3.49.9 StructureDefinition: PrescribeIT Dispense - XML Profile
XML representation of the profile-medicationdispense Profile.
Narrative view of the profile
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="profile-medicationdispense"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense" title="null">MedicationDispense</a><a name="MedicationDispense"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.id" title="null">id</a><a name="MedicationDispense.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#id">id</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.extension" title="null">extension</a><a name="MedicationDispense.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/extensibility.html">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.extension:renderedDosageInstruction" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage">ext-medication-rendered-dosage</a><a name="MedicationDispense.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Rendered dosage<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/extension-ext-medication-rendered-dosage.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.extension:quantityRemaining" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining">ext-dispense-quantity-remaining</a><a name="MedicationDispense.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-quantity-drug.html" title="Quantity">PrescribeIT Drug Quantity</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Total quantity remaining<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/extension-ext-dispense-quantity-remaining.html">http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.identifier" title="null">identifier</a><a name="MedicationDispense.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-identifier.html" title="Identifier">Shared Health Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.status" title="null">status</a><a name="MedicationDispense.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">completed</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.medicationCodeableConcept" title="null">medicationCodeableConcept</a><a name="MedicationDispense.medicationCodeableConcept"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text-required-with-code.html" title="CodeableConcept">Shared Health CodeableConcept Required Text with optional code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptionmedicinalproduct">PrescriptionMedicinalProduct</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.patient" title="null">patient</a><a name="MedicationDispense.patient"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="../common/profile-patient.html">Shared Health Patient</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.patient.reference" title="null">reference</a><a name="MedicationDispense.patient.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dispenser" title="null">dispenser</a><a name="MedicationDispense.dispenser"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="http://hl7.org/fhir/2016may/practitioner.html">Practitioner</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck112.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dispenser.extension" title="null">extension</a><a name="MedicationDispense.dispenser.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/extensibility.html">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck104.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dispenser.extension:organization" title="Extension URL = http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-practitioner-org">ext-reference-practitioner-org</a><a name="MedicationDispense.dispenser.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="../common/profile-organization-service-location.html">Shared Health - eRx Service Location</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Responsible organization<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/../common/extension-ext-reference-practitioner-org.html">http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-practitioner-org</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.authorizingPrescription" title="null">authorizingPrescription</a><a name="MedicationDispense.authorizingPrescription"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="profile-medicationorder.html">PrescribeIT Prescription</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The reference to a resource that has to be resolved externally to the resource that includes the reference.">r</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck112.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.authorizingPrescription.extension" title="null">extension</a><a name="MedicationDispense.authorizingPrescription.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/extensibility.html">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck105.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.authorizingPrescription.extension:identifier" title="Extension URL = http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-identifier">ext-reference-identifier</a><a name="MedicationDispense.authorizingPrescription.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-identifier.html" title="Identifier">Shared Health Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Referenced identifier<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/fake-extension-for-r3.html">http://hl7.org/fhir/StructureDefinition/extension-Reference.identifier</a><span style="font-weight:bold"> profiled by </span><a href="http://hl7.org/fhir/2016may/../common/extension-ext-reference-identifier.html">http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-identifier</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1040.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.authorizingPrescription.extension:identifier.valueIdentifier" title="null">valueIdentifier</a><a name="MedicationDispense.authorizingPrescription.extension.valueIdentifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; opacity: 0.4" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-identifier-prescription.html" title="Identifier">PrescribeIT™ Prescriber Prescription Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Prescriber's order number</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.type" title="null">type</a><a name="MedicationDispense.type"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-code.html" title="CodeableConcept">Shared Health CodeableConcept Code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/2016may/v3/ActPharmacySupplyType/vs.html">ActPharmacySupplyType</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.quantity" title="null">quantity</a><a name="MedicationDispense.quantity"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-quantity-drug.html" title="Quantity">PrescribeIT Drug Quantity</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.daysSupply" title="The number of days that the dispensed quantity is expected to last. Cannot be mandatory as there are some situations where 'as needed' cannot be used to determine days supply.">daysSupply</a><a name="MedicationDispense.daysSupply"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#SimpleQuantity" title="Quantity">SimpleQuantity</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.daysSupply.value" title="null">value</a><a name="MedicationDispense.daysSupply.value"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.daysSupply.system" title="null">system</a><a name="MedicationDispense.daysSupply.system"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.daysSupply.code" title="null">code</a><a name="MedicationDispense.daysSupply.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">d</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.whenPrepared" title="null">whenPrepared</a><a name="MedicationDispense.whenPrepared"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction" title="null">dosageInstruction</a><a name="MedicationDispense.dosageInstruction"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck012.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension" title="null">extension</a><a name="MedicationDispense.dosageInstruction.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/extensibility.html">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck014.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:sequence" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence">ext-medication-dosageinstruction-sequence</a><a name="MedicationDispense.dosageInstruction.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#positiveInt" title="integer">positiveInt</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Dosage instruction sequence<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/fake-extension-for-r3.html">http://hl7.org/fhir/StructureDefinition/extension-Dosage.sequence</a><span style="font-weight:bold"> profiled by </span><a href="http://hl7.org/fhir/2016may/extension-ext-medication-dosageinstruction-sequence.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck014.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.extension:instructionRelationship" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship">ext-medicationorder-dosageinstruction-relationship</a><a name="MedicationDispense.dosageInstruction.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">AND | THEN</span><br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/extension-ext-medicationorder-dosageinstruction-relationship.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship</a><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptiondosageinstructionlinerelationship">PrescriptionDosageInstructionLineRelationship</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.text" title="A free form description of how the dispensed medication is to be administered to the patient.">text</a><a name="MedicationDispense.dosageInstruction.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.additionalInstructions" title="A free form textual description of extended instruction regarding the administration of the drug.">additionalInstructions</a><a name="MedicationDispense.dosageInstruction.additionalInstructions"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text.html" title="CodeableConcept">Shared Health CodeableConcept Text</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.additionalInstructions.text" title="null">text</a><a name="MedicationDispense.dosageInstruction.additionalInstructions.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; opacity: 0.4" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Max Length: </span><span style="color: darkgreen">5000</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing" title="A structure describing the frequency (how often the drug is to be administered), offset (elapse time between administrations) represented by one line of dosage administration instruction. Includes the overall time-period the dosage instruction applies.">timing</a><a name="MedicationDispense.dosageInstruction.timing"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#Timing">Timing</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat" title="null">repeat</a><a name="MedicationDispense.dosageInstruction.timing.repeat"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">Element</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod" title="null">boundsPeriod</a><a name="MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.count" title="null">count</a><a name="MedicationDispense.dosageInstruction.timing.repeat.count"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.countMax" title="null">countMax</a><a name="MedicationDispense.dosageInstruction.timing.repeat.countMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.duration" title="null">duration</a><a name="MedicationDispense.dosageInstruction.timing.repeat.duration"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.durationMax" title="null">durationMax</a><a name="MedicationDispense.dosageInstruction.timing.repeat.durationMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.durationUnit" title="null">durationUnit</a><a name="MedicationDispense.dosageInstruction.timing.repeat.durationUnit"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.frequency" title="null">frequency</a><a name="MedicationDispense.dosageInstruction.timing.repeat.frequency"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.frequencyMax" title="null">frequencyMax</a><a name="MedicationDispense.dosageInstruction.timing.repeat.frequencyMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.period" title="null">period</a><a name="MedicationDispense.dosageInstruction.timing.repeat.period"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.periodMax" title="null">periodMax</a><a name="MedicationDispense.dosageInstruction.timing.repeat.periodMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.timing.repeat.periodUnit" title="null">periodUnit</a><a name="MedicationDispense.dosageInstruction.timing.repeat.periodUnit"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through" title="null">when</span><a name="MedicationDispense.dosageInstruction.timing.repeat.when"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through" title="null">offset</span><a name="MedicationDispense.dosageInstruction.timing.repeat.offset"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.asNeeded[x]" title="null">asNeeded[x]</a><a name="MedicationDispense.dosageInstruction.asNeeded_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#boolean">boolean</a><span style="opacity: 0.4">, </span><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.siteCodeableConcept" title="null">siteCodeableConcept</a><a name="MedicationDispense.dosageInstruction.siteCodeableConcept"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text-required-with-code.html" title="CodeableConcept">Shared Health CodeableConcept Required Text with optional code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptionadministrationsite">PrescriptionAdministrationSite</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.route" title="null">route</a><a name="MedicationDispense.dosageInstruction.route"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text-required-with-code.html" title="CodeableConcept">Shared Health CodeableConcept Required Text with optional code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptionrouteofadministration">PrescriptionRouteOfAdministration</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.doseQuantity" title="null">doseQuantity</a><a name="MedicationDispense.dosageInstruction.doseQuantity"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-quantity-drug-admin.html" title="Quantity">PrescribeIT Drug Quantity for Administration</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.rateRatio" title="null">rateRatio</a><a name="MedicationDispense.dosageInstruction.rateRatio"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Ratio">Ratio</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.maxDosePerPeriod" title="null">maxDosePerPeriod</a><a name="MedicationDispense.dosageInstruction.maxDosePerPeriod"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/2016may/datatypes.html#Ratio">Ratio</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.maxDosePerPeriod.numerator" title="null">numerator</a><a name="MedicationDispense.dosageInstruction.maxDosePerPeriod.numerator"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-quantity-drug-admin.html" title="Quantity">PrescribeIT Drug Quantity for Administration</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationdispense-definitions.html#MedicationDispense.dosageInstruction.maxDosePerPeriod.denominator" title="null">denominator</a><a name="MedicationDispense.dosageInstruction.maxDosePerPeriod.denominator"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-quantity.html" title="Quantity">Shared Health Quantity</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div> </text> <url value="http://prescribeit.ca/fhir/StructureDefinition/profile-medicationdispense"/> <version value="2.0 Revision F"/> <name value="PrescribeIT Dispense"/> <status value="draft"/> <date value="2016-03-30T17:01:25-04:00"/> <description value="Constraints on the MedicationDispense resource"/> <fhirVersion value="1.4.0"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2"/> </mapping> <kind value="resource"/> <abstract value="false"/> <baseType value="MedicationDispense"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/> <derivation value="constraint"/> <snapshot> <element id="MedicationDispense"> <path value="MedicationDispense"/> <short value="Dispensing a medication to a named patient"/> <definition value="Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense"/> <min value="0"/> <max value="*"/> </base> <maxLength value="0"/> <constraint> <key value="mdd-1"/> <severity value="error"/> <human value="whenHandedOver cannot be before whenPrepared"/> <expression value="whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared"/> <xpath value="not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="Supply[moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> </element> <element id="MedicationDispense.id"> <path value="MedicationDispense.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comments value="Usage Note: This will usually be a GUID and is assigned by the sending application. Ideally it should be consistent for all messages referencing this same set of coverage information."/> <min value="1"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="MedicationDispense.meta"> <path value="MedicationDispense.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Meta"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="MedicationDispense.implicitRules"> <path value="MedicationDispense.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comments value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="*"/> </base> <type> <code value="uri"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="MedicationDispense.language"> <path value="MedicationDispense.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comments value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="*"/> </base> <type> <code value="code"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <description value="A human language."/> <valueSetReference> <reference value="http://tools.ietf.org/html/bcp47"/> </valueSetReference> </binding> </element> <element id="MedicationDispense.text"> <path value="MedicationDispense.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Narrative"/> </type> <maxLength value="0"/> <condition value="dom-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="MedicationDispense.contained"> <path value="MedicationDispense.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comments value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.extension"> <path value="MedicationDispense.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.extension:renderedDosageInstruction"> <path value="MedicationDispense.extension"/> <name value="renderedDosageInstruction"/> <short value="Rendered dosage"/> <definition value="Provides a complete text rendering of the dosage instruction lines for an order or dispense (separate from the rendering of the overall resource instance)"/> <comments value="Conformance Rule: In the context of a dispense notification, this will be populated by the PMS and will reflect the directions as presented to the patient on the label. The rendered dosage instruction must contain all dosage instructions and must be able to stand on its own. Conformance Rule: This field is made up of structured dosage information as well as patient instructions, assembled into one field and formatted as human-readable, meaning that codes should not be used (e.g. 'days' should be used instead of 'd'). Conformance Rule: Dosage quantity, dosage unit, dosage frequency, form, strength, max quantity per period,minimal interval between dispense, route of administration and where applicable, the administration site. Note: Any additional patient instructions that are specified at the dosage line level (e.g. take with food, starting one day before dental appointment) should be included. Conformance Rule: If a PMS sends discrete data elements they must also populate this with a textual view of the SIG. E.g. PO value for RouteofAdministration will be conveyed as 'oral' in this field."/> <min value="1"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.extension:quantityRemaining"> <path value="MedicationDispense.extension"/> <name value="quantityRemaining"/> <short value="Total quantity remaining"/> <definition value="The total authorized quantity outstanding after the fill issued as part of this dispense record"/> <comments value="Should be specified even if 0."/> <min value="1"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.modifierExtension"> <path value="MedicationDispense.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.identifier"> <path value="MedicationDispense.identifier"/> <short value="An identifier intended for computation"/> <definition value="A technical identifier - identifies some entity uniquely and unambiguously."/> <comments value="This is the identifier assigned by the pharmacy to a specific dispense. The system element will generally be an OID of the form [Vendor root].[Application instance node].4 expressed as a urn (e.g. urn:oid:1.2.3.4). The value will be the pharmacy-assigned dispense identifier."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-identifier"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> </mapping> <mapping> <identity value="rim"/> <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/> </mapping> <mapping> <identity value="servd"/> <map value="Identifier"/> </mapping> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status"/> <short value="in-progress | on-hold | completed | entered-in-error | stopped"/> <definition value="A code specifying the state of the set of dispense events."/> <comments value="Fixed value: completed"/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.status"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <fixedCode value="completed"/> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="A code specifying the state of the dispense event."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-dispense-status"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".status"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="MedicationDispense.medicationCodeableConcept"> <path value="MedicationDispense.medicationCodeableConcept"/> <short value="Concept - reference to a terminology or just text"/> <definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/> <comments value="Conformance Rule: This element is used to represent the medication dispensed A 'code' (Canadian Clinical Drug Data Set, or DIN or NPN) must be accompanied by 'text' when dispensing. For compounds, a code is not used and the description will be sent as 'text'. A DIN or an NPN may also be used if an appropriate CCDD code is not yet available. This has an extensible binding meaning that the CCDD code system should be used but if a code is not available, vendors may also submit a code from the DIN or NPN code system. (Eventually CCDD will encompass all DINs and NPNs.) Code systems that are acceptable in the message are: CCDD - https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset DIN - http://hl7.org/fhir/NamingSystem/ca-hc-din NPN - http://hl7.org/fhir/NamingSystem/ca-hc-npn When sending CCDD codes, only the Manufactured Product (MP) or Device NTP codes should be used. In cases where a Canadian Clinical Drug Data Set value is not available within the PMS, the PMS can send a DIN or Natural Product Number (NPN). If no drug code (TM, NTP, MP, or DIN) is available in the EMR, only then should the EMR send the drug name as text without a code. The pharmacy system may use the drug coding (TM, NTP, MP, DIN, NPN or representative DIN) to display to the user the list of products that can be dispensed."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.medication[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"/> </valueSetReference> </binding> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> </element> <element id="MedicationDispense.patient"> <path value="MedicationDispense.patient"/> <short value="Who the dispense is for"/> <definition value="A link to a resource representing the person to whom the medication will be given."/> <comments value="SubstanceAdministration->subject->Patient."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.patient"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-patient"/> <aggregation value="bundled"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-3-Patient ID List"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="MedicationDispense.patient.id"> <path value="MedicationDispense.patient.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.patient.extension"> <path value="MedicationDispense.patient.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.patient.reference"> <path value="MedicationDispense.patient.reference"/> <short value="Relative, internal or absolute URL reference"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comments value="This must point to the patient associated with the message"/> <min value="1"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <condition value="ref-1"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.patient.display"> <path value="MedicationDispense.patient.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comments value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dispenser"> <path value="MedicationDispense.dispenser"/> <short value="Practitioner responsible for dispensing medication"/> <definition value="The individual responsible for dispensing the medication."/> <comments value="Only organization (conveyed by the extension) is needed. No need to send the actual dispensing practitioner"/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.dispenser"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <aggregation value="bundled"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXD-10-Dispensing Provider / PRT-5-Participation Person: PRT-4-Participation='DP' (RXD-10 is deprecated)"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PFM].role[classCode=ASSIGN]"/> </mapping> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> </element> <element id="MedicationDispense.dispenser.id"> <path value="MedicationDispense.dispenser.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dispenser.extension"> <path value="MedicationDispense.dispenser.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.dispenser.extension:organization"> <path value="MedicationDispense.dispenser.extension"/> <name value="organization"/> <short value="Responsible organization"/> <definition value="Allows capturing the organization responsible for an action instead of or in addition to identifying the responsible practitioner"/> <comments value="For Shared Health purposes, only the pharmacy is relevant, not the dispensing pharmacist or technician. In the future, this should be supported directly by the resource."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-practitioner-org"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.dispenser.reference"> <path value="MedicationDispense.dispenser.reference"/> <short value="Relative, internal or absolute URL reference"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comments value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <condition value="ref-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dispenser.display"> <path value="MedicationDispense.dispenser.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comments value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription"/> <short value="Medication order that authorizes the dispense"/> <definition value="Indicates the medication order that is being dispensed against."/> <comments value="Conformance note: This must refer to the MedicationOrder being dispensed. Conformance Rule: If the MedicationOrder is included in the bundle (e.g. for a renewal request when sending the most recent dispense), use the 'reference' element and refer to the MedicationOrder.id. If the MedicationOrder is not included in the bundle (e.g. a Dispense Notification), use the extension to convey the business identifier of the prescription."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.authorizingPrescription"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/profile-medicationorder"/> <aggregation value="bundled"/> <aggregation value="referenced"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="ORC-2 Placer Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription.id"> <path value="MedicationDispense.authorizingPrescription.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription.extension"> <path value="MedicationDispense.authorizingPrescription.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.authorizingPrescription.extension:identifier"> <path value="MedicationDispense.authorizingPrescription.extension"/> <name value="identifier"/> <short value="Referenced identifier"/> <definition value="Allows a reference to identify the target prescription, dispense or task by business identifier rather than URL"/> <comments value="Usage Note: This is used when the dispense is sent stand-alone."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-identifier"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.authorizingPrescription.extension:identifier.id"> <path value="MedicationDispense.authorizingPrescription.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription.extension:identifier.extension:extension"> <path value="MedicationDispense.authorizingPrescription.extension.extension"/> <name value="extension"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.authorizingPrescription.extension:identifier.url"> <path value="MedicationDispense.authorizingPrescription.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments value="Fixed value: http://hl7.org/fhir/StructureDefinition/extension-Reference.identifier"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/extension-Reference.identifier"/> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription.extension:identifier.valueIdentifier"> <path value="MedicationDispense.authorizingPrescription.extension.valueIdentifier"/> <short value="Prescriber's order number"/> <definition value="A technical identifier - identifies some entity uniquely and unambiguously."/> <comments value="When this is present, the reference is typically omitted"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-identifier-prescription"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> </mapping> <mapping> <identity value="rim"/> <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/> </mapping> <mapping> <identity value="servd"/> <map value="Identifier"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription.reference"> <path value="MedicationDispense.authorizingPrescription.reference"/> <short value="Relative, internal or absolute URL reference"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comments value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <condition value="ref-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.authorizingPrescription.display"> <path value="MedicationDispense.authorizingPrescription.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comments value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.type"> <path value="MedicationDispense.type"/> <short value="Concept - reference to a terminology or just text"/> <definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/> <comments value="Usage note: For future use"/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"/> </valueSetReference> </binding> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity"/> <short value="Quantity of a medication"/> <definition value="A measured or counted amount of a medication expressed as a value and human-readable string with optional coded units expressed in a local coding system"/> <comments value="Conformance Rule: Quantity is used throughout the messages. It may be a drug form (e.g. TAB) an administrable drug (e.g. PUFF) form or a unit of measure (e.g. mg). You must send the coding system and code."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.quantity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug"/> </type> <maxLength value="0"/> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> </constraint> <constraint> <key value="sqty-1"/> <severity value="error"/> <human value="The comparator is not used on a SimpleQuantity"/> <expression value="comparator.empty()"/> <xpath value="not(exists(f:comparator))"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply"/> <short value="Amount of medication expressed as a timing amount"/> <definition value="The number of days that the dispensed quantity is expected to last. Cannot be mandatory as there are some situations where 'as needed' cannot be used to determine days supply."/> <comments value="Usage Note: There are some situations where this cannot be calculated, an estimated value will be used as drug plans will require this.(e.g. warfarin 1mg with take as directed dosing instructions)"/> <requirements value="Useful in monitoring patient compliance. May also be useful in determining and managing certain contraindications ('Fill-Too-Soon', 'Fill-Too-Late', and 'Duration of Therapy'). Because 'Days Supply' may be necessary to compute total dispensed quantity, it is made a"populated field."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.daysSupply"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="MedicationDispense.daysSupply.id"> <path value="MedicationDispense.daysSupply.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.daysSupply.extension"> <path value="MedicationDispense.daysSupply.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.daysSupply.value"> <path value="MedicationDispense.daysSupply.value"/> <short value="Numerical value (with implicit precision)"/> <definition value="The value of the measured amount. The value includes an implicit precision in the presentation of the value."/> <comments value="The implicit precision in the value should always be honored."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="MedicationDispense.daysSupply.comparator"> <path value="MedicationDispense.daysSupply.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition value="Not allowed to be used in this context"/> <comments value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value."/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/quantity-comparator"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="MedicationDispense.daysSupply.unit"> <path value="MedicationDispense.daysSupply.unit"/> <short value="Unit representation"/> <definition value="A human-readable form of the unit."/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="0"/> <max value="1"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="MedicationDispense.daysSupply.system"> <path value="MedicationDispense.daysSupply.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <maxLength value="0"/> <condition value="qty-3"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="MedicationDispense.daysSupply.code"> <path value="MedicationDispense.daysSupply.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comments value="Fixed value: d"/> <requirements value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <fixedCode value="d"/> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="MedicationDispense.whenPrepared"> <path value="MedicationDispense.whenPrepared"/> <short value="Dispense processing time"/> <definition value="The time when the dispensed product was packaged and reviewed."/> <comments value="This represents the date the medication was dispensed."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.whenPrepared"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXD-3-Date/Time Dispensed"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime[xmi:type=IVL_TS].low"/> </mapping> </element> <element id="MedicationDispense.whenHandedOver"> <path value="MedicationDispense.whenHandedOver"/> <short value="When product was given out"/> <definition value="The time the dispensed product was provided to the patient or their representative."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.whenHandedOver"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXD-3-Date/Time Dispensed"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime[xmi:type=IVL_TS].high"/> </mapping> </element> <element id="MedicationDispense.destination"> <path value="MedicationDispense.destination"/> <short value="Where the medication was sent"/> <definition value="Identification of the facility/location where the medication was shipped to, as part of the dispense event."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.destination"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Location"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=DST].role"/> </mapping> </element> <element id="MedicationDispense.receiver"> <path value="MedicationDispense.receiver"/> <short value="Who collected the medication"/> <definition value="Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.receiver"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=RCV].role"/> </mapping> </element> <element id="MedicationDispense.note"> <path value="MedicationDispense.note"/> <short value="Information about the dispense"/> <definition value="Extra information about the dispense that could not be conveyed in the other attributes."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXD-9 Dispense Notes"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction"/> <short value="Medicine administration instructions to the patient/caregiver"/> <definition value="Indicates how the medication is to be used by the patient. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed."/> <comments value="When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. Conformance Rule: If PMS is able to support the structured dosage, they may do so but this is not mandatory"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.dosageInstruction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.id"> <path value="MedicationDispense.dosageInstruction.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.extension"> <path value="MedicationDispense.dosageInstruction.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:sequence"> <path value="MedicationDispense.dosageInstruction.extension"/> <name value="sequence"/> <short value="Dosage instruction sequence"/> <definition value="Indicates the sequence of a particular dosage line within all dosage lines - equivalent to the repetition number of the dosage instruction element this extension is on."/> <comments value="Conformance Rule: This must match the positional sequence of the dosageInstruction repetition. I.e. The first dosageInstruction repetition must have a 'sequence' value of 1, the second a 'sequence' value of 2, etc."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.dosageInstruction.extension:instructionRelationship"> <path value="MedicationDispense.dosageInstruction.extension"/> <name value="instructionRelationship"/> <short value="AND | THEN"/> <definition value="Indicates how the timing of this dosage instruction relates to the preceding dosage instruction. Specifically, is it concurrent (AND) or sequential (THEN)."/> <comments value="Conformance Rule: As this will establish the relationship to the previous dosage lines (example: first and second dosage line, the second and thrid dosage line, etc.) this must be present for all dosage lines except for the FIRST dosage line. Usage Note: If THEN; is specified, there is typically a COMPLEX_ADMINISTRATION_PERIOD specified as well. These will be consecutive periods. Conformance Rule: ANDs and THENs should not be mixed due to ambiguity of meaning"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationDispense.dosageInstruction.modifierExtension"> <path value="MedicationDispense.dosageInstruction.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.text"> <path value="MedicationDispense.dosageInstruction.text"/> <short value="Free text dosage instructions e.g. SIG"/> <definition value="A free form description of how the dispensed medication is to be administered to the patient."/> <comments value="Conformance Rule: If supported by the PMS, multiple dosage lines can be expressed individually. However, they must be concatenated into the RENDERED_DOSAGE_INSTRUCTION as PMS will not be forced to support the receipt of individual lines. Usage Note: This is a string that is typically composed of the route, duration, dose, frequency, per line. Examples are: Prednisone, variable dosage instruction, or concurrent instructions (1 pill morning and 1 pill before bed) or sequential dosages (1 pill for 2 days, then 2 pills)."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions"> <path value="MedicationDispense.dosageInstruction.additionalInstructions"/> <short value="Concept - reference to a terminology or just text"/> <definition value="A free form textual description of extended instruction regarding the administration of the drug."/> <comments value="Conformance Rule: When providing an additional instruction at the dosage line level (complex), this should be populated when appropriate. Usage Note: It may be necessary for the EMR to parse instructions such as QHS (take at bedtime), into two data elements DOSAGE_TIMING_FREQUENCY = once a day and 'at bedtime' would be placed into this field. Usage Note: 'Coding' is not available, so 'Text' is expected to be used HL7 MAPPING - ADDITIONAL_DOSAGE_INSTRUCTION (Business Name Change). Conformance Rule: When text is present, this should contain the additional instructions. Usage Note: At this time there is no known coding system. Therefore ‘text’ will be used. Conformance Rule: Maximum character length set to ‘5000’."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.additionalInstructions"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text"/> </type> <maxLength value="0"/> <constraint> <key value="inv-1"/> <severity value="error"/> <human value="Must have coding or text but not both"/> <expression value="coding.exists() xor text.exists()"/> <xpath value="exists(f:coding)!= exists(f:text)"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="example"/> <description value="Codes identifying additional instructions such as "take with water" or "avoid operating heavy machinery""/> </binding> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.id"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.extension"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding"/> <short value="Code defined by a terminology system"/> <definition value="A reference to a code defined by a terminology system."/> <comments value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true."/> <requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/> <min value="0"/> <max value="*"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding.id"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding.extension"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding.system"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comments value="-"/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding.version"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding.version"/> <short value="Version of the system - if relevant"/> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/> <comments value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding.code"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding.display"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.coding.userSelected"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/> <comments value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.text"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.text"/> <short value="Plain text representation of the concept"/> <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/> <comments value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/> <min value="1"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <maxLength value="5000"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing"> <path value="MedicationDispense.dosageInstruction.timing"/> <short value="When medication should be administered"/> <definition value="A structure describing the frequency (how often the drug is to be administered), offset (elapse time between administrations) represented by one line of dosage administration instruction. Includes the overall time-period the dosage instruction applies."/> <comments value="Conformance Rule: For EMRs that can support it, this should be specified. Must also be part of the COMPLEX_DOSAGE_INSTRUCTION Conformance Rule: A start date may optionally be included. Refer to the Timing data type page for guidance on its use."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.timing"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Timing"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.id"> <path value="MedicationDispense.dosageInstruction.timing.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.extension"> <path value="MedicationDispense.dosageInstruction.timing.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.event"> <path value="MedicationDispense.dosageInstruction.timing.event"/> <short value="When the event occurs"/> <definition value="Identifies specific times when the event occurs."/> <requirements value="In an MAR, for instance, you need to take a general specification, and turn it into a precise specification."/> <min value="0"/> <max value="*"/> <base> <path value="Timing.event"/> <min value="0"/> <max value="*"/> </base> <type> <code value="dateTime"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="QLIST<TS>"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat"> <path value="MedicationDispense.dosageInstruction.timing.repeat"/> <short value="When the event is to occur"/> <definition value="A set of rules that describe when the event should occur."/> <requirements value="Many timing schedules are determined by regular repetitions."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Element"/> </type> <maxLength value="0"/> <constraint> <key value="tim-3"/> <severity value="error"/> <human value="Either frequency or when can exist, not both"/> <expression value="((period or frequency) and when).not()"/> <xpath value="not((f:period or f:frequency) and f:when)"/> </constraint> <constraint> <key value="tim-1"/> <severity value="error"/> <human value="if there's a duration, there needs to be duration units"/> <expression value="duration.empty() or durationUnit.exists()"/> <xpath value="not(exists(f:duration)) or exists(f:durationUnit)"/> </constraint> <constraint> <key value="tim-2"/> <severity value="error"/> <human value="if there's a period, there needs to be period units"/> <expression value="period.empty() or periodUnit.exists()"/> <xpath value="not(exists(f:period)) or exists(f:periodUnit)"/> </constraint> <constraint> <key value="tim-9"/> <severity value="error"/> <human value="If there's an offset, there must be a when"/> <expression value="offset.empty() or when.exists()"/> <xpath value="not(exists(f:offset)) or exists(f:when)"/> </constraint> <constraint> <key value="tim-6"/> <severity value="error"/> <human value="If there's a periodMax, there must be a period"/> <expression value="periodMax.empty() or period.exists()"/> <xpath value="not(exists(f:periodMax)) or exists(f:period)"/> </constraint> <constraint> <key value="tim-8"/> <severity value="error"/> <human value="If there's a countMax, there must be a count"/> <expression value="countMax.empty() or count.exists()"/> <xpath value="not(exists(f:countMax)) or exists(f:count)"/> </constraint> <constraint> <key value="tim-7"/> <severity value="error"/> <human value="If there's a durationMax, there must be a duration"/> <expression value="durationMax.empty() or duration.exists()"/> <xpath value="not(exists(f:durationMax)) or exists(f:duration)"/> </constraint> <constraint> <key value="tim-4"/> <severity value="error"/> <human value="duration SHALL be a non-negative value"/> <expression value="duration >= 0"/> <xpath value="@value >= 0 or not(@value)"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="Implies PIVL or EIVL"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.id"> <path value="MedicationDispense.dosageInstruction.timing.repeat.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.extension"> <path value="MedicationDispense.dosageInstruction.timing.repeat.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod"> <path value="MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod"/> <short value="Length/Range of lengths, or (Start and/or end) limits"/> <definition value="Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule."/> <comments value="Conformance Rule: If MULTI_LINE_DOSAGE, this will be populated with the total duration of the ADMINISTRATIVE_PERIOD for each dosage line. Conformance Rule: When providing a structured SIG, this should be populated when appropriate. This maps to Duration Must also be part of the COMPLEX_DOSAGE_INSTRUCTION"/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.bounds[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="IVL(TS) used in a QSI"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.count"> <path value="MedicationDispense.dosageInstruction.timing.repeat.count"/> <short value="Number of times to repeat"/> <definition value="A total count of the desired number of repetitions."/> <comments value="If you have both bounds and count, then this should be understood as within the bounds period, until count times happens."/> <requirements value="Repetitions may be limited by end time or total occurrences."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.count"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.count"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.countMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.countMax"/> <short value="Maximum number of times to repeat"/> <definition value="A maximum value for the count of the desired repetitions (e.g. do something 6-8 times)."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.countMax"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.count"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.duration"> <path value="MedicationDispense.dosageInstruction.timing.repeat.duration"/> <short value="How long when it happens"/> <definition value="How long this thing happens for when it happens."/> <comments value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)."/> <requirements value="Some activities are not instantaneous and need to be maintained for a period of time."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.duration"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.phase / EIVL.offset"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.durationMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.durationMax"/> <short value="How long when it happens (Max)"/> <definition value="The upper limit of how long this thing happens for when it happens."/> <comments value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)."/> <requirements value="Some activities are not instantaneous and need to be maintained for a period of time."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.durationMax"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.phase / EIVL.offset"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.durationUnit"> <path value="MedicationDispense.dosageInstruction.timing.repeat.durationUnit"/> <short value="s | min | h | d | wk | mo | a - unit of time (UCUM)"/> <definition value="The units of time for the duration, in UCUM units."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.durationUnit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="A unit of time (units from UCUM)."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/units-of-time"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="PIVL.phase.unit"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.frequency"> <path value="MedicationDispense.dosageInstruction.timing.repeat.frequency"/> <short value="Event occurs frequency times per period"/> <definition value="The number of times to repeat the action within the specified period / period range (i.e. both period and periodMax provided)."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.frequency"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> <defaultValueInteger value="1"/> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.phase / EIVL.offset"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.frequencyMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.frequencyMax"/> <short value="Event occurs up to frequencyMax times per period"/> <definition value="If present, indicates that the frequency is a range - so repeat between [frequency] and [frequencyMax] times within the period or period range."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.frequencyMax"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.phase"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.period"> <path value="MedicationDispense.dosageInstruction.timing.repeat.period"/> <short value="Event occurs frequency times per period"/> <definition value="Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.phase"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.periodMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.periodMax"/> <short value="Upper limit of period (3-4 hours)"/> <definition value="If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.periodMax"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="PIVL.phase"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.periodUnit"> <path value="MedicationDispense.dosageInstruction.timing.repeat.periodUnit"/> <short value="s | min | h | d | wk | mo | a - unit of time (UCUM)"/> <definition value="The units of time for the period in UCUM units."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.repeat.periodUnit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="A unit of time (units from UCUM)."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/units-of-time"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="PIVL.phase.unit"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.when"> <path value="MedicationDispense.dosageInstruction.timing.repeat.when"/> <short value="Regular life events the event is tied to"/> <definition value="A real world event that the occurrence of the event should be tied to."/> <comments value="Use "additionalInstructions" instead"/> <requirements value="Timings are frequently determined by occurrences such as waking, eating and sleep."/> <min value="0"/> <max value="0"/> <base> <path value="Timing.repeat.when"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="Real world event that the relating to the schedule."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/event-timing"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="EIVL.event"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.offset"> <path value="MedicationDispense.dosageInstruction.timing.repeat.offset"/> <short value="Minutes from event (before or after)"/> <definition value="The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event."/> <comments value="Use "additionalInstructions" instead"/> <min value="0"/> <max value="0"/> <base> <path value="Timing.repeat.offset"/> <min value="0"/> <max value="1"/> </base> <type> <code value="unsignedInt"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.code"> <path value="MedicationDispense.dosageInstruction.timing.code"/> <short value="QD | QOD | Q4H | Q6H | BID | TID | QID | AM | PM +"/> <definition value="A code for the timing pattern. Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing."/> <comments value="BID etc are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or the a structured representation should be used (in this case, specifying the two event times)."/> <min value="0"/> <max value="1"/> <base> <path value="Timing.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="preferred"/> <description value="Code for a known / defined timing pattern."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/timing-abbreviation"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="QSC.code"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.asNeeded[x]"> <path value="MedicationDispense.dosageInstruction.asNeeded[x]"/> <short value="Take "as needed" f(or x)"/> <definition value="Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule."/> <comments value="Conformance Rule: Set value = true. Conformance Rule: When this is specified, it is not acceptable to express the quantity exclusively as a duration/DAYSSUPPLY. The DOSAGEQUANTITY must be set."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.asNeeded[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="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."/> </binding> <mapping> <identity value="rim"/> <map value="boolean: .outboundRelationship[typeCode=PRCN].negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: .outboundRelationship[typCode=PRCN].target[classCode=OBS, moodCode=EVN, isCriterionInd=true, code="Assertion"].value"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.siteCodeableConcept"> <path value="MedicationDispense.dosageInstruction.siteCodeableConcept"/> <short value="Concept - reference to a terminology or just text"/> <definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/> <comments value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate. If not structured, this should be part of the SIG (RENDERED_DOSAGE_INSTRUCTION). Also can be specified for COMPLEX"/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.site[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionadministrationsite"/> </valueSetReference> </binding> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.route"> <path value="MedicationDispense.dosageInstruction.route"/> <short value="Concept - reference to a terminology or just text"/> <definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/> <comments value="Conformance Rule: Coding should be populated if a code is available. However, text is always required."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.route"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionrouteofadministration"/> </valueSetReference> </binding> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.method"> <path value="MedicationDispense.dosageInstruction.method"/> <short value="Technique for administering medication"/> <definition value="A coded value indicating the method by which the medication is intended to be or was introduced into or on the body."/> <comments value="This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.method"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="A coded concept describing the technique by which the medicine is administered"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-4-Administration Method"/> </mapping> <mapping> <identity value="rim"/> <map value=".methodCode"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.doseQuantity"> <path value="MedicationDispense.dosageInstruction.doseQuantity"/> <short value="Quantity of a medication"/> <definition value="A measured or counted amount of a medication expressed as a value and human-readable string with optional coded units expressed in a local coding system"/> <comments value="Conformance Rule: Could be sent as part of the dosage instruction. OR for those PMSs that can support it, this should be specified. This is quite pointless without the frequency. Conformance Rule: This is NOT specified for COMPLEX."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.dose[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/> </type> <maxLength value="0"/> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> </constraint> <constraint> <key value="sqty-1"/> <severity value="error"/> <human value="The comparator is not used on a SimpleQuantity"/> <expression value="comparator.empty()"/> <xpath value="not(exists(f:comparator))"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.rateRatio"> <path value="MedicationDispense.dosageInstruction.rateRatio"/> <short value="Amount of medication per unit of time"/> <definition value="Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.rate[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXE-22-Give Per (Time Unit)"/> </mapping> <mapping> <identity value="rim"/> <map value=".rateQuantity"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod"/> <short value="Upper limit on medication per unit of time"/> <definition value="The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time, e.g. 1000mg in 24 hours."/> <comments value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate. Also can be specified for COMPLEX"/> <requirements value="Needed when the dosage unit is not expressed as part of the dose quantity (mg, mL) or implicit as part of the drug form (capsules, tablets). Examples are Puffs, Actuations, etc."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="RXE-4-Give Amount - Maximum / RXE-5-Give Units"/> </mapping> <mapping> <identity value="rim"/> <map value=".maxDoseQuantity"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod.id"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod.extension"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod.numerator"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod.numerator"/> <short value="Quantity of a medication"/> <definition value="A measured or counted amount of a medication expressed as a value and human-readable string with optional coded units expressed in a local coding system"/> <comments value="Usage Note: Quantity is used throughout the messages. It may be a drug form (e.g. TAB) an administrable drug (e.g. PUFF) form or a unit of measure (e.g. mg)."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.numerator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/> </type> <maxLength value="0"/> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> </constraint> <constraint> <key value="sqty-1"/> <severity value="error"/> <human value="The comparator is not used on a SimpleQuantity"/> <expression value="comparator.empty()"/> <xpath value="not(exists(f:comparator))"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod.denominator"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod.denominator"/> <short value="A measured or measurable amount"/> <definition value="A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies."/> <comments value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.denominator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/> </type> <maxLength value="0"/> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> </element> <element id="MedicationDispense.substitution"> <path value="MedicationDispense.substitution"/> <short value="Deals with substitution of one medicine for another"/> <definition value="Indicates whether or not substitution was made as part of the dispense. In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationDispense.substitution"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"/> </mapping> </element> <element id="MedicationDispense.substitution.id"> <path value="MedicationDispense.substitution.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.substitution.extension"> <path value="MedicationDispense.substitution.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationDispense.substitution.modifierExtension"> <path value="MedicationDispense.substitution.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationDispense.substitution.type"> <path value="MedicationDispense.substitution.type"/> <short value="Code signifying whether a different drug was dispensed from what was prescribed"/> <definition value="A code signifying whether a different drug was dispensed from what was prescribed."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationDispense.substitution.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="MedicationDispense.substitution.reason"> <path value="MedicationDispense.substitution.reason"/> <short value="Why was substitution made"/> <definition value="Indicates the reason for the substitution of (or lack of substitution) from what was prescribed."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.substitution.reason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> </element> <element id="MedicationDispense.substitution.responsibleParty"> <path value="MedicationDispense.substitution.responsibleParty"/> <short value="Who is responsible for the substitution"/> <definition value="The person or organization that has primary responsibility for the substitution."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationDispense.substitution.responsibleParty"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PFM].role[classCode=ASSIGN]"/> </mapping> </element> </snapshot> <differential> <element id="MedicationDispense"> <path value="MedicationDispense"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.id"> <path value="MedicationDispense.id"/> <comments value="Usage Note: This will usually be a GUID and is assigned by the sending application. Ideally it should be consistent for all messages referencing this same set of coverage information."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.extension"> <path value="MedicationDispense.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <mustSupport value="true"/> </element> <element id="MedicationDispense.extension:renderedDosageInstruction"> <path value="MedicationDispense.extension"/> <name value="renderedDosageInstruction"/> <short value="Rendered dosage"/> <comments value="Conformance Rule: In the context of a dispense notification, this will be populated by the PMS and will reflect the directions as presented to the patient on the label. The rendered dosage instruction must contain all dosage instructions and must be able to stand on its own. Conformance Rule: This field is made up of structured dosage information as well as patient instructions, assembled into one field and formatted as human-readable, meaning that codes should not be used (e.g. 'days' should be used instead of 'd'). Conformance Rule: Dosage quantity, dosage unit, dosage frequency, form, strength, max quantity per period,minimal interval between dispense, route of administration and where applicable, the administration site. Note: Any additional patient instructions that are specified at the dosage line level (e.g. take with food, starting one day before dental appointment) should be included. Conformance Rule: If a PMS sends discrete data elements they must also populate this with a textual view of the SIG. E.g. PO value for RouteofAdministration will be conveyed as 'oral' in this field."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.extension:quantityRemaining"> <path value="MedicationDispense.extension"/> <name value="quantityRemaining"/> <short value="Total quantity remaining"/> <comments value="Should be specified even if 0."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.identifier"> <path value="MedicationDispense.identifier"/> <comments value="This is the identifier assigned by the pharmacy to a specific dispense. The system element will generally be an OID of the form [Vendor root].[Application instance node].4 expressed as a urn (e.g. urn:oid:1.2.3.4). The value will be the pharmacy-assigned dispense identifier."/> <min value="1"/> <type> <code value="Identifier"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-identifier"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status"/> <comments value="Fixed value: completed"/> <min value="1"/> <fixedCode value="completed"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.medicationCodeableConcept"> <path value="MedicationDispense.medicationCodeableConcept"/> <comments value="Conformance Rule: This element is used to represent the medication dispensed A 'code' (Canadian Clinical Drug Data Set, or DIN or NPN) must be accompanied by 'text' when dispensing. For compounds, a code is not used and the description will be sent as 'text'. A DIN or an NPN may also be used if an appropriate CCDD code is not yet available. This has an extensible binding meaning that the CCDD code system should be used but if a code is not available, vendors may also submit a code from the DIN or NPN code system. (Eventually CCDD will encompass all DINs and NPNs.) Code systems that are acceptable in the message are: CCDD - https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset DIN - http://hl7.org/fhir/NamingSystem/ca-hc-din NPN - http://hl7.org/fhir/NamingSystem/ca-hc-npn When sending CCDD codes, only the Manufactured Product (MP) or Device NTP codes should be used. In cases where a Canadian Clinical Drug Data Set value is not available within the PMS, the PMS can send a DIN or Natural Product Number (NPN). If no drug code (TM, NTP, MP, or DIN) is available in the EMR, only then should the EMR send the drug name as text without a code. The pharmacy system may use the drug coding (TM, NTP, MP, DIN, NPN or representative DIN) to display to the user the list of products that can be dispensed."/> <min value="1"/> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/> </type> <mustSupport value="true"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"/> </valueSetReference> </binding> </element> <element id="MedicationDispense.patient"> <path value="MedicationDispense.patient"/> <min value="1"/> <type> <code value="Reference"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-patient"/> <aggregation value="bundled"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.patient.reference"> <path value="MedicationDispense.patient.reference"/> <comments value="This must point to the patient associated with the message"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dispenser"> <path value="MedicationDispense.dispenser"/> <comments value="Only organization (conveyed by the extension) is needed. No need to send the actual dispensing practitioner"/> <min value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <aggregation value="bundled"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dispenser.extension"> <path value="MedicationDispense.dispenser.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <mustSupport value="true"/> </element> <element id="MedicationDispense.dispenser.extension:organization"> <path value="MedicationDispense.dispenser.extension"/> <name value="organization"/> <comments value="For Shared Health purposes, only the pharmacy is relevant, not the dispensing pharmacist or technician. In the future, this should be supported directly by the resource."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-practitioner-org"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription"/> <comments value="Conformance note: This must refer to the MedicationOrder being dispensed. Conformance Rule: If the MedicationOrder is included in the bundle (e.g. for a renewal request when sending the most recent dispense), use the 'reference' element and refer to the MedicationOrder.id. If the MedicationOrder is not included in the bundle (e.g. a Dispense Notification), use the extension to convey the business identifier of the prescription."/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/profile-medicationorder"/> <aggregation value="bundled"/> <aggregation value="referenced"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.authorizingPrescription.extension"> <path value="MedicationDispense.authorizingPrescription.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <mustSupport value="true"/> </element> <element id="MedicationDispense.authorizingPrescription.extension:identifier"> <path value="MedicationDispense.authorizingPrescription.extension"/> <name value="identifier"/> <comments value="Usage Note: This is used when the dispense is sent stand-alone."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/ext-reference-identifier"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.authorizingPrescription.extension:identifier.valueIdentifier"> <path value="MedicationDispense.authorizingPrescription.extension.valueIdentifier"/> <short value="Prescriber's order number"/> <type> <code value="Identifier"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-identifier-prescription"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.type"> <path value="MedicationDispense.type"/> <comments value="Usage note: For future use"/> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/> </type> <mustSupport value="true"/> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"/> </valueSetReference> </binding> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity"/> <comments value="Conformance Rule: Quantity is used throughout the messages. It may be a drug form (e.g. TAB) an administrable drug (e.g. PUFF) form or a unit of measure (e.g. mg). You must send the coding system and code."/> <min value="1"/> <type> <code value="Quantity"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply"/> <definition value="The number of days that the dispensed quantity is expected to last. Cannot be mandatory as there are some situations where 'as needed' cannot be used to determine days supply."/> <comments value="Usage Note: There are some situations where this cannot be calculated, an estimated value will be used as drug plans will require this.(e.g. warfarin 1mg with take as directed dosing instructions)"/> <requirements value="Useful in monitoring patient compliance. May also be useful in determining and managing certain contraindications ('Fill-Too-Soon', 'Fill-Too-Late', and 'Duration of Therapy'). Because 'Days Supply' may be necessary to compute total dispensed quantity, it is made a"populated field."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.daysSupply.value"> <path value="MedicationDispense.daysSupply.value"/> <comments value="The implicit precision in the value should always be honored."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.daysSupply.system"> <path value="MedicationDispense.daysSupply.system"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.daysSupply.code"> <path value="MedicationDispense.daysSupply.code"/> <comments value="Fixed value: d"/> <min value="1"/> <fixedCode value="d"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.whenPrepared"> <path value="MedicationDispense.whenPrepared"/> <comments value="This represents the date the medication was dispensed."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction"/> <comments value="When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. Conformance Rule: If PMS is able to support the structured dosage, they may do so but this is not mandatory"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.extension"> <path value="MedicationDispense.dosageInstruction.extension"/> <slicing> <discriminator value="url"/> <rules value="open"/> </slicing> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.extension:sequence"> <path value="MedicationDispense.dosageInstruction.extension"/> <name value="sequence"/> <short value="Dosage instruction sequence"/> <comments value="Conformance Rule: This must match the positional sequence of the dosageInstruction repetition. I.e. The first dosageInstruction repetition must have a 'sequence' value of 1, the second a 'sequence' value of 2, etc."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.extension:instructionRelationship"> <path value="MedicationDispense.dosageInstruction.extension"/> <name value="instructionRelationship"/> <short value="AND | THEN"/> <comments value="Conformance Rule: As this will establish the relationship to the previous dosage lines (example: first and second dosage line, the second and thrid dosage line, etc.) this must be present for all dosage lines except for the FIRST dosage line. Usage Note: If THEN; is specified, there is typically a COMPLEX_ADMINISTRATION_PERIOD specified as well. These will be consecutive periods. Conformance Rule: ANDs and THENs should not be mixed due to ambiguity of meaning"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.text"> <path value="MedicationDispense.dosageInstruction.text"/> <definition value="A free form description of how the dispensed medication is to be administered to the patient."/> <comments value="Conformance Rule: If supported by the PMS, multiple dosage lines can be expressed individually. However, they must be concatenated into the RENDERED_DOSAGE_INSTRUCTION as PMS will not be forced to support the receipt of individual lines. Usage Note: This is a string that is typically composed of the route, duration, dose, frequency, per line. Examples are: Prednisone, variable dosage instruction, or concurrent instructions (1 pill morning and 1 pill before bed) or sequential dosages (1 pill for 2 days, then 2 pills)."/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions"> <path value="MedicationDispense.dosageInstruction.additionalInstructions"/> <definition value="A free form textual description of extended instruction regarding the administration of the drug."/> <comments value="Conformance Rule: When providing an additional instruction at the dosage line level (complex), this should be populated when appropriate. Usage Note: It may be necessary for the EMR to parse instructions such as QHS (take at bedtime), into two data elements DOSAGE_TIMING_FREQUENCY = once a day and 'at bedtime' would be placed into this field. Usage Note: 'Coding' is not available, so 'Text' is expected to be used HL7 MAPPING - ADDITIONAL_DOSAGE_INSTRUCTION (Business Name Change). Conformance Rule: When text is present, this should contain the additional instructions. Usage Note: At this time there is no known coding system. Therefore ‘text’ will be used. Conformance Rule: Maximum character length set to ‘5000’."/> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.additionalInstructions.text"> <path value="MedicationDispense.dosageInstruction.additionalInstructions.text"/> <min value="1"/> <maxLength value="5000"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing"> <path value="MedicationDispense.dosageInstruction.timing"/> <definition value="A structure describing the frequency (how often the drug is to be administered), offset (elapse time between administrations) represented by one line of dosage administration instruction. Includes the overall time-period the dosage instruction applies."/> <comments value="Conformance Rule: For EMRs that can support it, this should be specified. Must also be part of the COMPLEX_DOSAGE_INSTRUCTION Conformance Rule: A start date may optionally be included. Refer to the Timing data type page for guidance on its use."/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat"> <path value="MedicationDispense.dosageInstruction.timing.repeat"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod"> <path value="MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod"/> <comments value="Conformance Rule: If MULTI_LINE_DOSAGE, this will be populated with the total duration of the ADMINISTRATIVE_PERIOD for each dosage line. Conformance Rule: When providing a structured SIG, this should be populated when appropriate. This maps to Duration Must also be part of the COMPLEX_DOSAGE_INSTRUCTION"/> <type> <code value="Period"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.count"> <path value="MedicationDispense.dosageInstruction.timing.repeat.count"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.countMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.countMax"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.duration"> <path value="MedicationDispense.dosageInstruction.timing.repeat.duration"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.durationMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.durationMax"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.durationUnit"> <path value="MedicationDispense.dosageInstruction.timing.repeat.durationUnit"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.frequency"> <path value="MedicationDispense.dosageInstruction.timing.repeat.frequency"/> <defaultValueInteger value="1"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.frequencyMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.frequencyMax"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.period"> <path value="MedicationDispense.dosageInstruction.timing.repeat.period"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.periodMax"> <path value="MedicationDispense.dosageInstruction.timing.repeat.periodMax"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.periodUnit"> <path value="MedicationDispense.dosageInstruction.timing.repeat.periodUnit"/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.when"> <path value="MedicationDispense.dosageInstruction.timing.repeat.when"/> <comments value="Use "additionalInstructions" instead"/> <max value="0"/> </element> <element id="MedicationDispense.dosageInstruction.timing.repeat.offset"> <path value="MedicationDispense.dosageInstruction.timing.repeat.offset"/> <comments value="Use "additionalInstructions" instead"/> <max value="0"/> </element> <element id="MedicationDispense.dosageInstruction.asNeeded[x]"> <path value="MedicationDispense.dosageInstruction.asNeeded[x]"/> <comments value="Conformance Rule: Set value = true. Conformance Rule: When this is specified, it is not acceptable to express the quantity exclusively as a duration/DAYSSUPPLY. The DOSAGEQUANTITY must be set."/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.siteCodeableConcept"> <path value="MedicationDispense.dosageInstruction.siteCodeableConcept"/> <comments value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate. If not structured, this should be part of the SIG (RENDERED_DOSAGE_INSTRUCTION). Also can be specified for COMPLEX"/> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/> </type> <mustSupport value="true"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionadministrationsite"/> </valueSetReference> </binding> </element> <element id="MedicationDispense.dosageInstruction.route"> <path value="MedicationDispense.dosageInstruction.route"/> <comments value="Conformance Rule: Coding should be populated if a code is available. However, text is always required."/> <type> <code value="CodeableConcept"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/> </type> <mustSupport value="true"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionrouteofadministration"/> </valueSetReference> </binding> </element> <element id="MedicationDispense.dosageInstruction.doseQuantity"> <path value="MedicationDispense.dosageInstruction.doseQuantity"/> <comments value="Conformance Rule: Could be sent as part of the dosage instruction. OR for those PMSs that can support it, this should be specified. This is quite pointless without the frequency. Conformance Rule: This is NOT specified for COMPLEX."/> <type> <code value="Quantity"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.rateRatio"> <path value="MedicationDispense.dosageInstruction.rateRatio"/> <type> <code value="Ratio"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod"/> <comments value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate. Also can be specified for COMPLEX"/> <requirements value="Needed when the dosage unit is not expressed as part of the dose quantity (mg, mL) or implicit as part of the drug form (capsules, tablets). Examples are Puffs, Actuations, etc."/> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod.numerator"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod.numerator"/> <min value="1"/> <type> <code value="Quantity"/> <profile value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/> </type> <mustSupport value="true"/> </element> <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod.denominator"> <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod.denominator"/> <min value="1"/> <type> <code value="Quantity"/> <profile value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/> </type> <mustSupport value="true"/> </element> </differential> </StructureDefinition>