IL Core Implementation Guide
0.18.0 - draft
This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-medication-dispense | Version: 0.18.0 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: ILCoreMedicationDispense |
Israel Core proposed constraints and extensions on the MedicationDispense Resource
משאב הבסיס הבסיס MedicationDispense מיועד לתעד מידע על ניפוק התרופה למטופל בבית המרקחת כולל תיאור התרופה,הכמות, הוראות המינונים, וההוראות למתן התרופה. דוגמאות לשימוש במשאב: • ניפוק תרופה למטופל בבית המרקחת של בית החולים או בבית המרקחת בקהילה • ניפוק של תרופות מבית מרקחת שבבית החולים למחלקה בבית החולים • ניפוק של מנה בודדת מבית המרקחת שבבית החולים למטופל במחלקה (למשל ע”י רובוט) הפרופיל תומך גם בייצוג של החלפת תרופות בעת הניפוק (למשל החלפה לתרופה גנרית), וכן במקרה של ניפוק חלקי , כאשר נופקה תרופה עם מינון חלקי בלבד. עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה
הפרופיל נועד לתעד בעיקרו הנפקות למטופל מבית המרקחת בקהילה, ופחות ניפוקים פנימיים בתוך בתי החולים (הנפקה למחלקות או למטופל במחלקה) שכן ניפוקים בקהילה הם השכיחים ביותר. כמו כן, עקב כך שפרוטוקול החלפת התרופות בעת הניפוק שונה בין הארגונים השונים, הוחלט לא להסדיר את רשימות הערכים הקשורות לסוגי ההחלפה (substitution) בפרופיל . מבחינת workflow של FHIR , הוראה לתרופה במרשם (MedicationRequest ) יוצרת בעת הניפוק ארוע (event) של משאב ניפוק התרופה (MedicationDispense ) בבית המרקחת.
במהלך הסדרת הפרופיל עם ארגוני הבריאות עלו מספר תרחישי שימוש שלחלקם נתן המשאב מענה, ולחלקם הוחלט להוסיף הרחבות (extensions) בפרופיל ע”מ לתת להם מענה. להלן ההרחבות שנוספו לפרופיל, כולם אופציונאליים:
בכל משאב התואם לפרופיל ILCoreMedicationDispense חייבים להיות האלמנטים הבאים:
בנוסף לאלמנטים שהוגדרו כחובה, הכיתוב MS (Must Support) ליד כל אלמנט מציין שכל מערכת חייבת לתמוך גם באלמנט זה במידה והוא קיים במופע ה- ILCoreMedicationDispense שהתקבל. לחלק מהאלמנטים הוחלט להגדיר MS, ולחלק מהאלמנטים הוחלט על MS שלהם כחלק מתאימות ל- US Core כפי שמוסבר בטבלה המסכמת. להלן האלמנטים שהוגדר להם MS:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationDispense
Path | Conformance | ValueSet | URI | |||
MedicationDispense.category | extensible | ILCoreMedicationDispenseCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-dospense-category from this IG | ||||
MedicationDispense.medication[x] | required | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Id | Grade | Path(s) | Details | Requirements |
il-medicationdispense-whenhandedover | error | MedicationDispense | whenHandedOver SHALL be present if the status is 'completed' : status='completed' implies whenHandedOver.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | ILCore MedicationDispense Profile mdd-1: whenHandedOver cannot be before whenPrepared il-medicationdispense-whenhandedover: whenHandedOver SHALL be present if the status is 'completed' | ||||
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 | |||||
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
partOf | 0..* | Reference(ILCore Procedure Profile) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | ILCore MedicationDispense Status Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
category | 0..1 | CodeableConcept | Type of medication dispense Binding: ILCore Medication dispense Category (extensible) | |||||
Slices for medication[x] | SΣ | 1..1 | What medication was supplied Slice: Unordered, Open by type:$this Binding: ILCore Medication Code (required) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | What medication was supplied | ||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the dispense is for | ||||
context | 0..1 | Reference(ILCore Encounter Profile | ILCore EpisodeOfCare Profile) | Encounter / Episode associated with event | |||||
performer | S | 0..* | BackboneElement | Who performed event | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
actor | S | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore Device Profile | ILCore RelatedPerson Profile) | Individual who was performing | ||||
location | 0..1 | Reference(ILCore Location Profile) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(ILCore MedicationRequest Profile) | Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | Amount dispensed Binding: IL Core Units Of Measure Codes (extensible)
| ||||
whenHandedOver | S | 0..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(ILCore Location Profile) | Where the medication was sent | |||||
receiver | 0..* | Reference(ILCore Practitioner Profile | ILCore Patient Profile) | Who collected the medication | |||||
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.category | extensible | ILCoreMedicationDispenseCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-dospense-category from this IG | ||||
MedicationDispense.medication[x] | required | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Id | Grade | Path(s) | Details | Requirements |
il-medicationdispense-whenhandedover | error | MedicationDispense | whenHandedOver SHALL be present if the status is 'completed' : status='completed' implies whenHandedOver.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | ILCore MedicationDispense Profile mdd-1: whenHandedOver cannot be before whenPrepared il-medicationdispense-whenhandedover: whenHandedOver SHALL be present if the status is 'completed' | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External identifier | |||||
partOf | 0..* | Reference(ILCore Procedure Profile) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | ILCore MedicationDispense Status 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: ILCore Medication dispense Category (extensible) | |||||
Slices for medication[x] | SΣ | 1..1 | What medication was supplied Slice: Unordered, Open by type:$this Binding: ILCore Medication Code (required) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | What medication was supplied | ||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the dispense is for | ||||
context | 0..1 | Reference(ILCore Encounter Profile | ILCore EpisodeOfCare Profile) | Encounter / Episode associated with event | |||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | S | 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 | S | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore Device Profile | ILCore RelatedPerson Profile) | Individual who was performing | ||||
location | 0..1 | Reference(ILCore Location Profile) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(ILCore MedicationRequest Profile) | Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | Amount dispensed Binding: IL Core Units Of Measure Codes (extensible)
| ||||
daysSupply | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | S | 0..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(ILCore Location Profile) | Where the medication was sent | |||||
receiver | 0..* | Reference(ILCore Practitioner Profile | ILCore Patient Profile) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken | ||||
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(ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who is responsible for the substitution | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | ||||
MedicationDispense.category | extensible | ILCoreMedicationDispenseCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-dospense-category from this IG | ||||
MedicationDispense.medication[x] | required | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
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 |
il-medicationdispense-whenhandedover | error | MedicationDispense | whenHandedOver SHALL be present if the status is 'completed' : status='completed' implies whenHandedOver.exists() |
This structure is derived from MedicationDispense
Differential View
This structure is derived from MedicationDispense
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | ILCore MedicationDispense Profile il-medicationdispense-whenhandedover: whenHandedOver SHALL be present if the status is 'completed' | ||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |||||
partOf | 0..* | Reference(ILCore Procedure Profile) | Event that dispense is part of | |||||
status | S | 1..1 | code | ILCore MedicationDispense Status | ||||
category | 0..1 | CodeableConcept | Type of medication dispense Binding: ILCore Medication dispense Category (extensible) | |||||
Slices for medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | What medication was supplied Slice: Unordered, Open by type:$this Binding: ILCore Medication Code (required) | ||||
medication[x]:medicationReference | 0..1 | Reference(ILCore Medication Profile) | What medication was supplied | |||||
subject | S | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the dispense is for | ||||
context | 0..1 | Reference(ILCore Encounter Profile | ILCore EpisodeOfCare Profile) | Encounter / Episode associated with event | |||||
performer | S | 0..* | BackboneElement | Who performed event | ||||
actor | S | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore Device Profile | ILCore RelatedPerson Profile) | Individual who was performing | ||||
location | 0..1 | Reference(ILCore Location Profile) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(ILCore MedicationRequest Profile) | Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | Amount dispensed Binding: IL Core Units Of Measure Codes (extensible)
| ||||
whenHandedOver | S | 0..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(ILCore Location Profile) | Where the medication was sent | |||||
receiver | 0..* | Reference(ILCore Practitioner Profile | ILCore Patient Profile) | Who collected the medication | |||||
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken | ||||
substitution | ||||||||
responsibleParty | 0..* | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who is responsible for the substitution | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.category | extensible | ILCoreMedicationDispenseCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-dospense-category from this IG | ||||
MedicationDispense.medication[x] | required | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Id | Grade | Path(s) | Details | Requirements |
il-medicationdispense-whenhandedover | error | MedicationDispense | whenHandedOver SHALL be present if the status is 'completed' : status='completed' implies whenHandedOver.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | ILCore MedicationDispense Profile mdd-1: whenHandedOver cannot be before whenPrepared il-medicationdispense-whenhandedover: whenHandedOver SHALL be present if the status is 'completed' | ||||
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 | |||||
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
partOf | 0..* | Reference(ILCore Procedure Profile) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | ILCore MedicationDispense Status Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. | ||||
category | 0..1 | CodeableConcept | Type of medication dispense Binding: ILCore Medication dispense Category (extensible) | |||||
Slices for medication[x] | SΣ | 1..1 | What medication was supplied Slice: Unordered, Open by type:$this Binding: ILCore Medication Code (required) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | What medication was supplied | ||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the dispense is for | ||||
context | 0..1 | Reference(ILCore Encounter Profile | ILCore EpisodeOfCare Profile) | Encounter / Episode associated with event | |||||
performer | S | 0..* | BackboneElement | Who performed event | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
actor | S | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore Device Profile | ILCore RelatedPerson Profile) | Individual who was performing | ||||
location | 0..1 | Reference(ILCore Location Profile) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(ILCore MedicationRequest Profile) | Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | Amount dispensed Binding: IL Core Units Of Measure Codes (extensible)
| ||||
whenHandedOver | S | 0..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(ILCore Location Profile) | Where the medication was sent | |||||
receiver | 0..* | Reference(ILCore Practitioner Profile | ILCore Patient Profile) | Who collected the medication | |||||
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.category | extensible | ILCoreMedicationDispenseCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-dospense-category from this IG | ||||
MedicationDispense.medication[x] | required | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Id | Grade | Path(s) | Details | Requirements |
il-medicationdispense-whenhandedover | error | MedicationDispense | whenHandedOver SHALL be present if the status is 'completed' : status='completed' implies whenHandedOver.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | ILCore MedicationDispense Profile mdd-1: whenHandedOver cannot be before whenPrepared il-medicationdispense-whenhandedover: whenHandedOver SHALL be present if the status is 'completed' | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External identifier | |||||
partOf | 0..* | Reference(ILCore Procedure Profile) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | ILCore MedicationDispense Status 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: ILCore Medication dispense Category (extensible) | |||||
Slices for medication[x] | SΣ | 1..1 | What medication was supplied Slice: Unordered, Open by type:$this Binding: ILCore Medication Code (required) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | What medication was supplied | ||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the dispense is for | ||||
context | 0..1 | Reference(ILCore Encounter Profile | ILCore EpisodeOfCare Profile) | Encounter / Episode associated with event | |||||
supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||
performer | S | 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 | S | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore Device Profile | ILCore RelatedPerson Profile) | Individual who was performing | ||||
location | 0..1 | Reference(ILCore Location Profile) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(ILCore MedicationRequest Profile) | Medication order that authorizes the dispense | ||||
type | S | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (extensible) | ||||
quantity | S | 0..1 | SimpleQuantity | Amount dispensed Binding: IL Core Units Of Measure Codes (extensible)
| ||||
daysSupply | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | S | 0..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(ILCore Location Profile) | Where the medication was sent | |||||
receiver | 0..* | Reference(ILCore Practitioner Profile | ILCore Patient Profile) | Who collected the medication | |||||
note | 0..* | Annotation | Information about the dispense | |||||
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken | ||||
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(ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who is responsible for the substitution | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationDispense.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationDispense.status | required | MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard | ||||
MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | ||||
MedicationDispense.category | extensible | ILCoreMedicationDispenseCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-dospense-category from this IG | ||||
MedicationDispense.medication[x] | required | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationDispense.performer.function | example | MedicationDispense Performer Function Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | ||||
MedicationDispense.type | extensible | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | ||||
MedicationDispense.quantity | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
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 |
il-medicationdispense-whenhandedover | error | MedicationDispense | whenHandedOver SHALL be present if the status is 'completed' : status='completed' implies whenHandedOver.exists() |
This structure is derived from MedicationDispense
Other representations of profile: CSV, Excel, Schematron