3.23 Extension: Request Dispenser Instructions
The official URL for this extension is:
http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions
Status: draft
Extension maintained by:
Provides additional instructions from the prescriber to the pharmacy or other dispenser
Context of Use
This extension may be used on the following element(s):
- {"type"=>"MedicationOrder"}
- {"type"=>"SupplyRequest"}
Usage info
Yet to be done: xref
3.23.2 Formal Views of Extension Content
Download Excel representation
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Card. | Type | Constraints and Usage |
|---|---|---|---|
 Extension | 0..1 | Definition: Provides additional instructions from the prescriber to the pharmacy or other dispenser | |
 url | 1..1 | uri | "http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions" |
 valueString | 1..1 | string | Max Length: 5000 Definition: Provides additional instructions from the prescriber to the pharmacy or other dispenser Comments: Usage Note: To convey explicit instructions to the Pharmacist/dispenser related to this medication order. Usage Note: If the PMS solution is unable to display the entire instructions, then it is expected that the current solution has a fail-over process and will create a printout of the prescription. Conformance Rule: PMS solution must be able to print out the entire prescription with ALL dispensing instructions included on the printout. Minimum data elements can be based on the eFax model Conformance Rule: When 'compliance pack' is indicated on the prescription within the EMR, populate the pharmacist instruction/dispenser instructions with 'COMPLIANCE PACK REQUESTED' Usage Note: In the case where the prescriber indicates the concept of ‘do not adapt’ (meaning that the pharmacist should not alter the prescription based on the patient's weight as an example), this direction to the pharmacist should be conveyed in human language in this field. Conformance Rule: If a prescriber wishes to indicate that there is no substitution it must be included as part of the pharmacy instructions. |
This structure is derived from Extension
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
 Extension | S | 0..1 | Dispenser Instructions | |
 extension | 0..0 | |||
| url | S | 1..1 | uri | "http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions" |
 valueString | S | 1..1 | string | Dispenser Instructions Max Length: 5000 |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension | S | 0..1 | Dispenser Instructions | |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| url | S | 1..1 | uri | "http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions" |
| valueString | S | 1..1 | string | Dispenser Instructions Max Length: 5000 |
| Documentation for this format | ||||
Grid View
This structure is derived from Extension
| Name | Card. | Type | Constraints and Usage |
|---|---|---|---|
| Extension | 0..1 | Definition: Provides additional instructions from the prescriber to the pharmacy or other dispenser | |
| url | 1..1 | uri | "http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions" |
| valueString | 1..1 | string | Max Length: 5000 Definition: Provides additional instructions from the prescriber to the pharmacy or other dispenser Comments: Usage Note: To convey explicit instructions to the Pharmacist/dispenser related to this medication order. Usage Note: If the PMS solution is unable to display the entire instructions, then it is expected that the current solution has a fail-over process and will create a printout of the prescription. Conformance Rule: PMS solution must be able to print out the entire prescription with ALL dispensing instructions included on the printout. Minimum data elements can be based on the eFax model Conformance Rule: When 'compliance pack' is indicated on the prescription within the EMR, populate the pharmacist instruction/dispenser instructions with 'COMPLIANCE PACK REQUESTED' Usage Note: In the case where the prescriber indicates the concept of ‘do not adapt’ (meaning that the pharmacist should not alter the prescription based on the patient's weight as an example), this direction to the pharmacist should be conveyed in human language in this field. Conformance Rule: If a prescriber wishes to indicate that there is no substitution it must be included as part of the pharmacy instructions. |
This structure is derived from Extension
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension | S | 0..1 | Dispenser Instructions | |
| extension | 0..0 | |||
| url | S | 1..1 | uri | "http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions" |
| valueString | S | 1..1 | string | Dispenser Instructions Max Length: 5000 |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension | S | 0..1 | Dispenser Instructions | |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| url | S | 1..1 | uri | "http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions" |
| valueString | S | 1..1 | string | Dispenser Instructions Max Length: 5000 |
| Documentation for this format | ||||
Other representations of extension: Schematron
3.23.3 Terminology Bindings
3.23.4 Constraints
Constraints
| Id | Path | Details | Requirements |