PrescribeIT® Specification and Guide Version 5.0


v5.0 of this specification has been superseded by v5.3. v5.3 is compatible but adds additional features for Quebec.

The version (Bundle.meta.tag:version) that is sent in the message will remain PrescribeIT5.0

 

The official URL for this extension is:

http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max

Status: draft
Extension maintained by:

Identifies the maximum quantity authorized to be dispensed at one time.

Context of Use

This extension may be used on the following element(s):

  • {"type"=>"MedicationOrder.dispenseRequest"}

Usage info

Usage:

Download Excel representation

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameCard.TypeConstraints and Usage
.  Extension 0..1ExtensionDefinition:
Identifies the maximum quantity authorized to be dispensed at one time.


Comments:
Conformance Rule: If this is supported within the EMR as a discrete data element, this must be populated.



Usage Rules: Prescriptions that use max dispense amount and minimum dispense interval (they go together) are generally for medications that are not allowed to be refilled, such as narcotics.



Usage Note: Used to restrict or control the quantity that is dispensed at one time. It may be used in conjunction with interval which controls the elapsed time needed in-between dispense.

..  url 1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max"
..  value[x] 1..1PrescribeIT® Drug QuantityBinding: PrescribedQuantityUnit (20210308) (extensible)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
Definition:
Identifies the maximum quantity authorized to be dispensed at one time.


Comments:
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).

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionMaximum prescribed quantity
... extension 0..0
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max"
... value[x] S1..1PrescribeIT® Drug QuantityMaximum prescribed quantity
Binding: PrescribedQuantityUnit (20210308) (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionMaximum prescribed quantity
... id 0..1idxml:id (or equivalent in JSON)
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max"
... value[x] SI1..1PrescribeIT® Drug QuantityMaximum prescribed quantity
Binding: PrescribedQuantityUnit (20210308) (extensible)

doco Documentation for this format

Grid View

This structure is derived from Extension

NameCard.TypeConstraints and Usage
.  Extension 0..1ExtensionDefinition:
Identifies the maximum quantity authorized to be dispensed at one time.


Comments:
Conformance Rule: If this is supported within the EMR as a discrete data element, this must be populated.



Usage Rules: Prescriptions that use max dispense amount and minimum dispense interval (they go together) are generally for medications that are not allowed to be refilled, such as narcotics.



Usage Note: Used to restrict or control the quantity that is dispensed at one time. It may be used in conjunction with interval which controls the elapsed time needed in-between dispense.

..  url 1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max"
..  value[x] 1..1PrescribeIT® Drug QuantityBinding: PrescribedQuantityUnit (20210308) (extensible)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
Definition:
Identifies the maximum quantity authorized to be dispensed at one time.


Comments:
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).

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionMaximum prescribed quantity
... extension 0..0
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max"
... value[x] S1..1PrescribeIT® Drug QuantityMaximum prescribed quantity
Binding: PrescribedQuantityUnit (20210308) (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionMaximum prescribed quantity
... id 0..1idxml:id (or equivalent in JSON)
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max"
... value[x] SI1..1PrescribeIT® Drug QuantityMaximum prescribed quantity
Binding: PrescribedQuantityUnit (20210308) (extensible)

doco Documentation for this format

 

Other representations of extension: Schematron

3.15.3 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Extension.value[x]extensiblePrescribedQuantityUnit

Constraints

IdPathDetailsRequirements
qty-3Extension.value[x]If a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1Extension.value[x]The comparator is not used on a SimpleQuantity
: comparator.empty()