Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Atrius India Core Medication Dispense Declined

Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationdispense-declined Version: 0.1.0
Draft as of 2026-07-24 Computable Name: AtriusInMedicationDispenseDeclined
Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.78

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* AtriusInMedicationDispense(0.1.0) Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Required Pattern: declined
.... statusReason[x]:statusReasonCodeableConcept S 1..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
.... medication[x]:medicationReference SΣ 0..1 Reference(Atrius India Core Medication(0.1.0)) What medication was supplied
... subject SΣ 0..1 Reference(Atrius India Core Patient(0.1.0)) Who the dispense is for
... performer S 0..* BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... actor 1..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0) | Atrius India Core Device(0.1.0)) Individual who was performing
... authorizingPrescription S 0..* Reference(Atrius India Core MedicationRequest(0.1.0) | Atrius India Core Medication Requested(0.1.0) | Atrius India Core Medication Prohibited(0.1.0)) Medication order that authorizes the dispense
... type S 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
... quantity S 0..1 SimpleQuantity(4.0.1) Amount dispensed
... whenPrepared SΣ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... dosageInstruction S 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG
.... timing SΣ 0..1 Timing When medication should be administered
.... doseAndRate SΣ 0..* Element Amount of medication administered
..... dose[x] SΣ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationDispense.implicitRules, MedicationDispense.modifierExtension, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.statusReason[x]:statusReasonCodeableConcept, MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationCodeableConcept, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.performer, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.actor, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.dose[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.modifierExtension, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* AtriusInMedicationDispense(0.1.0) Dispensing a medication to a named patient
... status 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Required Pattern: declined
... Slices for statusReason[x] 1..1 CodeableConcept Why a dispense was not performed
Slice: Unordered, Open by type:$this
.... statusReason[x]:statusReasonCodeableConcept S 1..1 CodeableConcept Why a dispense was not performed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* AtriusInMedicationDispense(0.1.0) Dispensing a medication to a named patient
Constraints: mdd-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier External identifier
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Required Pattern: declined
... Slices for statusReason[x] 1..1 CodeableConcept Why a dispense was not performed
Slice: Unordered, Closed by type:$this
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
.... statusReason[x]:statusReasonCodeableConcept S 1..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
... category 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(Atrius India Core Medication(0.1.0)) What medication was supplied
... subject SΣ 0..1 Reference(Atrius India Core Patient(0.1.0)) Who the dispense is for
... context 0..1 Reference(Atrius India Core Encounter(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0) | Atrius India Core Device(0.1.0)) Individual who was performing
... location 0..1 Reference(Atrius India Core Location(0.1.0)) Where the dispense occurred
... authorizingPrescription S 0..* Reference(Atrius India Core MedicationRequest(0.1.0) | Atrius India Core Medication Requested(0.1.0) | Atrius India Core Medication Prohibited(0.1.0)) Medication order that authorizes the dispense
... type S 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
... quantity S 0..1 SimpleQuantity(4.0.1) Amount dispensed
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared SΣ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... destination 0..1 Reference(Atrius India Core Location(0.1.0)) Where the medication was sent
... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
... note 0..* Annotation Information about the dispense
... dosageInstruction S 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* 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
Constraints: ext-1
..... 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
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 (3.0.0) (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 (3.0.0) (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

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.2
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.2
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationDispense.meta, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.statusReason[x]:statusReasonCodeableConcept, MedicationDispense.category, MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationCodeableConcept, MedicationDispense.medication[x]:medicationCodeableConcept.extension, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.medication[x]:medicationCodeableConcept.coding, MedicationDispense.medication[x]:medicationCodeableConcept.text, MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.medication[x]:medicationCodeableConcept.extension, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Summary

Mandatory: 2 elements
Must-Support: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationDispense.statusReason[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* AtriusInMedicationDispense(0.1.0) Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Required Pattern: declined
.... statusReason[x]:statusReasonCodeableConcept S 1..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
.... medication[x]:medicationReference SΣ 0..1 Reference(Atrius India Core Medication(0.1.0)) What medication was supplied
... subject SΣ 0..1 Reference(Atrius India Core Patient(0.1.0)) Who the dispense is for
... performer S 0..* BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... actor 1..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0) | Atrius India Core Device(0.1.0)) Individual who was performing
... authorizingPrescription S 0..* Reference(Atrius India Core MedicationRequest(0.1.0) | Atrius India Core Medication Requested(0.1.0) | Atrius India Core Medication Prohibited(0.1.0)) Medication order that authorizes the dispense
... type S 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
... quantity S 0..1 SimpleQuantity(4.0.1) Amount dispensed
... whenPrepared SΣ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... dosageInstruction S 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG
.... timing SΣ 0..1 Timing When medication should be administered
.... doseAndRate SΣ 0..* Element Amount of medication administered
..... dose[x] SΣ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationDispense.implicitRules, MedicationDispense.modifierExtension, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.statusReason[x]:statusReasonCodeableConcept, MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationCodeableConcept, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.performer, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.actor, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.dose[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.modifierExtension, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* AtriusInMedicationDispense(0.1.0) Dispensing a medication to a named patient
... status 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Required Pattern: declined
... Slices for statusReason[x] 1..1 CodeableConcept Why a dispense was not performed
Slice: Unordered, Open by type:$this
.... statusReason[x]:statusReasonCodeableConcept S 1..1 CodeableConcept Why a dispense was not performed

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* AtriusInMedicationDispense(0.1.0) Dispensing a medication to a named patient
Constraints: mdd-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier External identifier
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Required Pattern: declined
... Slices for statusReason[x] 1..1 CodeableConcept Why a dispense was not performed
Slice: Unordered, Closed by type:$this
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
.... statusReason[x]:statusReasonCodeableConcept S 1..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
... category 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(Atrius India Core Medication(0.1.0)) What medication was supplied
... subject SΣ 0..1 Reference(Atrius India Core Patient(0.1.0)) Who the dispense is for
... context 0..1 Reference(Atrius India Core Encounter(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0) | Atrius India Core Device(0.1.0)) Individual who was performing
... location 0..1 Reference(Atrius India Core Location(0.1.0)) Where the dispense occurred
... authorizingPrescription S 0..* Reference(Atrius India Core MedicationRequest(0.1.0) | Atrius India Core Medication Requested(0.1.0) | Atrius India Core Medication Prohibited(0.1.0)) Medication order that authorizes the dispense
... type S 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
... quantity S 0..1 SimpleQuantity(4.0.1) Amount dispensed
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared SΣ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... destination 0..1 Reference(Atrius India Core Location(0.1.0)) Where the medication was sent
... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
... note 0..* Annotation Information about the dispense
... dosageInstruction S 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* 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
Constraints: ext-1
..... 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
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 (3.0.0) (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 (3.0.0) (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

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.2
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.2
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationDispense.meta, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.statusReason[x]:statusReasonCodeableConcept, MedicationDispense.category, MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationCodeableConcept, MedicationDispense.medication[x]:medicationCodeableConcept.extension, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.medication[x]:medicationCodeableConcept.coding, MedicationDispense.medication[x]:medicationCodeableConcept.text, MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.medication[x]:medicationCodeableConcept.extension, MedicationDispense.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Summary

Mandatory: 2 elements
Must-Support: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationDispense.statusReason[x]

 

Other representations of profile: CSV, Excel, Schematron