flagErog
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationDispense.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-aic
from this IG
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-ge
from this IG
MedicationDispense.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationDispense.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.performer:CFErogatore.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationDispense.typeexampleActPharmacySupplyType
http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.type.codingrequiredVsCodiceSostituzoneSostanza (a valid code from Codice sostituzione sostanza)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-codice-sostituzione-sostanza
from this IG
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason
MedicationDispense.substitution.reason.codingrequiredVsMotivoSostituzione (a valid code from Motivazione di sostituzione)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-motivo-sostituzone
from this IG

This structure is derived from MedicationDispense

Summary

Mandatory: 10 elements(11 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationDispense.medication[x]
  • The element 1 is sliced based on the value of MedicationDispense.medication[x].coding
  • The element 1 is sliced based on the value of MedicationDispense.performer

Differential View

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense MedicationDispense
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... recorded 1..1 dateTime Data di inizio erogazione
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationDispense-recorded
... identifier 0..1 Identifier External identifier
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) What medication was supplied
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(Medication - Dossier Farmaceutico) What medication was supplied
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What medication was supplied
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
...... coding:ATC 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
...... coding:AIC 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
...... coding:gruppoEquivalenza 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
...... coding:eccezioni 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text 0..1 string Descrizione testuale del farmaco
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier
..... value 0..1 string Codice Fiscale
... Slices for performer 1..* BackboneElement Who performed event
Slice: Unordered, Open by type:$this
.... performer:CFErogatore 1..1 BackboneElement Who performed event
..... actor
...... identifier 1..1 Identifier Logical reference, when literal reference is not known
....... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
....... value 1..1 string CF dell'erogatore
... location 0..1 Reference(Location - Dossier Farmaceutico) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest - Dossier Farmaceutico) Prescrizione dei farmaci che autorizza l'erogazione
... quantity 1..1 SimpleQuantity Amount dispensed
.... value 1..1 decimal Numero confezioni erogate
... whenHandedOver 1..1 dateTime Data erogazione ricetta
... substitution
.... type 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
..... coding 1..* Coding Code defined by a terminology system
Binding: Codice sostituzione sostanza (required)
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... reason 1..* CodeableConcept Why was substitution made
..... coding 1..* Coding Code defined by a terminology system
Binding: Motivazione di sostituzione (required)
...... system 1..1 uri OID flagErog
...... code 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationDispense.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationDispense.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-aic
from this IG
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-ge
from this IG
MedicationDispense.substitution.type.codingrequiredVsCodiceSostituzoneSostanza (a valid code from Codice sostituzione sostanza)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-codice-sostituzione-sostanza
from this IG
MedicationDispense.substitution.reason.codingrequiredVsMotivoSostituzione (a valid code from Motivazione di sostituzione)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-motivo-sostituzone
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense 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
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... recorded 1..1 dateTime Data di inizio erogazione
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationDispense-recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 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.

... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) What medication was supplied
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
...... coding:ATC Σ 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject Σ 0..1 Reference(Patient - base) Who the dispense is for
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
... Slices for performer 1..* BackboneElement Who performed event
Slice: Unordered, Open by type:$this
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
.... performer:CFErogatore 1..1 BackboneElement Who performed event
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

....... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
....... value Σ 1..1 string CF dell'erogatore
Example General: 123456
... location 0..1 Reference(Location - Dossier Farmaceutico) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest - Dossier Farmaceutico) Prescrizione dei farmaci che autorizza l'erogazione
... quantity 1..1 SimpleQuantity Amount dispensed
.... value Σ 1..1 decimal Numero confezioni erogate
... whenHandedOver 1..1 dateTime Data erogazione ricetta

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationDispense.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-aic
from this IG
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-ge
from this IG
MedicationDispense.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... recorded 1..1 dateTime Data di inizio erogazione
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationDispense-recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..1 Identifier External identifier
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!Σ 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] 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.

... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) What medication was supplied
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:ATC Σ 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject Σ 0..1 Reference(Patient - base) Who the dispense is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 0..1 string Codice Fiscale
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... Slices for performer 1..* BackboneElement Who performed event
Slice: Unordered, Open by type:$this
.... performer:All Slices Content/Rules for all slices
..... 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
.... performer:CFErogatore 1..1 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

....... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

....... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
....... value Σ 1..1 string CF dell'erogatore
Example General: 123456
....... period Σ 0..1 Period Time period when id is/was valid for use
....... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
...... display Σ 0..1 string Text alternative for the resource
... location 0..1 Reference(Location - Dossier Farmaceutico) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest - Dossier Farmaceutico) Prescrizione dei farmaci che autorizza l'erogazione
... 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 1..1 SimpleQuantity Amount dispensed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value Σ 1..1 decimal Numero confezioni erogate
.... unit Σ 0..1 string Unit representation
.... system ΣC 0..1 uri System that defines coded unit form
.... code Σ 0..1 code Coded form of the unit
... daysSupply 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 1..1 dateTime Data erogazione ricetta
... 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 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
... 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 1..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.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
Binding: Codice sostituzione sostanza (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... reason 1..* 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.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
Binding: Motivazione di sostituzione (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri OID flagErog
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationDispense.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-aic
from this IG
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossierPharma/ValueSet/aifa-ge
from this IG
MedicationDispense.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationDispense.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.performer:CFErogatore.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.performer:CFErogatore.actor.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationDispense.typeexampleActPharmacySupplyType
http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.type.codingrequiredVsCodiceSostituzoneSostanza (a valid code from Codice sostituzione sostanza)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-codice-sostituzione-sostanza
from this IG
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason
MedicationDispense.substitution.reason.codingrequiredVsMotivoSostituzione (a valid code from Motivazione di sostituzione)
http://hl7.it/fhir/dossierPharma/ValueSet/vs-motivo-sostituzone
from this IG

This structure is derived from MedicationDispense

Summary

Mandatory: 10 elements(11 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationDispense.medication[x]
  • The element 1 is sliced based on the value of MedicationDispense.medication[x].coding
  • The element 1 is sliced based on the value of MedicationDispense.performer

 

Other representations of profile: CSV, Excel, Schematron