This page is part of the CH EMED (R4) (v3.0.0: STU 3) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

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Data Type Profile: CH EMED Dosage Split (MedicationStatement / MedicationDispense)

Definition of the split dosage (used in MedicationStatement / MedicationDispense)

Usage:

• Derived from this DataType Constraint: CH EMED Dosage Split (MedicationRequest)
• Use this DataType Constraint: CH EMED MedicationDispense (LIST), CH EMED MedicationDispense (DIS), CH EMED MedicationStatement (CARD), CH EMED MedicationStatement (LIST), CH EMED MedicationStatement

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Dosage

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	CH EMED Dosage Split (MedicationStatement / MedicationDispense)
sequence	C	1..1	integer	The order of the dosage instructions ch-dosage-2: The sequence number must be greater than 1
text		0..0
additionalInstruction		0..0
patientInstruction		0..0
timing		0..1	Timing	When medication should be administered
repeat		0..1	Element	When the event is to occur
boundsPeriod		0..0
when	SC	0..*	code	Code for time period of occurrence ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended.
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		0..1	Element	Amount of medication administered
dose[x]	S	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-2	error	Dosage.sequence	The sequence number must be greater than 1 : $this > 1
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	CH EMED Dosage Split (MedicationStatement / MedicationDispense)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	ΣC	1..1	integer	The order of the dosage instructions ch-dosage-2: The sequence number must be greater than 1
timing	Σ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	0..1	Element	When the event is to occur
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
when	SΣC	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended.
doseAndRate	Σ	0..1	Element	Amount of medication administered
dose[x]	SΣ	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.timing.repeat.when	required	EventTiming

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-2	error	Dosage.sequence	The sequence number must be greater than 1 : $this > 1
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()
tim-1	error	Dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	CH EMED Dosage Split (MedicationStatement / MedicationDispense)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	ΣC	1..1	integer	The order of the dosage instructions ch-dosage-2: The sequence number must be greater than 1
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	SΣC	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	SΣ	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.timing.repeat.durationUnit	required	UnitsOfTime
Dosage.timing.repeat.periodUnit	required	UnitsOfTime
Dosage.timing.repeat.dayOfWeek	required	DaysOfWeek
Dosage.timing.repeat.when	required	EventTiming
Dosage.timing.code	preferred	TimingAbbreviation
Dosage.doseAndRate.type	example	DoseAndRateType

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-2	error	Dosage.sequence	The sequence number must be greater than 1 : $this > 1
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()

This structure is derived from Dosage

Summary

Mandatory: 1 element
Must-Support: 2 elements
Prohibited: 11 elements

Structures

This structure refers to these other structures:

• CH EMED Range with Units (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-range)
• CH EMED Quantity with Units (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-quantity)

Differential View

This structure is derived from Dosage

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	CH EMED Dosage Split (MedicationStatement / MedicationDispense)
sequence	C	1..1	integer	The order of the dosage instructions ch-dosage-2: The sequence number must be greater than 1
text		0..0
additionalInstruction		0..0
patientInstruction		0..0
timing		0..1	Timing	When medication should be administered
repeat		0..1	Element	When the event is to occur
boundsPeriod		0..0
when	SC	0..*	code	Code for time period of occurrence ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended.
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		0..1	Element	Amount of medication administered
dose[x]	S	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-2	error	Dosage.sequence	The sequence number must be greater than 1 : $this > 1
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	CH EMED Dosage Split (MedicationStatement / MedicationDispense)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	ΣC	1..1	integer	The order of the dosage instructions ch-dosage-2: The sequence number must be greater than 1
timing	Σ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	0..1	Element	When the event is to occur
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
when	SΣC	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended.
doseAndRate	Σ	0..1	Element	Amount of medication administered
dose[x]	SΣ	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.timing.repeat.when	required	EventTiming

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-2	error	Dosage.sequence	The sequence number must be greater than 1 : $this > 1
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()
tim-1	error	Dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	Dosage	CH EMED Dosage Split (MedicationStatement / MedicationDispense)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	ΣC	1..1	integer	The order of the dosage instructions ch-dosage-2: The sequence number must be greater than 1
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	SΣC	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	SΣ	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.timing.repeat.durationUnit	required	UnitsOfTime
Dosage.timing.repeat.periodUnit	required	UnitsOfTime
Dosage.timing.repeat.dayOfWeek	required	DaysOfWeek
Dosage.timing.repeat.when	required	EventTiming
Dosage.timing.code	preferred	TimingAbbreviation
Dosage.doseAndRate.type	example	DoseAndRateType

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-2	error	Dosage.sequence	The sequence number must be greater than 1 : $this > 1
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()

This structure is derived from Dosage

Summary

Mandatory: 1 element
Must-Support: 2 elements
Prohibited: 11 elements

Structures

This structure refers to these other structures:

• CH EMED Range with Units (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-range)
• CH EMED Quantity with Units (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-quantity)

Other representations of profile: CSV, Excel, Schematron