HL7 Belgium Medication Implementation Guide
0.2.0 - ReleaseCandidate

This page is part of the HL7 Belgium Medication Implementation Guide (v0.2.0: Trial Use Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Profile - Medication Dispense

Defining URL:https://www.hl7belgium.org/profiles/hl7belgium/be-medication/StructureDefinition/be-medicationdispense
Version:0.2.0
Name:BeMedicationDispense
Status:Active as of 2021-07-12T21:59:30+02:00
Definition:

Defines constraints and extensions on the Medication Dispense resource for a record of a dispensation in Belgium.

Publisher:HL7 Belgium
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://www.hl7belgium.org/profiles/hl7belgium/be-medication/StructureDefinition/be-medicationdispense

Formal Views of Profile Content

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

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 17 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationDispense.identifier is sliced based on the value of value:system

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseThe medication dispense entry
... Slices for identifier S0..*IdentifierExternal identifier
Slice: Unordered, Open by value:system
.... identifier:DGUID S0..1IdentifierExternal identifier
..... type
...... coding
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: dguid
..... system 1..1uriThe namespace for the identifier value
Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
... medicationCodeableConcept S0..1CodeableConceptWhat medication was supplied
Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication

... medicationReference S0..1Reference(Medication)What medication was supplied
... context S0..1Reference(Encounter | EpisodeOfCare)The dispense session identifier, for example an identifier of a visit to a pharmacy
.... identifier S0..1IdentifierLogical reference, when literal reference is not known
..... type
...... coding
....... system 0..1uriIdentity of the terminology system
Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: sguid
..... system 0..1uriThe namespace for the identifier value
Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
... performer S1..*BackboneElementWho performed event
.... function
..... text 0..1stringPlain text representation of the concept
Required Pattern: dispenser
.... actor 1..1Reference(BeOrganization | BePractitioner)Individual who was performing
... authorizingPrescription S0..*Reference(MedicationRequest)Medication order that authorizes the dispense
.... identifier S0..1IdentifierLogical reference, when literal reference is not known
.... display S0..1stringText alternative for the resource
... quantity S0..1SimpleQuantityAmount dispensed
... whenHandedOver S1..1dateTimeWhen product was given out
... note S0..*AnnotationInformation about the dispense
... dosageInstruction S0..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... text S0..1stringFree text dosage instructions e.g. SIG
.... patientInstruction S0..1stringPatient or consumer oriented instructions

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseThe medication dispense entry
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier S0..*IdentifierExternal identifier
Slice: Unordered, Open by value:system
.... identifier:DGUID S0..1IdentifierExternal identifier
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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.

...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
Required Pattern: dguid
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ1..1codepreparation | 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..1Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConceptCodeableConcept
.... statusReasonReferenceReference(DetectedIssue)
... category 0..1CodeableConceptType 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] Σ1..1What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Any)
.... medication[x]:medicationCodeableConcept SΣ0..1CodeableConceptWhat medication was supplied
Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication

.... medication[x]:medicationReference SΣ0..1Reference(Medication)What medication was supplied
... subject SΣ1..1Reference(BePatient)Who the dispense is for
... context S0..1Reference(Encounter | EpisodeOfCare)The dispense session identifier, for example an identifier of a visit to a pharmacy
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier SΣ0..1IdentifierLogical reference, when literal reference is not known
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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.

...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
Required Pattern: sguid
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... display Σ0..1stringText alternative for the resource
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer S1..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptWho 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.

..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
..... text Σ0..1stringPlain text representation of the concept
Required Pattern: dispenser
.... actor 1..1Reference(BeOrganization | BePractitioner)Individual who was performing
... location 0..1Reference(Location)Where the dispense occurred
... authorizingPrescription S0..*Reference(MedicationRequest)Medication order that authorizes the dispense
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier SΣ0..1IdentifierLogical reference, when literal reference is not known
.... display SΣ0..1stringText alternative for the resource
... type 0..1CodeableConceptTrial 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 S0..1SimpleQuantityAmount dispensed
... daysSupply 0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver S1..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient | Practitioner)Who collected the medication
... note S0..*AnnotationInformation about the dispense
... dosageInstruction S0..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text SΣ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction SΣ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ0..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... substitution 0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode 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..*CodeableConceptWhy 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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseThe medication dispense entry
... Slices for identifier 0..*IdentifierExternal identifier
Slice: Unordered, Open by value:system
.... identifier:DGUID 0..1IdentifierExternal identifier
.... medication[x]:medicationCodeableConcept Σ0..1CodeableConceptWhat medication was supplied
Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication

.... medication[x]:medicationReference Σ0..1Reference(Medication)What medication was supplied
... subject Σ1..1Reference(BePatient)Who the dispense is for
... context 0..1Reference(Encounter | EpisodeOfCare)The dispense session identifier, for example an identifier of a visit to a pharmacy
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
... authorizingPrescription 0..*Reference(MedicationRequest)Medication order that authorizes the dispense
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... quantity 0..1SimpleQuantityAmount dispensed
... whenHandedOver 1..1dateTimeWhen product was given out
... note 0..*AnnotationInformation about the dispense
... dosageInstruction 0..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions

doco Documentation for this format

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 17 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationDispense.identifier is sliced based on the value of value:system

Differential View

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseThe medication dispense entry
... Slices for identifier S0..*IdentifierExternal identifier
Slice: Unordered, Open by value:system
.... identifier:DGUID S0..1IdentifierExternal identifier
..... type
...... coding
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: dguid
..... system 1..1uriThe namespace for the identifier value
Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
... medicationCodeableConcept S0..1CodeableConceptWhat medication was supplied
Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication

... medicationReference S0..1Reference(Medication)What medication was supplied
... context S0..1Reference(Encounter | EpisodeOfCare)The dispense session identifier, for example an identifier of a visit to a pharmacy
.... identifier S0..1IdentifierLogical reference, when literal reference is not known
..... type
...... coding
....... system 0..1uriIdentity of the terminology system
Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: sguid
..... system 0..1uriThe namespace for the identifier value
Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
... performer S1..*BackboneElementWho performed event
.... function
..... text 0..1stringPlain text representation of the concept
Required Pattern: dispenser
.... actor 1..1Reference(BeOrganization | BePractitioner)Individual who was performing
... authorizingPrescription S0..*Reference(MedicationRequest)Medication order that authorizes the dispense
.... identifier S0..1IdentifierLogical reference, when literal reference is not known
.... display S0..1stringText alternative for the resource
... quantity S0..1SimpleQuantityAmount dispensed
... whenHandedOver S1..1dateTimeWhen product was given out
... note S0..*AnnotationInformation about the dispense
... dosageInstruction S0..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... text S0..1stringFree text dosage instructions e.g. SIG
.... patientInstruction S0..1stringPatient or consumer oriented instructions

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseThe medication dispense entry
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier S0..*IdentifierExternal identifier
Slice: Unordered, Open by value:system
.... identifier:DGUID S0..1IdentifierExternal identifier
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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.

...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
Required Pattern: dguid
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... partOf 0..*Reference(Procedure)Event that dispense is part of
... status ?!Σ1..1codepreparation | 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..1Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConceptCodeableConcept
.... statusReasonReferenceReference(DetectedIssue)
... category 0..1CodeableConceptType 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] Σ1..1What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Any)
.... medication[x]:medicationCodeableConcept SΣ0..1CodeableConceptWhat medication was supplied
Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication

.... medication[x]:medicationReference SΣ0..1Reference(Medication)What medication was supplied
... subject SΣ1..1Reference(BePatient)Who the dispense is for
... context S0..1Reference(Encounter | EpisodeOfCare)The dispense session identifier, for example an identifier of a visit to a pharmacy
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier SΣ0..1IdentifierLogical reference, when literal reference is not known
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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.

...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
Required Pattern: sguid
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... display Σ0..1stringText alternative for the resource
... supportingInformation 0..*Reference(Resource)Information that supports the dispensing of the medication
... performer S1..*BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptWho 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.

..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
..... text Σ0..1stringPlain text representation of the concept
Required Pattern: dispenser
.... actor 1..1Reference(BeOrganization | BePractitioner)Individual who was performing
... location 0..1Reference(Location)Where the dispense occurred
... authorizingPrescription S0..*Reference(MedicationRequest)Medication order that authorizes the dispense
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier SΣ0..1IdentifierLogical reference, when literal reference is not known
.... display SΣ0..1stringText alternative for the resource
... type 0..1CodeableConceptTrial 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 S0..1SimpleQuantityAmount dispensed
... daysSupply 0..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared Σ0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver S1..1dateTimeWhen product was given out
... destination 0..1Reference(Location)Where the medication was sent
... receiver 0..*Reference(Patient | Practitioner)Who collected the medication
... note S0..*AnnotationInformation about the dispense
... dosageInstruction S0..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text SΣ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction SΣ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ0..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... substitution 0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1booleanWhether a substitution was or was not performed on the dispense
.... type 0..1CodeableConceptCode 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..*CodeableConceptWhy 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

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
MedicationDispense.languagepreferredCommonLanguages
Max Binding: AllLanguages
MedicationDispense.identifier:DGUID.userequiredIdentifierUse
MedicationDispense.identifier:DGUID.typeextensibleIdentifier Type Codes
MedicationDispense.statusrequiredMedicationDispense Status Codes
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
MedicationDispense.categorypreferredMedicationDispense Category Codes
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
MedicationDispense.context.typeextensibleResourceType
MedicationDispense.context.identifier.userequiredIdentifierUse
MedicationDispense.context.identifier.typeextensibleIdentifier Type Codes
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
MedicationDispense.authorizingPrescription.typeextensibleResourceType
MedicationDispense.typeexampleActPharmacySupplyType
MedicationDispense.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationDispense.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationDispense.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationDispense.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationDispense.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationDispense.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason