HL7 Czech Hospital Discharge Report Implementation Guide
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HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. 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-cz/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationDispense: Obligations (HDR CZ) - medication summary

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationdispens-medicationsummary-obl-hdr Version: 0.1.0
Standards status: Informative Maturity Level: 0 Computable Name: CZ_MedicationDispenseMedicationSummaryObligationsHdr

Profile for MedicationDispense with obligations (HDR CZ). - medication summary.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* CZ_MedicationDispenseHdr Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Current state of the dispensation
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (CZ))
.... medication[x]:medicationCodeableConcept OΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... quantity 1..1 SimpleQuantity(4.0.1) Amount dispensed
... whenHandedOver 1..1 dateTime When product was given out

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 CZ_MedicationDispenseHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* CZ_MedicationDispenseHdr Dispensing a medication to a named patient
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication (CZ)) What medication was supplied
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept O 0..1 CodeableConcept What medication was supplied
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* CZ_MedicationDispenseHdr Dispensing a medication to a named patient
Constraints: mdd-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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 Dispensation/dispensed item ID
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!Σ 1..1 code Current state of the dispensation
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, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (CZ))
.... medication[x]:medicationCodeableConcept OΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... subject Σ 0..1 Reference(Patient (CZ core)) 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(MedicationRequest (HDR CZ)) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (3.0.0) (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(4.0.1) Amount dispensed
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 1..1 dateTime When product was given out
... 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 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (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 (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v6.5
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
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 CZ_MedicationDispenseHdr

Summary

Slices

This structure defines the following Slices:

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

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* CZ_MedicationDispenseHdr Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Current state of the dispensation
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (CZ))
.... medication[x]:medicationCodeableConcept OΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... quantity 1..1 SimpleQuantity(4.0.1) Amount dispensed
... whenHandedOver 1..1 dateTime When product was given out

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

Differential View

This structure is derived from CZ_MedicationDispenseHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* CZ_MedicationDispenseHdr Dispensing a medication to a named patient
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication (CZ)) What medication was supplied
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept O 0..1 CodeableConcept What medication was supplied
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* CZ_MedicationDispenseHdr Dispensing a medication to a named patient
Constraints: mdd-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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 Dispensation/dispensed item ID
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!Σ 1..1 code Current state of the dispensation
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, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (CZ))
.... medication[x]:medicationCodeableConcept OΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... subject Σ 0..1 Reference(Patient (CZ core)) 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(MedicationRequest (HDR CZ)) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (3.0.0) (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(4.0.1) Amount dispensed
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 1..1 dateTime When product was given out
... 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 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (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 (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v6.5
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
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 CZ_MedicationDispenseHdr

Summary

Slices

This structure defines the following Slices:

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

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron