Resource StructureDefinition/FHIR Server from package uk.nhsdigital.r4.test#2.10.1-prerelease (156 ms)
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"id" : "fd471b8d-3b37-46a3-af00-568de477864a",
"url" : "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
"version" : "1.0.1",
"name" : "NHSDigitalMedicationDispense",
"status" : "draft",
"date" : "2024-08-14T13:51:00+00:00",
"fhirVersion" : "4.0.1",
"kind" : "resource",
"abstract" : false,
"type" : "MedicationDispense",
"baseDefinition" : "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "MedicationDispense.extension",
"path" : "MedicationDispense.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "MedicationDispense.extension:prescriptionStatus",
"path" : "MedicationDispense.extension",
"sliceName" : "prescriptionStatus",
"short" : "This is the overall status of the `prescription-order`",
"definition" : "This is the overall status of the `prescription-order`, it is not the status of the individual prescription item. This is a code from {{pagelink:DM-Task-Status-Reason-duplicate-2}}, all prescription status reasons in a `dispense-notification` FHIR Message Bundle must be the same.\r\n\r\n```json\r\n\"extension\": [\r\n {\r\n \"url\": \"https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus\",\r\n \"valueCoding\": {\r\n \"system\": \"https://fhir.nhs.uk/CodeSystem/EPS-task-business-status\",\r\n \"code\": \"0003\",\r\n \"display\": \"With Dispenser - Active\"\r\n }\r\n }\r\n]\r\n```",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus"
]
}
],
"mustSupport" : true
},
{
"id" : "MedicationDispense.extension:prescriptionNonDispensingReason",
"path" : "MedicationDispense.extension",
"sliceName" : "prescriptionNonDispensingReason",
"short" : "This is the non dispensing reason for the overall prescription",
"definition" : "This is the reason a complete prescription was not dispensed, it is not the status of the individual line items, which is contained in MedicationDispense.statusReason.\r\n\r\n```json\r\n\"extension\": [\r\n {\r\n \"url\": \"https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionNonDispensingReason\",\r\n \"valueCoding\": {\r\n \"system\": \"https://fhir.nhs.uk/CodeSystem/medicationdispense-status-reason\",\r\n \"code\": \"0002\",\r\n \"display\": \"Clinically unsuitable\"\r\n }\r\n }\r\n]\r\n```",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionNonDispensingReason"
]
}
],
"mustSupport" : true
},
{
"id" : "MedicationDispense.extension:repeatInformation",
"path" : "MedicationDispense.extension",
"sliceName" : "repeatInformation",
"short" : "Repeat Prescribing and Dispensing",
"definition" : "The extension is mandatory for `continuous` and `continuous-repeat-dispensing`. The following elements **MUST** be populated \r\n\r\n- numberofRepeatsAllowed \r\n- numberOfRepeatsIssued \r\n\r\n```json\r\n\"extension\": [\r\n {\r\n \"url\": \"https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation\",\r\n \"extension\": [\r\n {\r\n \"url\" : \"numberOfRepeatsAllowed\",\r\n \"valueInteger\" : 3\r\n },\r\n {\r\n \"url\" : \"numberOfRepeatsIssued\",\r\n \"valueInteger\" : 2\r\n }\r\n ]\r\n }\r\n]\r\n```",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation"
]
}
],
"mustSupport" : true
},
{
"id" : "MedicationDispense.extension:supplyHeaderIdentifier",
"path" : "MedicationDispense.extension",
"sliceName" : "supplyHeaderIdentifier",
"short" : "Identifier for the SupplyHeader",
"definition" : "Identifier of the SupplyHeader (v3) object. The prescription in the context of a Dispense Notification or Claim. Mandatory for EPS interactions.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/Extension-EPS-SupplyHeaderIdentifier"
]
}
],
"mustSupport" : true
},
{
"id" : "MedicationDispense.identifier",
"path" : "MedicationDispense.identifier",
"definition" : "Each MedicationDispense **MUST** be identified by an Universal Unique Identifiers (UUIDs) with a system of `https://fhir.nhs.uk/Id/prescription-dispense-item-number`\r\n\r\nUUID example (for illustration purposes only);\r\n\r\n**4509B70D-D8B8-EA03-1105-64557CB54A29**\r\n\r\n\r\n```json\r\n \"identifier\": [\r\n {\r\n \"system\": \"https://fhir.nhs.uk/Id/prescription-dispense-item-number\",\r\n \"value\": \"4509B70D-D8B8-EA03-1105-64557CB54A29\"\r\n }\r\n]\r\n```",
"mustSupport" : true
},
{
"id" : "MedicationDispense.identifier.system",
"path" : "MedicationDispense.identifier.system",
"min" : 1
},
{
"id" : "MedicationDispense.identifier.value",
"path" : "MedicationDispense.identifier.value",
"min" : 1
},
{
"id" : "MedicationDispense.status",
"path" : "MedicationDispense.status",
"definition" : "The status of the individual medication item, this will normally indicate whether the medication has been picked up or not. \r\n\r\n| Code | Display | Definition |\r\n|--|--|--|\r\n| completed | Completed | The dispensed product has been picked up. |\r\n| in-progress | In Progress | The dispensed product is ready for pickup. |\r\n\r\n\r\n<img src=\"https://raw.githubusercontent.com/NHSDigital/NHSDigital-FHIR-Medicines-ImplementationGuide/master/Diagrams/medication-dispense-status-flow.png\" width=\"100%\" hieght=\"auto\"/>",
"mustSupport" : true
},
{
"id" : "MedicationDispense.statusReason[x]",
"path" : "MedicationDispense.statusReason[x]",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true
},
{
"id" : "MedicationDispense.statusReason[x].coding",
"path" : "MedicationDispense.statusReason[x].coding",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "system"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "MedicationDispense.statusReason[x].coding.system",
"path" : "MedicationDispense.statusReason[x].coding.system",
"min" : 1
},
{
"id" : "MedicationDispense.statusReason[x].coding.code",
"path" : "MedicationDispense.statusReason[x].coding.code",
"min" : 1
},
{
"id" : "MedicationDispense.statusReason[x].coding:notDispensedStatusReason",
"path" : "MedicationDispense.statusReason[x].coding",
"sliceName" : "notDispensedStatusReason",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://fhir.nhs.uk/ValueSet/DM-medicationdispense-status-reason"
}
},
{
"id" : "MedicationDispense.statusReason[x].coding:notDispensedStatusReason.system",
"path" : "MedicationDispense.statusReason[x].coding.system",
"fixedUri" : "https://fhir.nhs.uk/CodeSystem/medicationdispense-status-reason"
},
{
"id" : "MedicationDispense.statusReason[x].coding:amendmentStatusReason",
"path" : "MedicationDispense.statusReason[x].coding",
"sliceName" : "amendmentStatusReason",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://fhir.nhs.uk/ValueSet/DM-task-reason-code"
}
},
{
"id" : "MedicationDispense.statusReason[x].coding:amendmentStatusReason.system",
"path" : "MedicationDispense.statusReason[x].coding.system",
"fixedUri" : "https://fhir.nhs.uk/CodeSystem/EPS-task-dispense-withdraw-reason"
},
{
"id" : "MedicationDispense.category.coding.system",
"path" : "MedicationDispense.category.coding.system",
"min" : 1
},
{
"id" : "MedicationDispense.category.coding.code",
"path" : "MedicationDispense.category.coding.code",
"min" : 1
},
{
"id" : "MedicationDispense.medication[x]",
"path" : "MedicationDispense.medication[x]",
"definition" : "Actual Medical Product Packs (AMPP) SHOULD be used. \r\nIt is valid to include a FHIR Medication resource within the FHIR Message, this practice is discouraged to simplify handling of the event messages.\r\n\r\n<table>\r\n<thead>\r\n<th data-no-sort width=\"25%\">\r\ndm+d Category\r\n</th>\r\n<th data-no-sort width=\"50%\">\r\ndm+d Description\r\n</th>\r\n<th data-no-sort width=\"25%\">\r\nUK SNOMED Members Of\r\n</th>\r\n\r\n</thead>\r\n<tr>\r\n<td>\r\nVMPP\r\n</td>\r\n<td>\r\nVirtual Medical Product Pack\r\n</td>\r\n<td>\r\n<a href=\"https://termbrowser.nhs.uk/?perspective=full&conceptId1=999000571000001104\" target=\"_blank\">999000571000001104</a>\r\n</td>\r\n\r\n</tr>\r\n<tr>\r\n<td>\r\nAMPP\r\n</td>\r\n<td>\r\nActual Medical Product Pack\r\n</td>\r\n<td>\r\n<a href=\"https://termbrowser.nhs.uk/?perspective=full&conceptId1=999000551000001106\" target=\"_blank\">999000551000001106</a>\r\n</td>\r\n</tr>\r\n<tr>\r\n<td>\r\nVMP\r\n</td>\r\n<td>\r\nVirtual Medical Product\r\n</td>\r\n<td>\r\n<a href=\"https://termbrowser.nhs.uk/?perspective=full&conceptId1=999000561000001109\" target=\"_blank\">999000561000001109</a>\r\n</td>\r\n</tr>\r\n<tr>\r\n<td>\r\nAMP\r\n</td>\r\n<td>\r\nActual Medical Product\r\n</td>\r\n<td>\r\n<a href=\"https://termbrowser.nhs.uk/?perspective=full&conceptId1=999000541000001108\" target=\"_blank\">999000541000001108</a>\r\n</td>\r\n</tr>\r\n</table>\r\n\r\n<br>\r\n\r\n```json\r\n\"medicationCodeableConcept\": {\r\n \"coding\": [\r\n {\r\n \"system\": \"http://snomed.info/sct\",\r\n \"code\": \"10460811000001109\",\r\n \"display\": \"Amoxil 500mg capsules (Dowelhurst Ltd) 12 capsule\"\r\n }\r\n ]\r\n}\r\n```",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense-CodeableConcept"
]
},
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense-Medication"
],
"aggregation" : [
"bundled"
]
}
],
"mustSupport" : true,
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nhs.uk/ValueSet/NHSDigital-MedicationCode"
}
},
{
"id" : "MedicationDispense.subject",
"path" : "MedicationDispense.subject",
"definition" : "A reference to the patient via a traced NHS Number is required, an untraced NHS Number MUST NOT be used. This can be sent in two ways, first option is via a `identifier reference`. Only the NHS Number:\r\n\r\n```json\r\n\"subject\": {\r\n \"type\": \"Patient\",\r\n \"identifier\": {\r\n \"system\": \"https://fhir.nhs.uk/Id/nhs-number\",\r\n \"value\": \"2300992742\"\r\n }\r\n}\r\n```\r\n\r\nSecond option uses a FHIR Patient resource to convey the NHS Number. \r\n\r\nThe reference in the MedicationDispesnse is now a `resource reference`. \r\n\r\n```json\r\n \"subject\": {\r\n \"type\": \"Patient\",\r\n \"reference\": \"urn:uuid:bde9eba6-079f-4210-8108-6ea8db58de8c\",\r\n \"display\": \"Miss Bernie Kanfeld\"\r\n }\r\n```\r\n\r\nThe NHS Number has moved to the Patient resource alongside other patient identifiers such as MRN. E.g. \r\n\r\n```json\r\n\"fullUrl\": \"urn:uuid:bde9eba6-079f-4210-8108-6ea8db58de8c\",\r\n\"resource\": {\r\n \"resourceType\": \"Patient\",\r\n \"identifier\": [\r\n {\r\n \"extension\": [\r\n {\r\n \"url\": \"https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus\",\r\n \"valueCodeableConcept\": {\r\n \"coding\": [\r\n {\r\n \"system\": \"https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus\",\r\n \"code\": \"01\",\r\n \"display\": \"Number present and verified\"\r\n }\r\n ]\r\n }\r\n }\r\n ],\r\n \"system\": \"https://fhir.nhs.uk/Id/nhs-number\",\r\n \"value\": \"9876543210\"\r\n },\r\n {\r\n \"system\": \"https://fhir.leedsth.nhs.uk/Id/pas-number\",\r\n \"value\": \"ABC8650149\"\r\n },\r\n {\r\n \"system\": \"https://fhir.leedsth.nhs.uk/Id/PPMIdentifier\",\r\n \"value\": \"1\"\r\n }\r\n ],\r\n ... other elements removed from example.\r\n }\r\n```\r\n\r\nIt is anticipated that hospital pharmacies will prefer the later option for compatibility with other systems. Community pharmacies are anticipated to prefer the former option.",
"min" : 1,
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient-PDS"
],
"aggregation" : [
"referenced",
"bundled"
]
}
],
"constraint" : [
{
"key" : "eps-2",
"severity" : "warning",
"human" : "subject - An identifier reference or resource reference must be provided",
"expression" : "(reference.exists() or (identifier.exists()))"
},
{
"key" : "patient-nhs",
"severity" : "error",
"human" : "Length of the supplied NHS Number is wrong.",
"expression" : "identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists().not() or (identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists() and identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').value.matches('^([0-9]{10})$'))"
}
],
"mustSupport" : true
},
{
"id" : "MedicationDispense.subject.identifier.system",
"path" : "MedicationDispense.subject.identifier.system",
"min" : 1,
"fixedUri" : "https://fhir.nhs.uk/Id/nhs-number"
},
{
"id" : "MedicationDispense.subject.identifier.value",
"path" : "MedicationDispense.subject.identifier.value",
"min" : 1
},
{
"id" : "MedicationDispense.context",
"path" : "MedicationDispense.context",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-EpisodeOfCare",
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-Encounter"
]
}
]
},
{
"id" : "MedicationDispense.performer",
"path" : "MedicationDispense.performer",
"definition" : "The pharmacist and pharmacy MUST be present and MUST use `identifier references`. This means FHIR Practitioner, Organization and PractitionerRole resource are not included in the FHIR Message. Professional codes and ODS codes should be used instead. `sds-user-role-id` is permitted to identify a Practitioner(& Role) but professional codes are preferred to support wider NHS interoperability.\r\n\r\n```json\r\n \"performer\": [\r\n {\r\n \"actor\": {\r\n \"reference\" : \"#performer\"\r\n }\r\n }\r\n],\r\n```\r\n\r\nThe contained PractitionerRole:\r\n\r\n```json\r\n{\r\n \"resourceType\": \"MedicationDispense\",\r\n \"id\": \"06167339-9337-d030-0366-514a6a46da17\",\r\n \"contained\": [\r\n {\r\n \"resourceType\": \"PractitionerRole\",\r\n \"id\": \"performer\",\r\n \"identifier\": [\r\n {\r\n \"system\": \"https://fhir.nhs.uk/Id/sds-role-profile-id\",\r\n \"value\": \"741555508105\"\r\n }\r\n ],\r\n \"code\": [\r\n {\r\n \"coding\": [\r\n {\r\n \"system\": \"https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode\",\r\n \"code\": \"S0030:G0100:R0620\"\r\n }\r\n ]\r\n }\r\n ],\r\n \"practitioner\": {\r\n \"identifier\": {\r\n \"system\": \"https://fhir.nhs.uk/Id/sds-user-id\",\r\n \"value\": \"7654321\"\r\n },\r\n \"display\": \"Mr Peter Potion\"\r\n },\r\n \"organization\": {\r\n \"reference\": \"urn:uuid:2bf9f37c-d88b-4f86-ad5f-373c1416e04b\"\r\n },\r\n \"telecom\": [\r\n {\r\n \"system\": \"phone\",\r\n \"use\": \"work\",\r\n \"value\": \"0532567890\"\r\n }\r\n ]\r\n }\r\n ],\r\n```",
"min" : 1,
"mustSupport" : true
},
{
"id" : "MedicationDispense.performer.actor",
"path" : "MedicationDispense.performer.actor",
"type" : [
{
"code" : "Reference",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-Reference"
],
"targetProfile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole-SDS"
],
"aggregation" : [
"contained"
]
}
],
"constraint" : [
{
"key" : "performer",
"severity" : "error",
"human" : "An identifier reference or resource reference must be provided",
"expression" : "(reference.exists() or identifier.exists())"
}
]
},
{
"id" : "MedicationDispense.performer.actor.reference",
"path" : "MedicationDispense.performer.actor.reference",
"min" : 1
},
{
"id" : "MedicationDispense.performer.actor.identifier.system",
"path" : "MedicationDispense.performer.actor.identifier.system",
"min" : 1
},
{
"id" : "MedicationDispense.performer.actor.identifier.value",
"path" : "MedicationDispense.performer.actor.identifier.value",
"min" : 1
},
{
"id" : "MedicationDispense.location",
"path" : "MedicationDispense.location",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-Location"
]
}
]
},
{
"id" : "MedicationDispense.location.identifier.system",
"path" : "MedicationDispense.location.identifier.system",
"min" : 1
},
{
"id" : "MedicationDispense.location.identifier.value",
"path" : "MedicationDispense.location.identifier.value",
"min" : 1
},
{
"id" : "MedicationDispense.location.display",
"path" : "MedicationDispense.location.display",
"min" : 1
},
{
"id" : "MedicationDispense.authorizingPrescription",
"path" : "MedicationDispense.authorizingPrescription",
"definition" : "A reference to the `MedicationRequest`. \r\n\r\n```json\r\n\"authorizingPrescription\": [\r\n {\r\n \"reference\": \"#m1\"\r\n }\r\n]\r\n```\r\n\r\nWhen a MedicationDispesne is sent in a FHIR Message bundle, which is the case with EPS NextGen `dispense-notifications`, a contained MedicationRequest is required. \r\n\r\nThis MedicationRequest **MUST** follow the rules in [NHSDigital-MedicationRequest](https://simplifier.net/resolve?target=simplifier&scope=uk.nhsdigital.r4&canonical=https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest) and it is strongly recommended to reuse the `MedicationRequest` received when the prescription was downloaded. \r\n\r\nFor example:\r\n\r\n```json \r\n{\r\n \"resourceType\": \"MedicationDispense\",\r\n \"contained\": [\r\n {\r\n \"resourceType\": \"MedicationRequest\",\r\n \"id\": \"m1\",\r\n \"identifier\": [\r\n {\r\n \"system\": \"https://fhir.nhs.uk/Id/prescription-order-item-number\",\r\n \"value\": \"299c610b-f4f1-4eac-a7d7-4fb6b0556e11\"\r\n }\r\n ],\r\n \"status\": \"active\",\r\n \"intent\": \"order\",\r\n \"medicationCodeableConcept\": {\r\n \"coding\": [\r\n {\r\n \"system\": \"http://snomed.info/sct\",\r\n \"code\": \"39720311000001101\",\r\n \"display\": \"Paracetamol 500mg soluble tablets\"\r\n }\r\n ]\r\n },\r\n \"subject\": {\r\n \"identifier\": {\r\n \"system\": \"https://fhir.nhs.uk/Id/nhs-number\",\r\n \"value\": \"9876543210\"\r\n }\r\n },\r\n \"groupIdentifier\": {\r\n \"extension\": [\r\n {\r\n \"url\": \"https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId\",\r\n \"valueIdentifier\": {\r\n \"system\": \"https://fhir.nhs.uk/Id/prescription\",\r\n \"value\": \"b2fc79f0-2793-4736-9b2d-0976c21e73a5\"\r\n }\r\n }\r\n ],\r\n \"system\": \"https://fhir.nhs.uk/Id/prescription-order-number\",\r\n \"value\": \"82D996-C81010-11DB12\"\r\n },\r\n \"dispenseRequest\": {\r\n \"quantity\": {\r\n \"value\": 100,\r\n \"unit\": \"tablet\",\r\n \"system\": \"http://snomed.info/sct\",\r\n \"code\": \"732936001\"\r\n }\r\n },\r\n \"substitution\": {\r\n \"allowedBoolean\": false\r\n }\r\n }\r\n ],\r\n \"authorizingPrescription\": [\r\n {\r\n \"reference\": \"#m1\"\r\n }\r\n ],\r\n```\r\n\r\nThis is based on a `MedicationRequest` in this implementation guide.\r\nThe uuid resource references are not permitted and must be replaced with identifier references. E.g. in this section from the `$release` \r\n\r\n```json\r\n \"subject\": {\r\n \"reference\": \"urn:uuid:78d3c2eb-009e-4ec8-a358-b042954aa9b2\"\r\n },\r\n \"authoredOn\": \"2020-12-21T18:15:29+00:00\",\r\n \"requester\": {\r\n \"reference\": \"urn:uuid:56166769-c1c4-4d07-afa8-132b5dfca666\"\r\n },\r\n```\r\n\r\nThe requester reference can be removed and the subject reference changed to use the Patient's NHSNumber e.g. \r\n\r\n```json\r\n \"subject\": {\r\n \"identifier\": {\r\n \"system\": \"https://fhir.nhs.uk/Id/nhs-number\",\r\n \"value\": \"9876543210\"\r\n }\r\n },\r\n```",
"min" : 1,
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest-Minimal"
],
"aggregation" : [
"contained",
"referenced"
]
}
],
"mustSupport" : true
},
{
"id" : "MedicationDispense.authorizingPrescription.reference",
"path" : "MedicationDispense.authorizingPrescription.reference",
"min" : 1
},
{
"id" : "MedicationDispense.type",
"path" : "MedicationDispense.type",
"definition" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.\r\n\r\n```json\r\n\"type\": {\r\n \"coding\": [\r\n {\r\n \"system\": \"https://fhir.nhs.uk/CodeSystem/medicationdispense-type\",\r\n \"code\": \"0001\",\r\n \"display\": \"Item fully dispensed\"\r\n }\r\n ]\r\n}\r\n```",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "A ValueSet to identify the type of medication item status.",
"valueSet" : "https://fhir.nhs.uk/ValueSet/DM-medicationdispense-type"
}
},
{
"id" : "MedicationDispense.type.coding.system",
"path" : "MedicationDispense.type.coding.system",
"min" : 1
},
{
"id" : "MedicationDispense.type.coding.code",
"path" : "MedicationDispense.type.coding.code",
"min" : 1
},
{
"id" : "MedicationDispense.quantity",
"path" : "MedicationDispense.quantity",
"definition" : "The amount of medication that has been dispensed. Includes unit of measure.\r\n\r\n```json\r\n\"quantity\": {\r\n \"value\": 28,\r\n \"unit\": \"capsule\",\r\n \"system\": \"http://snomed.info/sct\",\r\n \"code\": \"3316911000001105\"\r\n}\r\n```\r\n\r\nIf no actual quantity has been dispensed then use a value of zero.",
"min" : 1,
"mustSupport" : true
},
{
"id" : "MedicationDispense.quantity.extension",
"path" : "MedicationDispense.quantity.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 0
},
{
"id" : "MedicationDispense.quantity.extension:runningTotal",
"path" : "MedicationDispense.quantity.extension",
"sliceName" : "runningTotal",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/Extension-DM-RunningTotal"
]
}
]
},
{
"id" : "MedicationDispense.quantity.value",
"path" : "MedicationDispense.quantity.value",
"min" : 1
},
{
"id" : "MedicationDispense.quantity.unit",
"path" : "MedicationDispense.quantity.unit",
"min" : 1
},
{
"id" : "MedicationDispense.quantity.system",
"path" : "MedicationDispense.quantity.system",
"min" : 1
},
{
"id" : "MedicationDispense.quantity.code",
"path" : "MedicationDispense.quantity.code",
"min" : 1
},
{
"id" : "MedicationDispense.daysSupply",
"path" : "MedicationDispense.daysSupply",
"definition" : "The amount of medication expressed as a timing amount.\r\n\r\n```json\r\n\"daysSupply\": {\r\n \"value\": 7,\r\n \"unit\": \"Day\",\r\n \"system\": \"http://unitsofmeasure.org\",\r\n \"code\": \"d\"\r\n}\r\n```",
"mustSupport" : true
},
{
"id" : "MedicationDispense.whenPrepared",
"path" : "MedicationDispense.whenPrepared",
"definition" : "The time when the dispensed product was packaged and reviewed.\r\n\r\n```json\r\n\"whenPrepared\": \"2004-09-16T16:30:00+00:00\"\r\n```",
"mustSupport" : true
},
{
"id" : "MedicationDispense.whenHandedOver",
"path" : "MedicationDispense.whenHandedOver",
"definition" : "The time the dispensed product was provided to the patient or their representative.\r\nIn HL7 v3 this is: *The date and local time that the medication is issued by the dispenser*.\r\n\r\n```json\r\n\"whenHandedOver\": \"2004-09-16T16:30:00+00:00\"\r\n```",
"mustSupport" : true
},
{
"id" : "MedicationDispense.receiver",
"path" : "MedicationDispense.receiver",
"max" : "1"
},
{
"id" : "MedicationDispense.dosageInstruction",
"path" : "MedicationDispense.dosageInstruction",
"definition" : "At present only the `text` element **MUST** be provided. It is recommended the guidance in [FHIR Dose Syntax Implementation Guidance](https://developer.nhs.uk/apis/dose-syntax-implementation-1-3-2-alpha/dosage-overview.html) is followed. \r\n\r\nNote the structure of this section is similar as the [NHSDigital-MedicationRequest](https://simplifier.net/resolve?target=simplifier&scope=uk.nhsdigital.r4&canonical=https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest) from the `prescription-order`.\r\n\r\n```json\r\n\"dosageInstruction\": [\r\n {\r\n \"text\": \"4 times a day for 7 days\",\r\n \"timing\": {\r\n \"repeat\": {\r\n \"boundsDuration\": {\r\n \"value\": 7,\r\n \"unit\": \"d\"\r\n },\r\n \"frequency\": 4,\r\n \"period\": 1,\r\n \"periodUnit\": \"d\"\r\n }\r\n },\r\n \"doseAndRate\": [\r\n {\r\n \"doseQuantity\": {\r\n \"value\": 1,\r\n \"unit\": \"capsule\",\r\n \"system\": \"http://snomed.info/sct\",\r\n \"code\": \"3316911000001105\"\r\n }\r\n }\r\n ]\r\n }\r\n]\r\n```",
"type" : [
{
"code" : "Dosage",
"profile" : [
"https://fhir.nhs.uk/StructureDefinition/NHSDigital-Dosage"
]
}
],
"mustSupport" : true
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
FHIR