MIMIC Implementation Guide
1.3.0 - Draft
MIMIC Implementation Guide
1.3.0 - Draft
MIMIC Implementation Guide - Local Development build (v1.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://mimic.mit.edu/fhir/mimic/StructureDefinition/mimic-medication-dispense-ed | Version: 1.3.0 | |||
| Active as of 2024-02-08 | Computable Name: MimicMedicationDispenseED | |||
A MedicationDispense resource that represents each record in the pyxis (ED medication dispensation) table of MIMIC-ED.
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 | 0..* | MedicationDispense | Dispensing a medication to a named patient | |
  status | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Required Pattern: unknown | |
 medication[x] | 1..1 | CodeableConcept | What medication was supplied Slice: Unordered, Open by type:$this | |
  medicationCodeableConcept | 0..1 | CodeableConcept | What medication was supplied | |
 coding | 0..* | Coding | Code defined by a terminology system Binding: MimicMedicationGsn (required) | |
 text | 1..1 | string | Plain text representation of the concept | |
 subject | 1..1 | Reference(MIMIC Patient) | Who the dispense is for | |
| context | 1..1 | Reference(MIMIC Encounter) | Encounter / Episode associated with event | |
| whenHandedOver | 1..1 | dateTime | When product was given out | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationDispense.medicationCodeableConcept.coding | required | MimicMedicationGsnhttp://mimic.mit.edu/fhir/mimic/ValueSet/mimic-medication-gsnfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Required Pattern: unknown |
| Slices for medication[x] | Σ | 1..1 | CodeableConcept | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. |
  medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. |
  text | Σ | 1..1 | string | Plain text representation of the concept |
| subject | Σ | 1..1 | Reference(MIMIC Patient) | Who the dispense is for |
| context | 1..1 | Reference(MIMIC Encounter) | Encounter / Episode associated with event | |
| whenHandedOver | 1..1 | dateTime | When product was given out | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationDispense.status | required | Pattern: unknownhttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1from the FHIR Standard | |
| MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationDispense.medication[x]:medicationCodeableConcept | 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 | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External identifier | |||||
| partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
| status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Required Pattern: unknown | ||||
 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 | CodeableConcept | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system Binding: MimicMedicationGsn (required) | ||||
| text | Σ | 1..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 1..1 | Reference(MIMIC Patient) | Who the dispense is for | ||||
| context | 1..1 | Reference(MIMIC Encounter) | 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) | 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 | 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 (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 / Code | URI | |||
| MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationDispense.status | required | Pattern: unknownhttp://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.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationDispense.medication[x]:medicationCodeableConcept.coding | required | MimicMedicationGsnhttp://mimic.mit.edu/fhir/mimic/ValueSet/mimic-medication-gsnfrom this IG | ||||
| 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
Summary
Mandatory: 3 elements (1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationDispense
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationDispense | 0..* | MedicationDispense | Dispensing a medication to a named patient | |
| status | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Required Pattern: unknown | |
| medication[x] | 1..1 | CodeableConcept | What medication was supplied Slice: Unordered, Open by type:$this | |
| medicationCodeableConcept | 0..1 | CodeableConcept | What medication was supplied | |
| coding | 0..* | Coding | Code defined by a terminology system Binding: MimicMedicationGsn (required) | |
| text | 1..1 | string | Plain text representation of the concept | |
| subject | 1..1 | Reference(MIMIC Patient) | Who the dispense is for | |
| context | 1..1 | Reference(MIMIC Encounter) | Encounter / Episode associated with event | |
| whenHandedOver | 1..1 | dateTime | When product was given out | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationDispense.medicationCodeableConcept.coding | required | MimicMedicationGsnhttp://mimic.mit.edu/fhir/mimic/ValueSet/mimic-medication-gsnfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient |
| 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 | 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. Required Pattern: unknown |
| Slices for medication[x] | Σ | 1..1 | CodeableConcept | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. |
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. |
| text | Σ | 1..1 | string | Plain text representation of the concept |
| subject | Σ | 1..1 | Reference(MIMIC Patient) | Who the dispense is for |
| context | 1..1 | Reference(MIMIC Encounter) | Encounter / Episode associated with event | |
| whenHandedOver | 1..1 | dateTime | When product was given out | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationDispense.status | required | Pattern: unknownhttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1from the FHIR Standard | |
| MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationDispense.medication[x]:medicationCodeableConcept | 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 | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External identifier | |||||
| partOf | 0..* | Reference(Procedure) | Event that dispense is part of | |||||
| status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Required Pattern: unknown | ||||
| 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 | CodeableConcept | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system Binding: MimicMedicationGsn (required) | ||||
| text | Σ | 1..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 1..1 | Reference(MIMIC Patient) | Who the dispense is for | ||||
| context | 1..1 | Reference(MIMIC Encounter) | 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) | 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 | 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 (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 / Code | URI | |||
| MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationDispense.status | required | Pattern: unknownhttp://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.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationDispense.medication[x]:medicationCodeableConcept.coding | required | MimicMedicationGsnhttp://mimic.mit.edu/fhir/mimic/ValueSet/mimic-medication-gsnfrom this IG | ||||
| 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
Summary
Mandatory: 3 elements (1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron