PrescribeIT® Specification and Guide Version 3.0 Revision C

Provides additional instructions from the prescriber to the pharmacy or other dispenser

unique id for the element within a resource (for internal references).

An Extension

Source of the definition for the extension code - a logical name or a URL.

Fixed value: http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions

Provides additional instructions from the prescriber to the pharmacy or other dispenser

Usage Note: To convey explicit instructions to the Pharmacist/dispenser related to this medication order.

Usage Note: If the PMS solution is unable to display the entire instructions, then it is expected that the current solution has a fail-over process and will create a printout of the prescription.

Conformance Rule: PMS solution must be able to print out the entire prescription with ALL dispensing instructions included on the printout. Minimum data elements can be based on the eFax model

Conformance Rule: When 'compliance pack' is indicated on the prescription within the EMR, populate the pharmacist instruction/dispenser instructions with 'COMPLIANCE PACK REQUESTED'

Usage Note: In the case where the prescriber indicates the concept of ‘do not adapt’ (meaning that the pharmacist should not alter the prescription based on the patient's weight as an example), this direction to the pharmacist should be conveyed in human language in this field.

Conformance Rule: If a prescriber wishes to indicate that there is no substitution it must be included as part of the pharmacy instructions.