Clinical Practice Guidelines
2.0.0 - trial-use
Clinical Practice Guidelines
2.0.0 - trial-use
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationdispense | Version: 2.0.0 | |||
| Active as of 2024-11-21 | Computable Name: CPGMedicationDispense | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.82 | ||||
Documents the dispensing of a particular medication as an activity within the context of a computable clinical practice guideline
This is an activity event profile
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationDispense
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred |
 caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
S | 0..* | Identifier | External identifier |
| 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 |
S | 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 | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medication) | |||
| subject |
SΣ | 0..1 | Reference(Patient | Group) | Who the dispense is for |
| context |
S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event |
| supportingInformation |
S | 0..* | Reference(Resource) | Pertinent information |
| authorizingPrescription |
S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1from the FHIR Standard | |
| MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reasonfrom the FHIR Standard | |
| MedicationDispense.category | preferred | MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-categoryfrom the FHIR Standard | |
| MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
| 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..* | 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | ||||
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | ||||
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
S | 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 |
S | 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 | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
SΣ | 0..1 | Reference(Patient | Group) | Who the dispense is for | ||||
| context |
S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | ||||
| supportingInformation |
S | 0..* | Reference(Resource) | Pertinent information | ||||
| 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 |
S | 0..* | Reference(MedicationRequest) | 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 |
0..1 | SimpleQuantity | Amount dispensed | |||||
| daysSupply |
0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
| whenPrepared |
Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
| whenHandedOver |
0..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 (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(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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1from the FHIR Standard | ||||
| MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reasonfrom the FHIR Standard | ||||
| MedicationDispense.category | preferred | MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-categoryfrom the FHIR Standard | ||||
| MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-functionfrom the FHIR Standard | ||||
| MedicationDispense.type | example | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
| 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 MedicationDispense
Differential View
This structure is derived from MedicationDispense
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred |
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
S | 0..* | Identifier | External identifier |
| 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 |
S | 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 | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medication) | |||
| subject |
SΣ | 0..1 | Reference(Patient | Group) | Who the dispense is for |
| context |
S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event |
| supportingInformation |
S | 0..* | Reference(Resource) | Pertinent information |
| authorizingPrescription |
S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1from the FHIR Standard | |
| MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reasonfrom the FHIR Standard | |
| MedicationDispense.category | preferred | MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-categoryfrom the FHIR Standard | |
| MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
| 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..* | 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | ||||
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | ||||
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
S | 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 |
S | 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 | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
SΣ | 0..1 | Reference(Patient | Group) | Who the dispense is for | ||||
| context |
S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | ||||
| supportingInformation |
S | 0..* | Reference(Resource) | Pertinent information | ||||
| 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 |
S | 0..* | Reference(MedicationRequest) | 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 |
0..1 | SimpleQuantity | Amount dispensed | |||||
| daysSupply |
0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
| whenPrepared |
Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
| whenHandedOver |
0..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 (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(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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1from the FHIR Standard | ||||
| MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reasonfrom the FHIR Standard | ||||
| MedicationDispense.category | preferred | MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-categoryfrom the FHIR Standard | ||||
| MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-functionfrom the FHIR Standard | ||||
| MedicationDispense.type | example | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
| 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 MedicationDispense
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.cpg#2.0.0 based on FHIR 4.0.1. Generated 2024-11-21
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