CH Core (R4)
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH Core (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core MedicationDispense

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medicationdispense Version: 5.0.0-ballot
Active as of 2024-05-16 Computable Name: CHCoreMedicationDispense

Copyright/Legal: CC0-1.0

Base definition of the MedicationDispense resource for use in Swiss specific use cases.

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..* MedicationDispense CH Core MedicationDispense
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... treatmentReason 0..* string Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
... medication[x] 1..1 What medication was supplied
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
... subject 0..1 Reference(CH Core Patient | Group) Who the dispense is for
.... actor 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | CH Core Patient | Device | RelatedPerson) Individual who was performing
... dosageInstruction 0..* CHCoreDosage CH Core Dosage
... substitution C 0..1 BackboneElement Whether a substitution was performed on the dispense
ch-meddis-1: If no substitution was performed, no type is expected.
.... wasSubstituted 1..1 boolean Whether a substitution was (true) or was not (false) performed on the dispense
.... type 0..1 CodeableConcept If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
Binding: ActSubstanceAdminSubstitutionCode (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationDispense.substitution.typepreferredActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode

Constraints

IdGradePath(s)DetailsRequirements
ch-meddis-1warningMedicationDispense.substitutionIf no substitution was performed, no type is expected.
: wasSubstituted = true or (wasSubstituted = false and type.exists().not())
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense CH Core MedicationDispense
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
.... treatmentReason 0..* string Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
... subject Σ 0..1 Reference(CH Core Patient | Group) Who the dispense is for
... dosageInstruction 0..* CHCoreDosage CH Core Dosage
... substitution C 0..1 BackboneElement Whether a substitution was performed on the dispense
ch-meddis-1: If no substitution was performed, no type is expected.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1 boolean Whether a substitution was (true) or was not (false) performed on the dispense
.... type 0..1 CodeableConcept If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
Binding: ActSubstanceAdminSubstitutionCode (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.substitution.typepreferredActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode

Constraints

IdGradePath(s)DetailsRequirements
ch-meddis-1warningMedicationDispense.substitutionIf no substitution was performed, no type is expected.
: wasSubstituted = true or (wasSubstituted = false and type.exists().not())
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense CH Core MedicationDispense
mdd-1: whenHandedOver cannot be before whenPrepared
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... treatmentReason 0..* string Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
... 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.

... 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.

... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
... subject Σ 0..1 Reference(CH Core Patient | Group) Who the dispense is for
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | CH Core 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 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..* CHCoreDosage CH Core Dosage
... substitution C 0..1 BackboneElement Whether a substitution was performed on the dispense
ch-meddis-1: If no substitution was performed, no type is expected.
.... 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 (true) or was not (false) performed on the dispense
.... type 0..1 CodeableConcept If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
Binding: ActSubstanceAdminSubstitutionCode (preferred)
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.typeexampleActPharmacySupplyType
http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.typepreferredActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
ch-meddis-1warningMedicationDispense.substitutionIf no substitution was performed, no type is expected.
: wasSubstituted = true or (wasSubstituted = false and type.exists().not())
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..* MedicationDispense CH Core MedicationDispense
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... treatmentReason 0..* string Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
... medication[x] 1..1 What medication was supplied
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
... subject 0..1 Reference(CH Core Patient | Group) Who the dispense is for
.... actor 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | CH Core Patient | Device | RelatedPerson) Individual who was performing
... dosageInstruction 0..* CHCoreDosage CH Core Dosage
... substitution C 0..1 BackboneElement Whether a substitution was performed on the dispense
ch-meddis-1: If no substitution was performed, no type is expected.
.... wasSubstituted 1..1 boolean Whether a substitution was (true) or was not (false) performed on the dispense
.... type 0..1 CodeableConcept If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
Binding: ActSubstanceAdminSubstitutionCode (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationDispense.substitution.typepreferredActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode

Constraints

IdGradePath(s)DetailsRequirements
ch-meddis-1warningMedicationDispense.substitutionIf no substitution was performed, no type is expected.
: wasSubstituted = true or (wasSubstituted = false and type.exists().not())

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense CH Core MedicationDispense
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
.... treatmentReason 0..* string Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
... subject Σ 0..1 Reference(CH Core Patient | Group) Who the dispense is for
... dosageInstruction 0..* CHCoreDosage CH Core Dosage
... substitution C 0..1 BackboneElement Whether a substitution was performed on the dispense
ch-meddis-1: If no substitution was performed, no type is expected.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1 boolean Whether a substitution was (true) or was not (false) performed on the dispense
.... type 0..1 CodeableConcept If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
Binding: ActSubstanceAdminSubstitutionCode (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.substitution.typepreferredActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode

Constraints

IdGradePath(s)DetailsRequirements
ch-meddis-1warningMedicationDispense.substitutionIf no substitution was performed, no type is expected.
: wasSubstituted = true or (wasSubstituted = false and type.exists().not())
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* MedicationDispense CH Core MedicationDispense
mdd-1: whenHandedOver cannot be before whenPrepared
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... treatmentReason 0..* string Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
... 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.

... 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.

... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
... subject Σ 0..1 Reference(CH Core Patient | Group) Who the dispense is for
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | CH Core 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 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..* CHCoreDosage CH Core Dosage
... substitution C 0..1 BackboneElement Whether a substitution was performed on the dispense
ch-meddis-1: If no substitution was performed, no type is expected.
.... 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 (true) or was not (false) performed on the dispense
.... type 0..1 CodeableConcept If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
Binding: ActSubstanceAdminSubstitutionCode (preferred)
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.typeexampleActPharmacySupplyType
http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.typepreferredActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
ch-meddis-1warningMedicationDispense.substitutionIf no substitution was performed, no type is expected.
: wasSubstituted = true or (wasSubstituted = false and type.exists().not())
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

 

Other representations of profile: CSV, Excel, Schematron