Resumen Digital de Atención en Salud (RDA)
1.0.0 - STU1 Colombia

Resumen Digital de Atención en Salud (RDA) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MedicationDispenseRDA - Detailed Descriptions

Draft as of 2026-06-01

Definitions for the MedicationDispenseRDA resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. MedicationDispense
Definition

Información extra acerca de la dispensación que podría no estar cubierta en otros atributos


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.

ShortInformación acerca de la dispensaciónDispensing a medication to a named patient
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
mdd-1: whenHandedOver cannot be before whenPrepared (whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared)
mdd-1: whenHandedOver cannot be before whenPrepared (whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared)
2. MedicationDispense.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationDispense.contained
Definition

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.

ShortContained, inline Resources
Comments

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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..0*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. MedicationDispense.modifierExtension
Definition

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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. MedicationDispense.identifier
Definition

Número interno de la dispensación asignado en el Gestor Farmacéutico


Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

ShortIdentificador de la dispensaciónExternal identifier
Comments

This is a business identifier, not a resource identifier.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1*
TypeIdentifier
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on MedicationDispense.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • value @ id
  • 10. MedicationDispense.identifier:DispenseIdentifier
    Slice NameDispenseIdentifier
    Definition

    Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

    ShortExternal identifier
    Comments

    This is a business identifier, not a resource identifier.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1*
    TypeIdentifier
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. MedicationDispense.identifier:DispenseIdentifier.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control10..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Pattern ValueDispenseIdentifier
    14. MedicationDispense.identifier:DispenseIdentifier.use
    Definition

    The purpose of this identifier.

    Shortusual | official | temp | secondary | old (If known)
    Comments

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Control0..01
    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    Identifies the purpose for this identifier, if known .

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. MedicationDispense.identifier:DispenseIdentifier.system
    Definition

    Sistema de identificación de la dispensación, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número de la dispensación. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroDispensacion', donde 'example.org' debe ser reemplazado por el dominio correspondiente del Gestor Farmacéutico.


    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    ShortSistema de identificación de la dispensaciónThe namespace for the identifier value
    Comments

    Identifier.system is always case sensitive.

    Control10..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    ExampleGeneral: http://www.acme.com/identifiers/patient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. MedicationDispense.identifier:DispenseIdentifier.value
    Definition

    Número interno de la dispensación asignado en el Gestor Farmacéutico


    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    ShortNúmero identificador de la dispensaciónThe value that is unique
    Comments

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    ExampleGeneral: 123456
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. MedicationDispense.identifier:DispenseIdentifier.period
    Definition

    Time period during which identifier is/was valid for use.

    ShortTime period when id is/was valid for use
    Control0..01
    TypePeriod
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. MedicationDispense.identifier:DispenseIdentifier.assigner
    Definition

    Organization that issued/manages the identifier.

    ShortOrganization that issued id (may be just text)
    Comments

    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

    Control0..01
    TypeReference(Organization)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. MedicationDispense.identifier:PendingIdentifier
    Slice NamePendingIdentifier
    Definition

    Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico


    Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

    ShortIdentificador del pendienteExternal identifier
    Comments

    This is a business identifier, not a resource identifier.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1*
    TypeIdentifier
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. MedicationDispense.identifier:PendingIdentifier.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control10..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Pattern ValuePendingIdentifier
    28. MedicationDispense.identifier:PendingIdentifier.use
    Definition

    The purpose of this identifier.

    Shortusual | official | temp | secondary | old (If known)
    Comments

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Control0..01
    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    Identifies the purpose for this identifier, if known .

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. MedicationDispense.identifier:PendingIdentifier.system
    Definition

    Sistema de identificación del pendiente, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número del pendiente. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroPendiente', donde 'example.org' debe ser reemplazado por el dominio correspondiente del Gestor Farmacéutico.


    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    ShortSistema de identificación del pendienteThe namespace for the identifier value
    Comments

    Identifier.system is always case sensitive.

    Control10..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    ExampleGeneral: http://www.acme.com/identifiers/patient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. MedicationDispense.identifier:PendingIdentifier.value
    Definition

    Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico


    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    ShortNúmero identificador del pendienteThe value that is unique
    Comments

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    ExampleGeneral: 123456
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. MedicationDispense.identifier:PendingIdentifier.period
    Definition

    Time period during which identifier is/was valid for use.

    ShortTime period when id is/was valid for use
    Control0..01
    TypePeriod
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. MedicationDispense.identifier:PendingIdentifier.assigner
    Definition

    Organization that issued/manages the identifier.

    ShortOrganization that issued id (may be just text)
    Comments

    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

    Control0..01
    TypeReference(Organization)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. MedicationDispense.partOf
    Definition

    The procedure that trigger the dispense.

    ShortEvent that dispense is part of
    Control0..0*
    TypeReference(Procedure)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. MedicationDispense.status
    Definition

    A code specifying the state of the set of dispense events.

    Shortpreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
    Comments

    This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

    Control1..1
    BindingThe codes SHALL be taken from MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1)
    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. MedicationDispense.statusReason[x]
    Definition

    Indicates the reason why a dispense was not performed.

    ShortWhy a dispense was not performed
    Control0..1
    BindingFor example codes, see MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason
    (example to http://hl7.org/fhir/ValueSet/medicationdispense-status-reason)

    A code describing why a dispense was not performed.

    TypeChoice of: CodeableConcept, Reference(DetectedIssue)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on MedicationDispense.statusReason[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • type @ $this
    • 44. MedicationDispense.statusReason[x]:statusReasonCodeableConcept
      Slice NamestatusReasonCodeableConcept
      Definition

      Código que indica la causa por la cual no se realizó la entrega del medicamento. Obligatorio cuando status no es #completed.


      Indicates the reason why a dispense was not performed.

      ShortCausas de no entregaWhy a dispense was not performed
      Control0..1
      BindingThe codes SHALL be taken from For example codes, see ValueSet: Mipres Causas no direccionamientohttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason
      (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes)
      TypeCodeableConcept, Reference(DetectedIssue)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. MedicationDispense.category
      Definition

      Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).

      ShortType of medication dispense
      Comments

      The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.

      Control0..1
      BindingThe codes SHOULD be taken from MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-category
      (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category)
      TypeCodeableConcept
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. MedicationDispense.medication[x]
      Definition

      Código que identifica el medicamento dispensado


      Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

      ShortCódigo de medicamento (IUM, CUM o DCI)What medication was supplied
      Comments

      If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

      Control1..1
      BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
      (example to http://hl7.org/fhir/ValueSet/medication-codes)

      A coded concept identifying which substance or product can be dispensed.

      TypeCodeableConcept, Reference(Medication)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. MedicationDispense.medication[x].coding
      Definition

      A reference to a code defined by a terminology system.

      ShortCode defined by a terminology system
      Comments

      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 labeled as UserSelected = true.

      Control10..3*
      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on MedicationDispense.medication[x].coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • value @ system
      • 52. MedicationDispense.medication[x].coding:CUMS
        Slice NameCUMS
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        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 labeled as UserSelected = true.

        Control0..1*
        BindingThe codes SHALL be taken from For codes, see Codificacion CUMS
        (required to https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS)
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. MedicationDispense.medication[x].coding:CUMS.system
        Definition

        The identification of the code system that defines the meaning of the symbol in the code.

        ShortIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be unambiguous about the source of the definition of the symbol.

        Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. MedicationDispense.medication[x].coding:CUMS.code
        Definition

        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).

        ShortSymbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. MedicationDispense.medication[x].coding:DCI
        Slice NameDCI
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        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 labeled as UserSelected = true.

        Control0..1*
        BindingThe codes SHALL be taken from For codes, see ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia
        (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI)
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. MedicationDispense.medication[x].coding:DCI.system
        Definition

        The identification of the code system that defines the meaning of the symbol in the code.

        ShortIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be unambiguous about the source of the definition of the symbol.

        Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. MedicationDispense.medication[x].coding:DCI.code
        Definition

        Código que representa la Denominación Común Internacional (DCI) del medicamento. Para el caso de las preparaciones magistrales con DCI, predomina el principio activo dominante.


        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).

        ShortCódigo del medicamento (DCI)Symbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        LabelCódigo del medicamento (DCI)
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. MedicationDispense.medication[x].coding:DCI.display
        Definition

        A representation of the meaning of the code in the system, following the rules of the system.

        ShortRepresentation defined by the system
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

        LabelRes. 1888 / Elemento: 26
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. MedicationDispense.medication[x].coding:IUM
        Slice NameIUM
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        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 labeled as UserSelected = true.

        Control0..1*
        BindingThe codes SHALL be taken from For codes, see ValueSet: Identificador Único de Medicamento (IUM) - Colombia
        (required to https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes)
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. MedicationDispense.medication[x].coding:IUM.system
        Definition

        The identification of the code system that defines the meaning of the symbol in the code.

        ShortIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be unambiguous about the source of the definition of the symbol.

        Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/IUM
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. MedicationDispense.medication[x].coding:IUM.code
        Definition

        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).

        ShortCódigo del medicamento (IUM)Symbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        LabelRes. 1888 / Elemento: 24.2
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. MedicationDispense.medication[x].coding:IUM.display
        Definition

        A representation of the meaning of the code in the system, following the rules of the system.

        ShortNombre del medicamentoRepresentation defined by the system
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

        LabelRes. 1888 / Elemento: 24.3
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        74. MedicationDispense.subject
        Definition

        Referencia al paciente a quien se prescribe u ordena la programación de la dispensación de medicamentos, utilizando el recurso Patient del RDA.


        A link to a resource representing the person or the group to whom the medication will be given.

        ShortReferencia al paciente a quien se prescribe u ordena la programaciónWho the dispense is for
        Comments

        SubstanceAdministration->subject->Patient.

        Control10..1
        TypeReference(Paciente (Patient) RDA, Patient, Group)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        76. MedicationDispense.subject.reference
        Definition

        Referencia al paciente a quien se prescribe u ordena la programación de la prescripción de medicamentos, utilizando el recurso Patient del RDA.


        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.

        ShortReferencia al paciente a quien se prescribe u ordena la programaciónLiteral reference, Relative, internal or absolute URL
        Comments

        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.

        Control10..1
        This element is affected by the following invariants: ref-1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        78. MedicationDispense.subject.type
        Definition

        The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

        The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

        ShortType the reference refers to (e.g. "Patient")
        Comments

        This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

        Control10..1
        BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
        (extensible to http://hl7.org/fhir/ValueSet/resource-types)

        Aa resource (or, for logical models, the URI of the logical model).

        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Fixed ValuePatient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        80. MedicationDispense.subject.identifier
        Definition

        Identificación de la persona que desempeña el rol de paciente


        An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

        ShortIdentificación del pacienteLogical reference, when literal reference is not known
        Comments

        When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

        When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

        Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

        Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1
        TypeIdentifier
        Is Modifierfalse
        Summarytrue
        LabelIdentificación nacional del paciente
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        82. MedicationDispense.subject.identifier.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control10..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Pattern ValueNationalPersonIdentifier-0
        84. MedicationDispense.subject.identifier.use
        Definition

        The purpose of this identifier.

        Shortusual | official | temp | secondary | old (If known)
        Comments

        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

        Control10..1
        BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

        Identifies the purpose for this identifier, if known .

        Typecode
        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

        Fixed Valueofficial
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        86. MedicationDispense.subject.identifier.type
        Definition

        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

        ShortDescription of identifier
        Comments

        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

        Control10..1
        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

        TypeCodeableConcept
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows users to make use of identifiers when the identifier system is not known.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        88. MedicationDispense.subject.identifier.type.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        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 labeled as UserSelected = true.

        Control20..2*
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on MedicationDispense.subject.identifier.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • value @ system
        • 90. MedicationDispense.subject.identifier.type.coding:InternationalCode
          Slice NameInternationalCode
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          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 labeled as UserSelected = true.

          Control10..1*
          BindingUnless not suitable, these codes SHALL be taken from For codes, see Identifier Type Codes
          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
          TypeCoding
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. MedicationDispense.subject.identifier.type.coding:InternationalCode.system
          Definition

          Codificación internacional de identificaciones para personas


          The identification of the code system that defines the meaning of the symbol in the code.

          ShortSistema de codificación internacionalIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. MedicationDispense.subject.identifier.type.coding:InternationalCode.code
          Definition

          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).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Fixed ValuePN
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. MedicationDispense.subject.identifier.type.coding:InternationalCode.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Fixed ValuePerson number
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          98. MedicationDispense.subject.identifier.type.coding:ColombianCode
          Slice NameColombianCode
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          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 labeled as UserSelected = true.

          Control10..1*
          BindingThe codes SHALL be taken from For codes, see ValueSet: Colombian Person Identifier Codes
          (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
          TypeCoding
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. MedicationDispense.subject.identifier.type.coding:ColombianCode.system
          Definition

          Codificación colombiana de identificaciones para personas


          The identification of the code system that defines the meaning of the symbol in the code.

          ShortSistema de codificación colombianoIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          LabelTipo identificación
          Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. MedicationDispense.subject.identifier.type.coding:ColombianCode.code
          Definition

          Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud


          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).

          ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SISymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          LabelElemento: 2.1
          Alternate NamesTipo de documento de identificación
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. MedicationDispense.subject.identifier.type.coding:ColombianCode.display
          Definition

          Representación del código definido por el sistema de identificaciones colombianas de personas


          A representation of the meaning of the code in the system, following the rules of the system.

          ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +Representation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          LabelElemento: 2.1
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          106. MedicationDispense.subject.identifier.system
          Definition

          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortThe namespace for the identifier value
          Comments

          Identifier.system is always case sensitive.

          Control0..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Pattern Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
          ExampleGeneral: http://www.acme.com/identifiers/patient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. MedicationDispense.subject.identifier.value
          Definition

          Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud


          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortNúmero de documento de identificaciónThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          LabelElemento: 2.2
          Alternate NamesIdentificación del paciente
          ExampleGeneral: 123456
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. MedicationDispense.subject.display
          Definition

          Nombre del paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.


          Plain text narrative that identifies the resource in addition to the resource reference.

          ShortNombre del pacienteText alternative for the resource
          Comments

          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.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          LabelElementos: 3.1, 3.2, 3.3 y 3.4
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. MedicationDispense.context
          Definition

          The encounter or episode of care that establishes the context for this event.

          ShortEncounter / Episode associated with event
          Control0..1
          TypeReference(Encuentro de atención ambulatoria (Encounter) RDA, Encuentro de atención de urgencias en salud (Encounter) RDA, Encuentro de hospitalización (Encounter) RDA, Encounter, EpisodeOfCare)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. MedicationDispense.supportingInformation
          Definition

          Referencias a información de soporte de la dispensación, que puede incluir el Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó esta programación, o referencias a condiciones clínicas asociadas a la prescripción.


          Additional information that supports the medication being dispensed.

          ShortReferencias a información de soporte de la dispensaciónInformation that supports the dispensing of the medication
          Control20..*
          TypeReference(Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • value @ id
          • 116. MedicationDispense.supportingInformation:ReferenceRDA
            Slice NameReferenceRDA
            Definition

            Referencia al Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó esta dispensación. Cadena alfanumérica, que certifica la recepción y validación del RDA en el mecanismo de IHCE del Ministerio de Salud y Protección social.


            Additional information that supports the medication being dispensed.

            ShortReferencia al código VIDA del documento RDA que originó la prescripción de medicamentosInformation that supports the dispensing of the medication
            Control0..1*
            TypeReference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta), Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización), Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            118. MedicationDispense.supportingInformation:ReferenceRDA.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control10..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Pattern ValueReferenceRDA
            120. MedicationDispense.supportingInformation:ReferenceRDA.reference
            Definition

            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.

            ShortLiteral reference, Relative, internal or absolute URL
            Comments

            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.

            Control10..1
            This element is affected by the following invariants: ref-1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            122. MedicationDispense.supportingInformation:ReferenceRDA.type
            Definition

            The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

            The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

            ShortType the reference refers to (e.g. "Patient")
            Comments

            This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

            Control10..1
            BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
            (extensible to http://hl7.org/fhir/ValueSet/resource-types)

            Aa resource (or, for logical models, the URI of the logical model).

            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Fixed ValueComposition
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            124. MedicationDispense.supportingInformation:PrescriberPractitioner
            Slice NamePrescriberPractitioner
            Definition

            Referencia al profesional de la salud que realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Practitioner del RDA.


            Additional information that supports the medication being dispensed.

            ShortReferencia al profesional de la salud que realizó la prescripción del medicamentoInformation that supports the dispensing of the medication
            Control10..1*
            TypeReference(Profesional de salud (Practitioner) RDA, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            126. MedicationDispense.supportingInformation:PrescriberPractitioner.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control10..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Pattern ValuePrescriberPractitioner
            128. MedicationDispense.supportingInformation:PrescriberPractitioner.reference
            Definition

            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.

            ShortLiteral reference, Relative, internal or absolute URL
            Comments

            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.

            Control10..1
            This element is affected by the following invariants: ref-1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            130. MedicationDispense.supportingInformation:PrescriberPractitioner.type
            Definition

            The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

            The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

            ShortType the reference refers to (e.g. "Patient")
            Comments

            This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

            Control10..1
            BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
            (extensible to http://hl7.org/fhir/ValueSet/resource-types)

            Aa resource (or, for logical models, the URI of the logical model).

            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Fixed ValuePractitioner
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            132. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier
            Definition

            Identificación del profesional de la salud que realizó la prescripción del medicamento


            An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

            ShortIdentificación del profesional de la saludLogical reference, when literal reference is not known
            Comments

            When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

            When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

            Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

            Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            LabelIdentificación prescriptor
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            134. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control10..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed ValuePrescriberIdentifier
            136. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control10..1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Fixed Valueofficial
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            138. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Comments

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
            ExampleGeneral: http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            140. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.value
            Definition

            Valor de la identificación del profesional de la salud que realizó la prescripción del medicamento


            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

            ShortValor de la identificaciónThe value that is unique
            Comments

            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            ExampleGeneral: 123456
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            142. MedicationDispense.supportingInformation:CareDeliveryOrganization
            Slice NameCareDeliveryOrganization
            Definition

            Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Organization del RDA.


            Additional information that supports the medication being dispensed.

            ShortReferencia a la organización de atención en salud donde se realizó la prescripción del medicamentoInformation that supports the dispensing of the medication
            Control10..1*
            TypeReference(Institución Prestadora de Servicios de Salud (Organization) RDA, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            144. MedicationDispense.supportingInformation:CareDeliveryOrganization.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control10..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Pattern ValueCareDeliveryOrganization
            146. MedicationDispense.supportingInformation:CareDeliveryOrganization.reference
            Definition

            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.

            ShortLiteral reference, Relative, internal or absolute URL
            Comments

            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.

            Control10..1
            This element is affected by the following invariants: ref-1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            148. MedicationDispense.supportingInformation:CareDeliveryOrganization.type
            Definition

            The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

            The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

            ShortType the reference refers to (e.g. "Patient")
            Comments

            This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

            Control10..1
            BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
            (extensible to http://hl7.org/fhir/ValueSet/resource-types)

            Aa resource (or, for logical models, the URI of the logical model).

            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Fixed ValueOrganization
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            150. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier
            Definition

            Identificación de la organización de atención en salud donde se realizó la prescripción del medicamento que originó esta dispensación


            An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

            ShortIdentificación de la organización de atención en saludLogical reference, when literal reference is not known
            Comments

            When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

            When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

            Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

            Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            LabelIdentificación IPS
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            152. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control10..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed ValueOrganizationIdentifier
            154. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control10..1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Fixed Valueofficial
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            156. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Comments

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/REPS
            ExampleGeneral: http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            158. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.value
            Definition

            Valor del identificador de la organización de atención en salud


            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

            ShortValor del identificadorThe value that is unique
            Comments

            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            ExampleGeneral: 123456
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            160. MedicationDispense.supportingInformation:CareDeliveryLocation
            Slice NameCareDeliveryLocation
            Definition

            Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Location del RDA.


            Additional information that supports the medication being dispensed.

            ShortReferencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamentoInformation that supports the dispensing of the medication
            Control0..1*
            TypeReference(Punto de atención en salud (Location) RDA, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            162. MedicationDispense.supportingInformation:CareDeliveryLocation.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control10..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Pattern ValueCareDeliveryLocation
            164. MedicationDispense.supportingInformation:CareDeliveryLocation.reference
            Definition

            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.

            ShortLiteral reference, Relative, internal or absolute URL
            Comments

            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.

            Control10..1
            This element is affected by the following invariants: ref-1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            166. MedicationDispense.supportingInformation:CareDeliveryLocation.type
            Definition

            The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

            The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

            ShortType the reference refers to (e.g. "Patient")
            Comments

            This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

            Control10..1
            BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
            (extensible to http://hl7.org/fhir/ValueSet/resource-types)

            Aa resource (or, for logical models, the URI of the logical model).

            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Fixed ValueLocation
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            168. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier
            Definition

            Identificador del punto de atención en salud (sede)


            An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

            ShortIdentificador del punto de atención en salud (sede)Logical reference, when literal reference is not known
            Comments

            When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

            When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

            Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

            Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            LabelIdentificación sede
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            170. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control10..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed ValueLocationIdentifier
            172. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control10..1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Fixed Valueofficial
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            174. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Comments

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/REPS
            ExampleGeneral: http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            176. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.value
            Definition

            Valor del identificador del punto de atención en salud (sede)


            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

            ShortValor del identificadorThe value that is unique
            Comments

            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            ExampleGeneral: 123456
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            178. MedicationDispense.performer
            Definition

            Indicates who or what performed the event.

            ShortWho performed event
            Control10..2*
            TypeBackboneElement
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on MedicationDispense.performer. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
            • value @ function.coding.code
            • 180. MedicationDispense.performer.modifierExtension
              Definition

              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              182. MedicationDispense.performer.actor
              Definition

              The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.

              ShortIndividual who was performing
              Control1..1
              TypeReference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              184. MedicationDispense.performer:HealthTechProviderOrganization
              Slice NameHealthTechProviderOrganization
              Definition

              Referencia al Gestor Farmacéutico que realizó la entrega del medicamento al paciente.


              Indicates who or what performed the event.

              ShortGestor farmacéutico que realizó la dispensaciónWho performed event
              Control10..1*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              186. MedicationDispense.performer:HealthTechProviderOrganization.modifierExtension
              Definition

              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              188. MedicationDispense.performer:HealthTechProviderOrganization.function
              Definition

              Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.

              ShortWho performed the dispense and what they did
              Control10..1
              BindingThe codes SHALL be taken from For example codes, see ValueSet: Función en el proceso de dispensación de medicamentoshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function
              (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes)
              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Requirements

              Allows disambiguation of the types of involvement of different performers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              190. MedicationDispense.performer:HealthTechProviderOrganization.function.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

              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 labeled as UserSelected = true.

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              192. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.system
              Definition

              The identification of the code system that defines the meaning of the symbol in the code.

              ShortIdentity of the terminology system
              Comments

              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to be unambiguous about the source of the definition of the symbol.

              Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              194. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.code
              Definition

              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).

              ShortSymbol in syntax defined by the system
              Control10..1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Fixed Valuedispenser
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              196. MedicationDispense.performer:HealthTechProviderOrganization.actor
              Definition

              Referencia a la organización que actúa como Gestor Farmacéutico y realizó la dispensación.


              The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.

              ShortReferencia al Gestor FarmacéuticoIndividual who was performing
              Control1..1
              TypeReference(Proveedor de Tecnología en Salud PTS (Organization), Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              198. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA
              Slice NameHealthBenefitPlanAdminOrganizationRDA
              Definition

              Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación.


              Indicates who or what performed the event.

              ShortEAPB que direccionó la dispensaciónWho performed event
              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              200. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.modifierExtension
              Definition

              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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              202. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function
              Definition

              Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.

              ShortWho performed the dispense and what they did
              Control10..1
              BindingThe codes SHALL be taken from For example codes, see ValueSet: Función en el proceso de dispensación de medicamentoshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function
              (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes)
              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Requirements

              Allows disambiguation of the types of involvement of different performers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              204. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

              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 labeled as UserSelected = true.

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              206. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.system
              Definition

              The identification of the code system that defines the meaning of the symbol in the code.

              ShortIdentity of the terminology system
              Comments

              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to be unambiguous about the source of the definition of the symbol.

              Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              208. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.code
              Definition

              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).

              ShortSymbol in syntax defined by the system
              Control10..1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Fixed Valuepayer
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              210. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.actor
              Definition

              Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación.


              The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.

              ShortReferencia a la EAPBIndividual who was performing
              Control1..1
              TypeReference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA, Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              212. MedicationDispense.location
              Definition

              The principal physical location where the dispense was performed.

              ShortWhere the dispense occurred
              Control0..1
              TypeReference(Punto de dispensación (Location), Location)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              214. MedicationDispense.authorizingPrescription
              Definition

              Indicates the medication order that is being dispensed against.

              ShortMedication order that authorizes the dispense
              Comments

              Maps to basedOn in Event logical model.

              Control10..*
              TypeReference(MedicationRequest)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • value @ id
              • 216. MedicationDispense.authorizingPrescription:MedicationRequestRDA
                Slice NameMedicationRequestRDA
                Definition

                Número identificador de la orden médica (prescripción) asociada.


                Indicates the medication order that is being dispensed against.

                ShortIdentificador de la prescripciónMedication order that authorizes the dispense
                Comments

                Maps to basedOn in Event logical model.

                Control10..1*
                TypeReference(Prescripción de Medicamentos (MedicationRequest) RDA, MedicationRequest)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                218. MedicationDispense.authorizingPrescription:MedicationRequestRDA.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control10..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Pattern ValueMedicationRequestRDA
                220. MedicationDispense.authorizingPrescription:MedicationRequestRDA.reference
                Definition

                Referencia al recurso MedicationRequestRDA que contiene la prescripción original del RDA.


                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.

                ShortReferencia a la prescripción originalLiteral reference, Relative, internal or absolute URL
                Comments

                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.

                Control0..1
                This element is affected by the following invariants: ref-1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                222. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier
                Definition

                Número identificador de la orden médica (prescripción).


                An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                ShortIdentificador de la prescripciónLogical reference, when literal reference is not known
                Comments

                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..1
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                224. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.use
                Definition

                The purpose of this identifier.

                Shortusual | official | temp | secondary | old (If known)
                Comments

                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                Control0..1
                BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                Identifies the purpose for this identifier, if known .

                Typecode
                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                226. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.system
                Definition

                Sistema de identificación de la prescripción.


                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                ShortSistema de identificación de la prescripciónThe namespace for the identifier value
                Comments

                Identifier.system is always case sensitive.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                ExampleGeneral: http://www.acme.com/identifiers/patient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                228. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.value
                Definition

                Número de la orden médica (prescripción).


                The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                ShortNúmero de la prescripciónThe value that is unique
                Comments

                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                ExampleGeneral: 123456
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                230. MedicationDispense.authorizingPrescription:MedicationRequestAddressing
                Slice NameMedicationRequestAddressing
                Definition

                Número identificador del direccionamiento asociado.


                Indicates the medication order that is being dispensed against.

                ShortIdentificador del direccionamientoMedication order that authorizes the dispense
                Comments

                Maps to basedOn in Event logical model.

                Control0..1*
                TypeReference(Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing, MedicationRequest)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                232. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control10..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Pattern ValueMedicationRequestAddressing
                234. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.reference
                Definition

                Referencia al recurso MedicationRequestAddressing que contiene el direccionamiento de la prescripción.


                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.

                ShortReferencia al direccionamientoLiteral reference, Relative, internal or absolute URL
                Comments

                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.

                Control0..1
                This element is affected by the following invariants: ref-1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                236. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier
                Definition

                Número identificador del direccionamiento.


                An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                ShortIdentificador del direccionamientoLogical reference, when literal reference is not known
                Comments

                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..1
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                238. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.use
                Definition

                The purpose of this identifier.

                Shortusual | official | temp | secondary | old (If known)
                Comments

                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                Control0..1
                BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                Identifies the purpose for this identifier, if known .

                Typecode
                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                240. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.system
                Definition

                Sistema de identificación del direccionamiento.


                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                ShortSistema de identificación del direccionamientoThe namespace for the identifier value
                Comments

                Identifier.system is always case sensitive.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                ExampleGeneral: http://www.acme.com/identifiers/patient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                242. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.value
                Definition

                Número del direccionamiento.


                The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                ShortNúmero del direccionamientoThe value that is unique
                Comments

                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                ExampleGeneral: 123456
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                244. MedicationDispense.authorizingPrescription:MedicationRequestScheduling
                Slice NameMedicationRequestScheduling
                Definition

                Número identificador dela programación asociada


                Indicates the medication order that is being dispensed against.

                ShortIdentificador de la programaciónMedication order that authorizes the dispense
                Comments

                Maps to basedOn in Event logical model.

                Control0..1*
                TypeReference(Programación de la dispensación de Medicamentos (MedicationRequest) Scheduling, MedicationRequest)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                246. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control10..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Pattern ValueMedicationRequestScheduling
                248. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.reference
                Definition

                URL o ID relativo del recurso MedicationRequestScheduling que contiene la programación de la dispensación.


                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.

                ShortReferencia a la programaciónLiteral reference, Relative, internal or absolute URL
                Comments

                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.

                Control0..1
                This element is affected by the following invariants: ref-1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                250. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier
                Definition

                Número identificador de la programación


                An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                ShortIdentificador de la programaciónLogical reference, when literal reference is not known
                Comments

                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..1
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                252. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.use
                Definition

                The purpose of this identifier.

                Shortusual | official | temp | secondary | old (If known)
                Comments

                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                Control0..1
                BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                Identifies the purpose for this identifier, if known .

                Typecode
                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                254. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.system
                Definition

                Sistema de identificación de la programación.


                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                ShortSistema de identificación de la programaciónThe namespace for the identifier value
                Comments

                Identifier.system is always case sensitive.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                ExampleGeneral: http://www.acme.com/identifiers/patient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                256. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.value
                Definition

                Número de la programación.


                The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                ShortNúmero de la programaciónThe value that is unique
                Comments

                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                ExampleGeneral: 123456
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                258. MedicationDispense.type
                Definition

                Clasifica el tipo de dispensación


                Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.

                ShortTipo de suministro farmacéuticoTrial fill, partial fill, emergency fill, etc.
                Control10..1
                BindingThe codes SHALL be taken from For example codes, see ValueSet: Pharmacy Supply Type Codeshttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
                (required to https://fhir.minsalud.gov.co/rda/ValueSet/PharmacySupplyTypeCodes)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                260. MedicationDispense.type.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                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 labeled as UserSelected = true.

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                262. MedicationDispense.type.coding.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/PharmacySupplyType
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                264. MedicationDispense.type.coding.code
                Definition

                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).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                266. MedicationDispense.type.coding.display
                Definition

                A representation of the meaning of the code in the system, following the rules of the system.

                ShortRepresentation defined by the system
                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                268. MedicationDispense.quantity
                Definition

                The amount of medication that has been dispensed. Includes unit of measure.

                ShortAmount dispensed
                Control0..1
                BindingThe codes SHALL be taken from For codes, see ValueSet: Mipres Dispense Unit
                (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes)
                TypeQuantity(SimpleQuantity)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                270. MedicationDispense.quantity.extension
                Definition

                An Extension


                May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortExtensionAdditional content defined by implementations
                Comments

                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.

                Control10..1*
                TypeExtension
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on MedicationDispense.quantity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 272. MedicationDispense.quantity.extension:ExtensionMedicationDispenseQuantity
                  Slice NameExtensionMedicationDispenseQuantity
                  Definition

                  Cantidad total del medicamento que se programan para dispensación al paciente. Esta cantidad corresponde a la cantidad total del medicamento que se autoriza para dispensación al paciente. teniendo en cuenta el número de entregas (dispensaciones) autorizadas y la cantidad de medicamento a suministrar por cada entrega (dispensación). Esta extensión incluye el código y nombre de la unidad de entrega del medicamento

                  ShortCantidad total de medicamentos programados para entrega
                  Control1..1
                  TypeExtension(Extension: ExtensionMedicationDispenseQuantity) (Extension Type: Quantity(SimpleQuantity))
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  274. MedicationDispense.quantity.value
                  Definition

                  The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                  ShortNumerical value (with implicit precision)
                  Comments

                  The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

                  Control10..1
                  Typedecimal
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Precision is handled implicitly in almost all cases of measurement.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  276. MedicationDispense.quantity.comparator
                  Definition

                  Not allowed to be used in this context


                  How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                  Short< | <= | >= | > - how to understand the value
                  Control0..01
                  BindingThe codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
                  (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

                  How the Quantity should be understood and represented.

                  Typecode
                  Is Modifiertrue because 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
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                  Meaning if MissingIf there is no comparator, then there is no modification of the value
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  278. MedicationDispense.quantity.unit
                  Definition

                  A human-readable form of the unit.

                  ShortUnit representation
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  280. MedicationDispense.quantity.system
                  Definition

                  The identification of the system that provides the coded form of the unit.

                  ShortSystem that defines coded unit form
                  Control10..1
                  This element is affected by the following invariants: qty-3
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to know the system that defines the coded form of the unit.

                  Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  282. MedicationDispense.quantity.code
                  Definition

                  A computer processable form of the unit in some unit representation system.

                  ShortCoded form of the unit
                  Comments

                  The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

                  Control10..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  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.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  284. MedicationDispense.whenHandedOver
                  Definition

                  The time the dispensed product was provided to the patient or their representative.

                  ShortWhen product was given out
                  Control10..1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  286. MedicationDispense.receiver
                  Definition

                  Identifica a la persona que recibe el medicamento. Generalmente será el paciente o su cuidador, pero existen algunos casos en los que puede ser un profesional de la salud.


                  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.

                  ShortQuien recibe el medicamentoWho collected the medication
                  Control0..*
                  TypeReference(Paciente (Patient) RDA, Patient, Practitioner)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  288. MedicationDispense.receiver.identifier
                  Definition

                  Identificación nacional de la persona que desempeña el rol de paciente


                  An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                  ShortIdentificación nacional de la personaLogical reference, when literal reference is not known
                  Comments

                  When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                  When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                  Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control10..1
                  TypeIdentifier
                  Is Modifierfalse
                  Summarytrue
                  LabelIdentificación nacional del paciente
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  290. MedicationDispense.receiver.identifier.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control10..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed ValueNationalPersonIdentifier-0
                  292. MedicationDispense.receiver.identifier.extension
                  Definition

                  An Extension


                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortExtensionAdditional content defined by implementations
                  Comments

                  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.

                  Control0..0*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 294. MedicationDispense.receiver.identifier.use
                    Definition

                    The purpose of this identifier.

                    Shortusual | official | temp | secondary | old (If known)
                    Comments

                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                    Control10..1
                    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                    Identifies the purpose for this identifier, if known .

                    Typecode
                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                    Fixed Valueofficial
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    296. MedicationDispense.receiver.identifier.type
                    Definition

                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                    ShortDescription of identifier
                    Comments

                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                    Control10..1
                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Allows users to make use of identifiers when the identifier system is not known.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    298. MedicationDispense.receiver.identifier.type.extension
                    Definition

                    An Extension


                    May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortExtensionAdditional content defined by implementations
                    Comments

                    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.

                    Control0..0*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 300. MedicationDispense.receiver.identifier.type.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      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 labeled as UserSelected = true.

                      Control20..2*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                      • value @ system
                      • 302. MedicationDispense.receiver.identifier.type.coding:InternationalCode
                        Slice NameInternationalCode
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

                        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 labeled as UserSelected = true.

                        Control10..1*
                        BindingUnless not suitable, these codes SHALL be taken from For codes, see Identifier Type Codes
                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        304. MedicationDispense.receiver.identifier.type.coding:InternationalCode.extension
                        Definition

                        An Extension


                        May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortExtensionAdditional content defined by implementations
                        Comments

                        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.

                        Control0..0*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 306. MedicationDispense.receiver.identifier.type.coding:InternationalCode.system
                          Definition

                          Codificación internacional de identificaciones para personas


                          The identification of the code system that defines the meaning of the symbol in the code.

                          ShortSistema de codificación internacionalIdentity of the terminology system
                          Comments

                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                          Control10..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to be unambiguous about the source of the definition of the symbol.

                          Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          308. MedicationDispense.receiver.identifier.type.coding:InternationalCode.version
                          Definition

                          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.

                          ShortVersion of the system - if relevant
                          Comments

                          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.

                          NoteThis is a business version Id, not a resource version Id (see discussion)
                          Control0..01
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          310. MedicationDispense.receiver.identifier.type.coding:InternationalCode.code
                          Definition

                          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).

                          ShortSymbol in syntax defined by the system
                          Control10..1
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to refer to a particular code in the system.

                          Fixed ValuePN
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          312. MedicationDispense.receiver.identifier.type.coding:InternationalCode.display
                          Definition

                          A representation of the meaning of the code in the system, following the rules of the system.

                          ShortRepresentation defined by the system
                          Control10..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                          Fixed ValuePerson number
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          314. MedicationDispense.receiver.identifier.type.coding:InternationalCode.userSelected
                          Definition

                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                          ShortIf this coding was chosen directly by the user
                          Comments

                          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.

                          Control0..01
                          Typeboolean
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          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.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          316. MedicationDispense.receiver.identifier.type.coding:ColombianCode
                          Slice NameColombianCode
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system
                          Comments

                          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 labeled as UserSelected = true.

                          Control10..1*
                          BindingThe codes SHALL be taken from For codes, see ValueSet: Colombian Person Identifier Codes
                          (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
                          TypeCoding
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          318. MedicationDispense.receiver.identifier.type.coding:ColombianCode.extension
                          Definition

                          An Extension


                          May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortExtensionAdditional content defined by implementations
                          Comments

                          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.

                          Control0..0*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 320. MedicationDispense.receiver.identifier.type.coding:ColombianCode.system
                            Definition

                            Codificación colombiana de identificaciones para personas


                            The identification of the code system that defines the meaning of the symbol in the code.

                            ShortSistema de codificación nacionalIdentity of the terminology system
                            Comments

                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                            Control10..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Need to be unambiguous about the source of the definition of the symbol.

                            LabelTipo identificación
                            Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            322. MedicationDispense.receiver.identifier.type.coding:ColombianCode.version
                            Definition

                            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.

                            ShortVersion of the system - if relevant
                            Comments

                            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.

                            NoteThis is a business version Id, not a resource version Id (see discussion)
                            Control0..01
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            324. MedicationDispense.receiver.identifier.type.coding:ColombianCode.code
                            Definition

                            Colombian identifier type code. [ES: Código colombiano del tipo de identificación]


                            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).

                            ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SISymbol in syntax defined by the system
                            Control10..1
                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to refer to a particular code in the system.

                            LabelCódigo
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            326. MedicationDispense.receiver.identifier.type.coding:ColombianCode.display
                            Definition

                            Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]


                            A representation of the meaning of the code in the system, following the rules of the system.

                            ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +Representation defined by the system
                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                            LabelTipo
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            328. MedicationDispense.receiver.identifier.type.coding:ColombianCode.userSelected
                            Definition

                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                            ShortIf this coding was chosen directly by the user
                            Comments

                            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.

                            Control0..01
                            Typeboolean
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            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.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            330. MedicationDispense.receiver.identifier.value
                            Definition

                            Valor del documento de identificación colombiano


                            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                            ShortDocumento de identificaciónThe value that is unique
                            Comments

                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            LabelNúmero de identificación
                            ExampleGeneral: 123456
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            332. MedicationDispense.receiver.display
                            Definition

                            Nombre completo de la persona que recibe el medicamento.


                            Plain text narrative that identifies the resource in addition to the resource reference.

                            ShortNombre de la persona que recibe el medicamentoText alternative for the resource
                            Comments

                            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.

                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            334. MedicationDispense.substitution
                            Definition

                            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. If nothing is specified, substitution was not done.

                            ShortWhether a substitution was performed on the dispense
                            Control0..01
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                            Guidance on how to interpret the contents of this table can be foundhere

                            0. MedicationDispense
                            Definition

                            Información extra acerca de la dispensación que podría no estar cubierta en otros atributos

                            ShortInformación acerca de la dispensación
                            2. MedicationDispense.meta
                            4. MedicationDispense.meta.profile
                            Control1..?
                            Fixed Valuehttps://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA
                            6. MedicationDispense.contained
                            Control0..0
                            8. MedicationDispense.identifier
                            Definition

                            Número interno de la dispensación asignado en el Gestor Farmacéutico

                            ShortIdentificador de la dispensación
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control1..1
                            SlicingThis element introduces a set of slices on MedicationDispense.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                            • value @ id
                            • 10. MedicationDispense.identifier:DispenseIdentifier
                              Slice NameDispenseIdentifier
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1
                              12. MedicationDispense.identifier:DispenseIdentifier.id
                              Control1..?
                              Pattern ValueDispenseIdentifier
                              14. MedicationDispense.identifier:DispenseIdentifier.use
                              Control0..0
                              16. MedicationDispense.identifier:DispenseIdentifier.system
                              Definition

                              Sistema de identificación de la dispensación, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número de la dispensación. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroDispensacion', donde 'example.org' debe ser reemplazado por el dominio correspondiente del Gestor Farmacéutico.

                              ShortSistema de identificación de la dispensación
                              Control1..?
                              Must Supporttrue
                              18. MedicationDispense.identifier:DispenseIdentifier.value
                              Definition

                              Número interno de la dispensación asignado en el Gestor Farmacéutico

                              ShortNúmero identificador de la dispensación
                              Control1..?
                              Must Supporttrue
                              20. MedicationDispense.identifier:DispenseIdentifier.period
                              Control0..0
                              22. MedicationDispense.identifier:DispenseIdentifier.assigner
                              Control0..0
                              24. MedicationDispense.identifier:PendingIdentifier
                              Slice NamePendingIdentifier
                              Definition

                              Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico

                              ShortIdentificador del pendiente
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1
                              26. MedicationDispense.identifier:PendingIdentifier.id
                              Control1..?
                              Pattern ValuePendingIdentifier
                              28. MedicationDispense.identifier:PendingIdentifier.use
                              Control0..0
                              30. MedicationDispense.identifier:PendingIdentifier.system
                              Definition

                              Sistema de identificación del pendiente, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número del pendiente. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroPendiente', donde 'example.org' debe ser reemplazado por el dominio correspondiente del Gestor Farmacéutico.

                              ShortSistema de identificación del pendiente
                              Control1..?
                              Must Supporttrue
                              32. MedicationDispense.identifier:PendingIdentifier.value
                              Definition

                              Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico

                              ShortNúmero identificador del pendiente
                              Control1..?
                              Must Supporttrue
                              34. MedicationDispense.identifier:PendingIdentifier.period
                              Control0..0
                              36. MedicationDispense.identifier:PendingIdentifier.assigner
                              Control0..0
                              38. MedicationDispense.partOf
                              Control0..0
                              40. MedicationDispense.status
                              BindingThe codes SHALL be taken from MedicationDispense Status Codes
                              (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1)
                              42. MedicationDispense.statusReason[x]
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              SlicingThis element introduces a set of slices on MedicationDispense.statusReason[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 44. MedicationDispense.statusReason[x]:statusReasonCodeableConcept
                                Slice NamestatusReasonCodeableConcept
                                Definition

                                Código que indica la causa por la cual no se realizó la entrega del medicamento. Obligatorio cuando status no es #completed.

                                ShortCausas de no entrega
                                Control0..1
                                BindingThe codes SHALL be taken from ValueSet: Mipres Causas no direccionamiento
                                (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes)
                                TypeCodeableConcept
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                46. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding
                                48. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.system
                                Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento
                                50. MedicationDispense.category
                                BindingThe codes SHOULD be taken from MedicationDispense Category Codes
                                (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category)
                                52. MedicationDispense.medication[x]
                                Definition

                                Código que identifica el medicamento dispensado

                                ShortCódigo de medicamento (IUM, CUM o DCI)
                                TypeCodeableConcept, Reference(Medication)
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Must Supporttrue
                                54. MedicationDispense.medication[x].coding
                                Control1..3
                                Must Supporttrue
                                SlicingThis element introduces a set of slices on MedicationDispense.medication[x].coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                • value @ system
                                • 56. MedicationDispense.medication[x].coding:CUMS
                                  Slice NameCUMS
                                  Control0..1
                                  BindingThe codes SHALL be taken from Codificacion CUMS
                                  (required to https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS)
                                  58. MedicationDispense.medication[x].coding:CUMS.system
                                  Control1..?
                                  Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
                                  60. MedicationDispense.medication[x].coding:CUMS.code
                                  Control1..?
                                  62. MedicationDispense.medication[x].coding:DCI
                                  Slice NameDCI
                                  Control0..1
                                  BindingThe codes SHALL be taken from ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia
                                  (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI)
                                  64. MedicationDispense.medication[x].coding:DCI.system
                                  Control1..?
                                  Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
                                  66. MedicationDispense.medication[x].coding:DCI.code
                                  Definition

                                  Código que representa la Denominación Común Internacional (DCI) del medicamento. Para el caso de las preparaciones magistrales con DCI, predomina el principio activo dominante.

                                  ShortCódigo del medicamento (DCI)
                                  Control1..?
                                  LabelCódigo del medicamento (DCI)
                                  68. MedicationDispense.medication[x].coding:DCI.display
                                  LabelRes. 1888 / Elemento: 26
                                  70. MedicationDispense.medication[x].coding:IUM
                                  Slice NameIUM
                                  Control0..1
                                  BindingThe codes SHALL be taken from ValueSet: Identificador Único de Medicamento (IUM) - Colombia
                                  (required to https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes)
                                  72. MedicationDispense.medication[x].coding:IUM.system
                                  Control1..?
                                  Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/IUM
                                  74. MedicationDispense.medication[x].coding:IUM.code
                                  ShortCódigo del medicamento (IUM)
                                  Control1..?
                                  Must Supporttrue
                                  LabelRes. 1888 / Elemento: 24.2
                                  76. MedicationDispense.medication[x].coding:IUM.display
                                  ShortNombre del medicamento
                                  Must Supporttrue
                                  LabelRes. 1888 / Elemento: 24.3
                                  78. MedicationDispense.subject
                                  Definition

                                  Referencia al paciente a quien se prescribe u ordena la programación de la dispensación de medicamentos, utilizando el recurso Patient del RDA.

                                  ShortReferencia al paciente a quien se prescribe u ordena la programación
                                  Control1..?
                                  TypeReference(Paciente (Patient) RDA)
                                  80. MedicationDispense.subject.reference
                                  Definition

                                  Referencia al paciente a quien se prescribe u ordena la programación de la prescripción de medicamentos, utilizando el recurso Patient del RDA.

                                  ShortReferencia al paciente a quien se prescribe u ordena la programación
                                  Control1..?
                                  Must Supporttrue
                                  82. MedicationDispense.subject.type
                                  Control1..?
                                  Fixed ValuePatient
                                  84. MedicationDispense.subject.identifier
                                  Definition

                                  Identificación de la persona que desempeña el rol de paciente

                                  ShortIdentificación del paciente
                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  LabelIdentificación nacional del paciente
                                  86. MedicationDispense.subject.identifier.id
                                  Control1..?
                                  Pattern ValueNationalPersonIdentifier-0
                                  88. MedicationDispense.subject.identifier.use
                                  Control1..?
                                  Fixed Valueofficial
                                  90. MedicationDispense.subject.identifier.type
                                  Control1..?
                                  92. MedicationDispense.subject.identifier.type.coding
                                  Control2..2
                                  SlicingThis element introduces a set of slices on MedicationDispense.subject.identifier.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                  • value @ system
                                  • 94. MedicationDispense.subject.identifier.type.coding:InternationalCode
                                    Slice NameInternationalCode
                                    Control1..1
                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
                                    96. MedicationDispense.subject.identifier.type.coding:InternationalCode.system
                                    Definition

                                    Codificación internacional de identificaciones para personas

                                    ShortSistema de codificación internacional
                                    Control1..?
                                    Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                    98. MedicationDispense.subject.identifier.type.coding:InternationalCode.code
                                    Control1..?
                                    Fixed ValuePN
                                    100. MedicationDispense.subject.identifier.type.coding:InternationalCode.display
                                    Control1..?
                                    Fixed ValuePerson number
                                    102. MedicationDispense.subject.identifier.type.coding:ColombianCode
                                    Slice NameColombianCode
                                    Control1..1
                                    BindingThe codes SHALL be taken from ValueSet: Colombian Person Identifier Codes
                                    (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
                                    104. MedicationDispense.subject.identifier.type.coding:ColombianCode.system
                                    Definition

                                    Codificación colombiana de identificaciones para personas

                                    ShortSistema de codificación colombiano
                                    Control1..?
                                    LabelTipo identificación
                                    Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
                                    106. MedicationDispense.subject.identifier.type.coding:ColombianCode.code
                                    Definition

                                    Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                    ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                    Control1..?
                                    Must Supporttrue
                                    LabelElemento: 2.1
                                    Alternate NamesTipo de documento de identificación
                                    108. MedicationDispense.subject.identifier.type.coding:ColombianCode.display
                                    Definition

                                    Representación del código definido por el sistema de identificaciones colombianas de personas

                                    ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                    Control1..?
                                    LabelElemento: 2.1
                                    110. MedicationDispense.subject.identifier.system
                                    Pattern Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
                                    112. MedicationDispense.subject.identifier.value
                                    Definition

                                    Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                    ShortNúmero de documento de identificación
                                    Control1..?
                                    Must Supporttrue
                                    LabelElemento: 2.2
                                    Alternate NamesIdentificación del paciente
                                    114. MedicationDispense.subject.display
                                    Definition

                                    Nombre del paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.

                                    ShortNombre del paciente
                                    Must Supporttrue
                                    LabelElementos: 3.1, 3.2, 3.3 y 3.4
                                    116. MedicationDispense.context
                                    TypeReference(Encuentro de atención ambulatoria (Encounter) RDA, Encuentro de atención de urgencias en salud (Encounter) RDA, Encuentro de hospitalización (Encounter) RDA)
                                    118. MedicationDispense.supportingInformation
                                    Definition

                                    Referencias a información de soporte de la dispensación, que puede incluir el Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó esta programación, o referencias a condiciones clínicas asociadas a la prescripción.

                                    ShortReferencias a información de soporte de la dispensación
                                    Control2..?
                                    SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                    • value @ id
                                    • 120. MedicationDispense.supportingInformation:ReferenceRDA
                                      Slice NameReferenceRDA
                                      Definition

                                      Referencia al Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó esta dispensación. Cadena alfanumérica, que certifica la recepción y validación del RDA en el mecanismo de IHCE del Ministerio de Salud y Protección social.

                                      ShortReferencia al código VIDA del documento RDA que originó la prescripción de medicamentos
                                      Control0..1
                                      TypeReference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta), Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))
                                      122. MedicationDispense.supportingInformation:ReferenceRDA.id
                                      Control1..?
                                      Pattern ValueReferenceRDA
                                      124. MedicationDispense.supportingInformation:ReferenceRDA.reference
                                      Control1..?
                                      Must Supporttrue
                                      126. MedicationDispense.supportingInformation:ReferenceRDA.type
                                      Control1..?
                                      Fixed ValueComposition
                                      128. MedicationDispense.supportingInformation:PrescriberPractitioner
                                      Slice NamePrescriberPractitioner
                                      Definition

                                      Referencia al profesional de la salud que realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Practitioner del RDA.

                                      ShortReferencia al profesional de la salud que realizó la prescripción del medicamento
                                      Control1..1
                                      TypeReference(Profesional de salud (Practitioner) RDA)
                                      130. MedicationDispense.supportingInformation:PrescriberPractitioner.id
                                      Control1..?
                                      Pattern ValuePrescriberPractitioner
                                      132. MedicationDispense.supportingInformation:PrescriberPractitioner.reference
                                      Control1..?
                                      Must Supporttrue
                                      134. MedicationDispense.supportingInformation:PrescriberPractitioner.type
                                      Control1..?
                                      Fixed ValuePractitioner
                                      136. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier
                                      Definition

                                      Identificación del profesional de la salud que realizó la prescripción del medicamento

                                      ShortIdentificación del profesional de la salud
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      LabelIdentificación prescriptor
                                      138. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.id
                                      Control1..?
                                      Fixed ValuePrescriberIdentifier
                                      140. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.use
                                      Control1..?
                                      Fixed Valueofficial
                                      142. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.system
                                      Control1..?
                                      Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
                                      144. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.value
                                      Definition

                                      Valor de la identificación del profesional de la salud que realizó la prescripción del medicamento

                                      ShortValor de la identificación
                                      Control1..?
                                      Must Supporttrue
                                      146. MedicationDispense.supportingInformation:CareDeliveryOrganization
                                      Slice NameCareDeliveryOrganization
                                      Definition

                                      Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Organization del RDA.

                                      ShortReferencia a la organización de atención en salud donde se realizó la prescripción del medicamento
                                      Control1..1
                                      TypeReference(Institución Prestadora de Servicios de Salud (Organization) RDA)
                                      148. MedicationDispense.supportingInformation:CareDeliveryOrganization.id
                                      Control1..?
                                      Pattern ValueCareDeliveryOrganization
                                      150. MedicationDispense.supportingInformation:CareDeliveryOrganization.reference
                                      Control1..?
                                      Must Supporttrue
                                      152. MedicationDispense.supportingInformation:CareDeliveryOrganization.type
                                      Control1..?
                                      Fixed ValueOrganization
                                      154. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier
                                      Definition

                                      Identificación de la organización de atención en salud donde se realizó la prescripción del medicamento que originó esta dispensación

                                      ShortIdentificación de la organización de atención en salud
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      LabelIdentificación IPS
                                      156. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.id
                                      Control1..?
                                      Fixed ValueOrganizationIdentifier
                                      158. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.use
                                      Control1..?
                                      Fixed Valueofficial
                                      160. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.system
                                      Control1..?
                                      Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/REPS
                                      162. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.value
                                      Definition

                                      Valor del identificador de la organización de atención en salud

                                      ShortValor del identificador
                                      Control1..?
                                      Must Supporttrue
                                      164. MedicationDispense.supportingInformation:CareDeliveryLocation
                                      Slice NameCareDeliveryLocation
                                      Definition

                                      Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Location del RDA.

                                      ShortReferencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
                                      Control0..1
                                      TypeReference(Punto de atención en salud (Location) RDA)
                                      166. MedicationDispense.supportingInformation:CareDeliveryLocation.id
                                      Control1..?
                                      Pattern ValueCareDeliveryLocation
                                      168. MedicationDispense.supportingInformation:CareDeliveryLocation.reference
                                      Control1..?
                                      Must Supporttrue
                                      170. MedicationDispense.supportingInformation:CareDeliveryLocation.type
                                      Control1..?
                                      Fixed ValueLocation
                                      172. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier
                                      Definition

                                      Identificador del punto de atención en salud (sede)

                                      ShortIdentificador del punto de atención en salud (sede)
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      LabelIdentificación sede
                                      174. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.id
                                      Control1..?
                                      Fixed ValueLocationIdentifier
                                      176. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.use
                                      Control1..?
                                      Fixed Valueofficial
                                      178. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.system
                                      Control1..?
                                      Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/REPS
                                      180. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.value
                                      Definition

                                      Valor del identificador del punto de atención en salud (sede)

                                      ShortValor del identificador
                                      Control1..?
                                      Must Supporttrue
                                      182. MedicationDispense.performer
                                      Control1..2
                                      SlicingThis element introduces a set of slices on MedicationDispense.performer. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                      • value @ function.coding.code
                                      • 184. MedicationDispense.performer:HealthTechProviderOrganization
                                        Slice NameHealthTechProviderOrganization
                                        Definition

                                        Referencia al Gestor Farmacéutico que realizó la entrega del medicamento al paciente.

                                        ShortGestor farmacéutico que realizó la dispensación
                                        Control1..1
                                        186. MedicationDispense.performer:HealthTechProviderOrganization.function
                                        Control1..?
                                        BindingThe codes SHALL be taken from ValueSet: Función en el proceso de dispensación de medicamentos
                                        (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes)
                                        188. MedicationDispense.performer:HealthTechProviderOrganization.function.coding
                                        Control1..1
                                        190. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.system
                                        Control1..?
                                        Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction
                                        192. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.code
                                        Control1..?
                                        Fixed Valuedispenser
                                        194. MedicationDispense.performer:HealthTechProviderOrganization.actor
                                        Definition

                                        Referencia a la organización que actúa como Gestor Farmacéutico y realizó la dispensación.

                                        ShortReferencia al Gestor Farmacéutico
                                        TypeReference(Proveedor de Tecnología en Salud PTS (Organization))
                                        196. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA
                                        Slice NameHealthBenefitPlanAdminOrganizationRDA
                                        Definition

                                        Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación.

                                        ShortEAPB que direccionó la dispensación
                                        Control0..1
                                        198. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function
                                        Control1..?
                                        BindingThe codes SHALL be taken from ValueSet: Función en el proceso de dispensación de medicamentos
                                        (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes)
                                        200. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding
                                        Control1..1
                                        202. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.system
                                        Control1..?
                                        Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction
                                        204. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.code
                                        Control1..?
                                        Fixed Valuepayer
                                        206. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.actor
                                        Definition

                                        Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación.

                                        ShortReferencia a la EAPB
                                        TypeReference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)
                                        208. MedicationDispense.location
                                        TypeReference(Punto de dispensación (Location))
                                        210. MedicationDispense.authorizingPrescription
                                        Control1..?
                                        SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                        • value @ id
                                        • 212. MedicationDispense.authorizingPrescription:MedicationRequestRDA
                                          Slice NameMedicationRequestRDA
                                          Definition

                                          Número identificador de la orden médica (prescripción) asociada.

                                          ShortIdentificador de la prescripción
                                          Control1..1
                                          TypeReference(Prescripción de Medicamentos (MedicationRequest) RDA)
                                          214. MedicationDispense.authorizingPrescription:MedicationRequestRDA.id
                                          Control1..?
                                          Pattern ValueMedicationRequestRDA
                                          216. MedicationDispense.authorizingPrescription:MedicationRequestRDA.reference
                                          Definition

                                          Referencia al recurso MedicationRequestRDA que contiene la prescripción original del RDA.

                                          ShortReferencia a la prescripción original
                                          Must Supporttrue
                                          218. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier
                                          Definition

                                          Número identificador de la orden médica (prescripción).

                                          ShortIdentificador de la prescripción
                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                          220. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.system
                                          Definition

                                          Sistema de identificación de la prescripción.

                                          ShortSistema de identificación de la prescripción
                                          Control1..?
                                          Must Supporttrue
                                          222. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.value
                                          Definition

                                          Número de la orden médica (prescripción).

                                          ShortNúmero de la prescripción
                                          Control1..?
                                          Must Supporttrue
                                          224. MedicationDispense.authorizingPrescription:MedicationRequestAddressing
                                          Slice NameMedicationRequestAddressing
                                          Definition

                                          Número identificador del direccionamiento asociado.

                                          ShortIdentificador del direccionamiento
                                          Control0..1
                                          TypeReference(Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing)
                                          226. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.id
                                          Control1..?
                                          Pattern ValueMedicationRequestAddressing
                                          228. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.reference
                                          Definition

                                          Referencia al recurso MedicationRequestAddressing que contiene el direccionamiento de la prescripción.

                                          ShortReferencia al direccionamiento
                                          Must Supporttrue
                                          230. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier
                                          Definition

                                          Número identificador del direccionamiento.

                                          ShortIdentificador del direccionamiento
                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                          232. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.system
                                          Definition

                                          Sistema de identificación del direccionamiento.

                                          ShortSistema de identificación del direccionamiento
                                          Control1..?
                                          Must Supporttrue
                                          234. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.value
                                          Definition

                                          Número del direccionamiento.

                                          ShortNúmero del direccionamiento
                                          Control1..?
                                          Must Supporttrue
                                          236. MedicationDispense.authorizingPrescription:MedicationRequestScheduling
                                          Slice NameMedicationRequestScheduling
                                          Definition

                                          Número identificador dela programación asociada

                                          ShortIdentificador de la programación
                                          Control0..1
                                          TypeReference(Programación de la dispensación de Medicamentos (MedicationRequest) Scheduling)
                                          238. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.id
                                          Control1..?
                                          Pattern ValueMedicationRequestScheduling
                                          240. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.reference
                                          Definition

                                          URL o ID relativo del recurso MedicationRequestScheduling que contiene la programación de la dispensación.

                                          ShortReferencia a la programación
                                          Must Supporttrue
                                          242. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier
                                          Definition

                                          Número identificador de la programación

                                          ShortIdentificador de la programación
                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                          244. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.system
                                          Definition

                                          Sistema de identificación de la programación.

                                          ShortSistema de identificación de la programación
                                          Control1..?
                                          Must Supporttrue
                                          246. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.value
                                          Definition

                                          Número de la programación.

                                          ShortNúmero de la programación
                                          Control1..?
                                          Must Supporttrue
                                          248. MedicationDispense.type
                                          Definition

                                          Clasifica el tipo de dispensación

                                          ShortTipo de suministro farmacéutico
                                          Control1..?
                                          BindingThe codes SHALL be taken from ValueSet: Pharmacy Supply Type Codes
                                          (required to https://fhir.minsalud.gov.co/rda/ValueSet/PharmacySupplyTypeCodes)
                                          Must Supporttrue
                                          250. MedicationDispense.type.coding
                                          Control1..1
                                          252. MedicationDispense.type.coding.system
                                          Control1..?
                                          Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/PharmacySupplyType
                                          254. MedicationDispense.type.coding.code
                                          Control1..?
                                          Must Supporttrue
                                          256. MedicationDispense.type.coding.display
                                          Control1..?
                                          258. MedicationDispense.quantity
                                          BindingThe codes SHALL be taken from ValueSet: Mipres Dispense Unit
                                          (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes)
                                          Must Supporttrue
                                          260. MedicationDispense.quantity.extension
                                          Control1..1
                                          Must Supporttrue
                                          262. MedicationDispense.quantity.extension:ExtensionMedicationDispenseQuantity
                                          Slice NameExtensionMedicationDispenseQuantity
                                          Definition

                                          Cantidad total del medicamento que se programan para dispensación al paciente. Esta cantidad corresponde a la cantidad total del medicamento que se autoriza para dispensación al paciente. teniendo en cuenta el número de entregas (dispensaciones) autorizadas y la cantidad de medicamento a suministrar por cada entrega (dispensación). Esta extensión incluye el código y nombre de la unidad de entrega del medicamento

                                          ShortCantidad total de medicamentos programados para entrega
                                          Control1..1
                                          TypeExtension(Extension: ExtensionMedicationDispenseQuantity) (Extension Type: Quantity(SimpleQuantity))
                                          Must Supporttrue
                                          264. MedicationDispense.quantity.value
                                          Control1..?
                                          Must Supporttrue
                                          266. MedicationDispense.quantity.unit
                                          Must Supporttrue
                                          268. MedicationDispense.quantity.system
                                          Control1..?
                                          Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
                                          270. MedicationDispense.quantity.code
                                          Control1..?
                                          Must Supporttrue
                                          272. MedicationDispense.whenHandedOver
                                          Control1..?
                                          274. MedicationDispense.receiver
                                          Definition

                                          Identifica a la persona que recibe el medicamento. Generalmente será el paciente o su cuidador, pero existen algunos casos en los que puede ser un profesional de la salud.

                                          ShortQuien recibe el medicamento
                                          TypeReference(Paciente (Patient) RDA)
                                          276. MedicationDispense.receiver.identifier
                                          Definition

                                          Identificación nacional de la persona que desempeña el rol de paciente

                                          ShortIdentificación nacional de la persona
                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                          Control1..?
                                          LabelIdentificación nacional del paciente
                                          278. MedicationDispense.receiver.identifier.id
                                          Control1..?
                                          Fixed ValueNationalPersonIdentifier-0
                                          280. MedicationDispense.receiver.identifier.extension
                                          Control0..0
                                          282. MedicationDispense.receiver.identifier.use
                                          Control1..?
                                          Fixed Valueofficial
                                          284. MedicationDispense.receiver.identifier.type
                                          Control1..?
                                          286. MedicationDispense.receiver.identifier.type.extension
                                          Control0..0
                                          288. MedicationDispense.receiver.identifier.type.coding
                                          Control2..2
                                          SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                          • value @ system
                                          • 290. MedicationDispense.receiver.identifier.type.coding:InternationalCode
                                            Slice NameInternationalCode
                                            Control1..1
                                            BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
                                            292. MedicationDispense.receiver.identifier.type.coding:InternationalCode.extension
                                            Control0..0
                                            294. MedicationDispense.receiver.identifier.type.coding:InternationalCode.system
                                            Definition

                                            Codificación internacional de identificaciones para personas

                                            ShortSistema de codificación internacional
                                            Control1..?
                                            Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                            296. MedicationDispense.receiver.identifier.type.coding:InternationalCode.version
                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                            Control0..0
                                            298. MedicationDispense.receiver.identifier.type.coding:InternationalCode.code
                                            Control1..?
                                            Fixed ValuePN
                                            300. MedicationDispense.receiver.identifier.type.coding:InternationalCode.display
                                            Control1..?
                                            Fixed ValuePerson number
                                            302. MedicationDispense.receiver.identifier.type.coding:InternationalCode.userSelected
                                            Control0..0
                                            304. MedicationDispense.receiver.identifier.type.coding:ColombianCode
                                            Slice NameColombianCode
                                            Control1..1
                                            BindingThe codes SHALL be taken from ValueSet: Colombian Person Identifier Codes
                                            (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
                                            306. MedicationDispense.receiver.identifier.type.coding:ColombianCode.extension
                                            Control0..0
                                            308. MedicationDispense.receiver.identifier.type.coding:ColombianCode.system
                                            Definition

                                            Codificación colombiana de identificaciones para personas

                                            ShortSistema de codificación nacional
                                            Control1..?
                                            LabelTipo identificación
                                            Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
                                            310. MedicationDispense.receiver.identifier.type.coding:ColombianCode.version
                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                            Control0..0
                                            312. MedicationDispense.receiver.identifier.type.coding:ColombianCode.code
                                            Definition

                                            Colombian identifier type code. [ES: Código colombiano del tipo de identificación]

                                            ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                            Control1..?
                                            Must Supporttrue
                                            LabelCódigo
                                            314. MedicationDispense.receiver.identifier.type.coding:ColombianCode.display
                                            Definition

                                            Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]

                                            ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                            Control1..?
                                            LabelTipo
                                            316. MedicationDispense.receiver.identifier.type.coding:ColombianCode.userSelected
                                            Control0..0
                                            318. MedicationDispense.receiver.identifier.value
                                            Definition

                                            Valor del documento de identificación colombiano

                                            ShortDocumento de identificación
                                            Control1..?
                                            Must Supporttrue
                                            LabelNúmero de identificación
                                            320. MedicationDispense.receiver.display
                                            Definition

                                            Nombre completo de la persona que recibe el medicamento.

                                            ShortNombre de la persona que recibe el medicamento
                                            Control1..?
                                            Must Supporttrue
                                            322. MedicationDispense.substitution
                                            Control0..0

                                            Guidance on how to interpret the contents of this table can be foundhere

                                            0. MedicationDispense
                                            Definition

                                            Información extra acerca de la dispensación que podría no estar cubierta en otros atributos

                                            ShortInformación acerca de la dispensación
                                            Control0..*
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                            dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                            dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                            dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                            dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                            mdd-1: whenHandedOver cannot be before whenPrepared (whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared)
                                            2. MedicationDispense.id
                                            Definition

                                            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                            ShortLogical id of this artifact
                                            Comments

                                            The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                            Control0..1
                                            Typeid
                                            Is Modifierfalse
                                            Summarytrue
                                            4. MedicationDispense.meta
                                            Definition

                                            The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                            ShortMetadata about the resource
                                            Control0..1
                                            TypeMeta
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            6. MedicationDispense.meta.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            8. MedicationDispense.meta.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on MedicationDispense.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 10. MedicationDispense.meta.versionId
                                              Definition

                                              The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

                                              ShortVersion specific identifier
                                              Comments

                                              The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

                                              Control0..1
                                              Typeid
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              12. MedicationDispense.meta.lastUpdated
                                              Definition

                                              When the resource last changed - e.g. when the version changed.

                                              ShortWhen the resource version last changed
                                              Comments

                                              This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

                                              Control0..1
                                              Typeinstant
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              14. MedicationDispense.meta.source
                                              Definition

                                              A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

                                              ShortIdentifies where the resource comes from
                                              Comments

                                              In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

                                              This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

                                              Control0..1
                                              Typeuri
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              16. MedicationDispense.meta.profile
                                              Definition

                                              A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

                                              ShortProfiles this resource claims to conform to
                                              Comments

                                              It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

                                              Control1..*
                                              Typecanonical(StructureDefinition)
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Fixed Valuehttps://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              18. MedicationDispense.meta.security
                                              Definition

                                              Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                              ShortSecurity Labels applied to this resource
                                              Comments

                                              The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

                                              Control0..*
                                              BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                              (extensible to http://hl7.org/fhir/ValueSet/security-labels)

                                              Security Labels from the Healthcare Privacy and Security Classification System.

                                              TypeCoding
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              20. MedicationDispense.meta.tag
                                              Definition

                                              Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

                                              ShortTags applied to this resource
                                              Comments

                                              The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

                                              Control0..*
                                              BindingFor example codes, see CommonTags
                                              (example to http://hl7.org/fhir/ValueSet/common-tags)

                                              Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

                                              TypeCoding
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              22. MedicationDispense.implicitRules
                                              Definition

                                              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                              ShortA set of rules under which this content was created
                                              Comments

                                              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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                              Control0..1
                                              Typeuri
                                              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              24. MedicationDispense.language
                                              Definition

                                              The base language in which the resource is written.

                                              ShortLanguage of the resource content
                                              Comments

                                              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).

                                              Control0..1
                                              BindingThe codes SHOULD be taken from CommonLanguages
                                              (preferred to http://hl7.org/fhir/ValueSet/languages)

                                              A human language.

                                              Additional BindingsPurpose
                                              AllLanguagesMax Binding
                                              Typecode
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              26. MedicationDispense.text
                                              Definition

                                              A human-readable narrative that contains a summary of the resource and can 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.

                                              ShortText summary of the resource, for human interpretation
                                              Comments

                                              Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                              Control0..1
                                              TypeNarrative
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesnarrative, html, xhtml, display
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              28. MedicationDispense.contained
                                              Definition

                                              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.

                                              ShortContained, inline Resources
                                              Comments

                                              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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                              Control0..0
                                              TypeResource
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesinline resources, anonymous resources, contained resources
                                              30. MedicationDispense.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              32. MedicationDispense.modifierExtension
                                              Definition

                                              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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored
                                              Comments

                                              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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                              Summaryfalse
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              34. MedicationDispense.identifier
                                              Definition

                                              Número interno de la dispensación asignado en el Gestor Farmacéutico

                                              ShortIdentificador de la dispensación
                                              Comments

                                              This is a business identifier, not a resource identifier.

                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              Control1..1
                                              TypeIdentifier
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on MedicationDispense.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                              • value @ id
                                              • 36. MedicationDispense.identifier:DispenseIdentifier
                                                Slice NameDispenseIdentifier
                                                Definition

                                                Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

                                                ShortExternal identifier
                                                Comments

                                                This is a business identifier, not a resource identifier.

                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..1
                                                TypeIdentifier
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                38. MedicationDispense.identifier:DispenseIdentifier.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control1..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                Pattern ValueDispenseIdentifier
                                                40. MedicationDispense.identifier:DispenseIdentifier.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortAdditional content defined by implementations
                                                Comments

                                                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.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on MedicationDispense.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 42. MedicationDispense.identifier:DispenseIdentifier.use
                                                  Definition

                                                  The purpose of this identifier.

                                                  Shortusual | official | temp | secondary | old (If known)
                                                  Comments

                                                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                  Control0..0
                                                  BindingThe codes SHALL be taken from IdentifierUse
                                                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                  Identifies the purpose for this identifier, if known .

                                                  Typecode
                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  44. MedicationDispense.identifier:DispenseIdentifier.type
                                                  Definition

                                                  A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                  ShortDescription of identifier
                                                  Comments

                                                  This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                  Control0..1
                                                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                  A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Requirements

                                                  Allows users to make use of identifiers when the identifier system is not known.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  46. MedicationDispense.identifier:DispenseIdentifier.system
                                                  Definition

                                                  Sistema de identificación de la dispensación, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número de la dispensación. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroDispensacion', donde 'example.org' debe ser reemplazado por el dominio correspondiente del Gestor Farmacéutico.

                                                  ShortSistema de identificación de la dispensación
                                                  Comments

                                                  Identifier.system is always case sensitive.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                  ExampleGeneral: http://www.acme.com/identifiers/patient
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  48. MedicationDispense.identifier:DispenseIdentifier.value
                                                  Definition

                                                  Número interno de la dispensación asignado en el Gestor Farmacéutico

                                                  ShortNúmero identificador de la dispensación
                                                  Comments

                                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                  Control1..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  ExampleGeneral: 123456
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  50. MedicationDispense.identifier:DispenseIdentifier.period
                                                  Definition

                                                  Time period during which identifier is/was valid for use.

                                                  ShortTime period when id is/was valid for use
                                                  Control0..0
                                                  TypePeriod
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  52. MedicationDispense.identifier:DispenseIdentifier.assigner
                                                  Definition

                                                  Organization that issued/manages the identifier.

                                                  ShortOrganization that issued id (may be just text)
                                                  Comments

                                                  The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                  Control0..0
                                                  TypeReference(Organization)
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  54. MedicationDispense.identifier:PendingIdentifier
                                                  Slice NamePendingIdentifier
                                                  Definition

                                                  Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico

                                                  ShortIdentificador del pendiente
                                                  Comments

                                                  This is a business identifier, not a resource identifier.

                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                  Control0..1
                                                  TypeIdentifier
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  56. MedicationDispense.identifier:PendingIdentifier.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control1..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  Pattern ValuePendingIdentifier
                                                  58. MedicationDispense.identifier:PendingIdentifier.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  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.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on MedicationDispense.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 60. MedicationDispense.identifier:PendingIdentifier.use
                                                    Definition

                                                    The purpose of this identifier.

                                                    Shortusual | official | temp | secondary | old (If known)
                                                    Comments

                                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                    Control0..0
                                                    BindingThe codes SHALL be taken from IdentifierUse
                                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                    Identifies the purpose for this identifier, if known .

                                                    Typecode
                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    62. MedicationDispense.identifier:PendingIdentifier.type
                                                    Definition

                                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                    ShortDescription of identifier
                                                    Comments

                                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                    Control0..1
                                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Requirements

                                                    Allows users to make use of identifiers when the identifier system is not known.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    64. MedicationDispense.identifier:PendingIdentifier.system
                                                    Definition

                                                    Sistema de identificación del pendiente, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número del pendiente. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroPendiente', donde 'example.org' debe ser reemplazado por el dominio correspondiente del Gestor Farmacéutico.

                                                    ShortSistema de identificación del pendiente
                                                    Comments

                                                    Identifier.system is always case sensitive.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                    ExampleGeneral: http://www.acme.com/identifiers/patient
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    66. MedicationDispense.identifier:PendingIdentifier.value
                                                    Definition

                                                    Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico

                                                    ShortNúmero identificador del pendiente
                                                    Comments

                                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                    Control1..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    ExampleGeneral: 123456
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    68. MedicationDispense.identifier:PendingIdentifier.period
                                                    Definition

                                                    Time period during which identifier is/was valid for use.

                                                    ShortTime period when id is/was valid for use
                                                    Control0..0
                                                    TypePeriod
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    70. MedicationDispense.identifier:PendingIdentifier.assigner
                                                    Definition

                                                    Organization that issued/manages the identifier.

                                                    ShortOrganization that issued id (may be just text)
                                                    Comments

                                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                    Control0..0
                                                    TypeReference(Organization)
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    72. MedicationDispense.partOf
                                                    Definition

                                                    The procedure that trigger the dispense.

                                                    ShortEvent that dispense is part of
                                                    Control0..0
                                                    TypeReference(Procedure)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    74. MedicationDispense.status
                                                    Definition

                                                    A code specifying the state of the set of dispense events.

                                                    Shortpreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
                                                    Comments

                                                    This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

                                                    Control1..1
                                                    BindingThe codes SHALL be taken from MedicationDispense Status Codes
                                                    (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1)
                                                    Typecode
                                                    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    76. MedicationDispense.statusReason[x]
                                                    Definition

                                                    Indicates the reason why a dispense was not performed.

                                                    ShortWhy a dispense was not performed
                                                    Control0..1
                                                    BindingFor example codes, see MedicationDispense Status Reason Codes
                                                    (example to http://hl7.org/fhir/ValueSet/medicationdispense-status-reason)

                                                    A code describing why a dispense was not performed.

                                                    TypeChoice of: CodeableConcept, Reference(DetectedIssue)
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    SlicingThis element introduces a set of slices on MedicationDispense.statusReason[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • type @ $this
                                                    • 78. MedicationDispense.statusReason[x]:statusReasonCodeableConcept
                                                      Slice NamestatusReasonCodeableConcept
                                                      Definition

                                                      Código que indica la causa por la cual no se realizó la entrega del medicamento. Obligatorio cuando status no es #completed.

                                                      ShortCausas de no entrega
                                                      Control0..1
                                                      BindingThe codes SHALL be taken from ValueSet: Mipres Causas no direccionamiento
                                                      (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes)
                                                      TypeCodeableConcept
                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      80. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.id
                                                      Definition

                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      82. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.extension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                      ShortAdditional content defined by implementations
                                                      Comments

                                                      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.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      SlicingThis element introduces a set of slices on MedicationDispense.statusReason[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 84. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding
                                                        Definition

                                                        A reference to a code defined by a terminology system.

                                                        ShortCode defined by a terminology system
                                                        Comments

                                                        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 labeled as UserSelected = true.

                                                        Control0..*
                                                        TypeCoding
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Requirements

                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        86. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        88. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.extension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        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.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on MedicationDispense.statusReason[x].coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 90. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.system
                                                          Definition

                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                          ShortIdentity of the terminology system
                                                          Comments

                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                          Control0..1
                                                          Typeuri
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                          Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          92. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.version
                                                          Definition

                                                          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.

                                                          ShortVersion of the system - if relevant
                                                          Comments

                                                          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.

                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          94. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.code
                                                          Definition

                                                          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).

                                                          ShortSymbol in syntax defined by the system
                                                          Control0..1
                                                          Typecode
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Need to refer to a particular code in the system.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          96. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.display
                                                          Definition

                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                          ShortRepresentation defined by the system
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          98. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.userSelected
                                                          Definition

                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                          ShortIf this coding was chosen directly by the user
                                                          Comments

                                                          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.

                                                          Control0..1
                                                          Typeboolean
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          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.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          100. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.text
                                                          Definition

                                                          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.

                                                          ShortPlain text representation of the concept
                                                          Comments

                                                          Very often the text is the same as a displayName of one of the codings.

                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          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.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          102. MedicationDispense.category
                                                          Definition

                                                          Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).

                                                          ShortType of medication dispense
                                                          Comments

                                                          The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.

                                                          Control0..1
                                                          BindingThe codes SHOULD be taken from MedicationDispense Category Codes
                                                          (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category)
                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          104. MedicationDispense.medication[x]
                                                          Definition

                                                          Código que identifica el medicamento dispensado

                                                          ShortCódigo de medicamento (IUM, CUM o DCI)
                                                          Comments

                                                          If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                                          Control1..1
                                                          BindingFor example codes, see SNOMEDCTMedicationCodes
                                                          (example to http://hl7.org/fhir/ValueSet/medication-codes)

                                                          A coded concept identifying which substance or product can be dispensed.

                                                          TypeCodeableConcept
                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          106. MedicationDispense.medication[x].id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          108. MedicationDispense.medication[x].extension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          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.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on MedicationDispense.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 110. MedicationDispense.medication[x].coding
                                                            Definition

                                                            A reference to a code defined by a terminology system.

                                                            ShortCode defined by a terminology system
                                                            Comments

                                                            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 labeled as UserSelected = true.

                                                            Control1..3
                                                            TypeCoding
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Requirements

                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on MedicationDispense.medication[x].coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                            • value @ system
                                                            • 112. MedicationDispense.medication[x].coding:CUMS
                                                              Slice NameCUMS
                                                              Definition

                                                              A reference to a code defined by a terminology system.

                                                              ShortCode defined by a terminology system
                                                              Comments

                                                              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 labeled as UserSelected = true.

                                                              Control0..1
                                                              BindingThe codes SHALL be taken from Codificacion CUMS
                                                              (required to https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS)
                                                              TypeCoding
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Requirements

                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              114. MedicationDispense.medication[x].coding:CUMS.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              116. MedicationDispense.medication[x].coding:CUMS.extension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                              ShortAdditional content defined by implementations
                                                              Comments

                                                              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.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on MedicationDispense.medication[x].coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 118. MedicationDispense.medication[x].coding:CUMS.system
                                                                Definition

                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                ShortIdentity of the terminology system
                                                                Comments

                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                Control1..1
                                                                Typeuri
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                120. MedicationDispense.medication[x].coding:CUMS.version
                                                                Definition

                                                                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.

                                                                ShortVersion of the system - if relevant
                                                                Comments

                                                                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.

                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                122. MedicationDispense.medication[x].coding:CUMS.code
                                                                Definition

                                                                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).

                                                                ShortSymbol in syntax defined by the system
                                                                Control1..1
                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to refer to a particular code in the system.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                124. MedicationDispense.medication[x].coding:CUMS.display
                                                                Definition

                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                ShortRepresentation defined by the system
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                126. MedicationDispense.medication[x].coding:CUMS.userSelected
                                                                Definition

                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                ShortIf this coding was chosen directly by the user
                                                                Comments

                                                                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.

                                                                Control0..1
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                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.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                128. MedicationDispense.medication[x].coding:DCI
                                                                Slice NameDCI
                                                                Definition

                                                                A reference to a code defined by a terminology system.

                                                                ShortCode defined by a terminology system
                                                                Comments

                                                                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 labeled as UserSelected = true.

                                                                Control0..1
                                                                BindingThe codes SHALL be taken from ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia
                                                                (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI)
                                                                TypeCoding
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Requirements

                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                130. MedicationDispense.medication[x].coding:DCI.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                132. MedicationDispense.medication[x].coding:DCI.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                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.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on MedicationDispense.medication[x].coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 134. MedicationDispense.medication[x].coding:DCI.system
                                                                  Definition

                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                  ShortIdentity of the terminology system
                                                                  Comments

                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                  Control1..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                  Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  136. MedicationDispense.medication[x].coding:DCI.version
                                                                  Definition

                                                                  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.

                                                                  ShortVersion of the system - if relevant
                                                                  Comments

                                                                  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.

                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  138. MedicationDispense.medication[x].coding:DCI.code
                                                                  Definition

                                                                  Código que representa la Denominación Común Internacional (DCI) del medicamento. Para el caso de las preparaciones magistrales con DCI, predomina el principio activo dominante.

                                                                  ShortCódigo del medicamento (DCI)
                                                                  Control1..1
                                                                  Typecode
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to refer to a particular code in the system.

                                                                  LabelCódigo del medicamento (DCI)
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  140. MedicationDispense.medication[x].coding:DCI.display
                                                                  Definition

                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                  ShortRepresentation defined by the system
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                  LabelRes. 1888 / Elemento: 26
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  142. MedicationDispense.medication[x].coding:DCI.userSelected
                                                                  Definition

                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                  ShortIf this coding was chosen directly by the user
                                                                  Comments

                                                                  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.

                                                                  Control0..1
                                                                  Typeboolean
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  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.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  144. MedicationDispense.medication[x].coding:IUM
                                                                  Slice NameIUM
                                                                  Definition

                                                                  A reference to a code defined by a terminology system.

                                                                  ShortCode defined by a terminology system
                                                                  Comments

                                                                  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 labeled as UserSelected = true.

                                                                  Control0..1
                                                                  BindingThe codes SHALL be taken from ValueSet: Identificador Único de Medicamento (IUM) - Colombia
                                                                  (required to https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes)
                                                                  TypeCoding
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Requirements

                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  146. MedicationDispense.medication[x].coding:IUM.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  148. MedicationDispense.medication[x].coding:IUM.extension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  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.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on MedicationDispense.medication[x].coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 150. MedicationDispense.medication[x].coding:IUM.system
                                                                    Definition

                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                    ShortIdentity of the terminology system
                                                                    Comments

                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                    Control1..1
                                                                    Typeuri
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Requirements

                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                    Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/IUM
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    152. MedicationDispense.medication[x].coding:IUM.version
                                                                    Definition

                                                                    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.

                                                                    ShortVersion of the system - if relevant
                                                                    Comments

                                                                    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.

                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    154. MedicationDispense.medication[x].coding:IUM.code
                                                                    Definition

                                                                    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).

                                                                    ShortCódigo del medicamento (IUM)
                                                                    Control1..1
                                                                    Typecode
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    Summarytrue
                                                                    Requirements

                                                                    Need to refer to a particular code in the system.

                                                                    LabelRes. 1888 / Elemento: 24.2
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    156. MedicationDispense.medication[x].coding:IUM.display
                                                                    Definition

                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                    ShortNombre del medicamento
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    Summarytrue
                                                                    Requirements

                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                    LabelRes. 1888 / Elemento: 24.3
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    158. MedicationDispense.medication[x].coding:IUM.userSelected
                                                                    Definition

                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                    ShortIf this coding was chosen directly by the user
                                                                    Comments

                                                                    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.

                                                                    Control0..1
                                                                    Typeboolean
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Requirements

                                                                    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.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    160. MedicationDispense.medication[x].text
                                                                    Definition

                                                                    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.

                                                                    ShortPlain text representation of the concept
                                                                    Comments

                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Requirements

                                                                    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.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    162. MedicationDispense.subject
                                                                    Definition

                                                                    Referencia al paciente a quien se prescribe u ordena la programación de la dispensación de medicamentos, utilizando el recurso Patient del RDA.

                                                                    ShortReferencia al paciente a quien se prescribe u ordena la programación
                                                                    Comments

                                                                    SubstanceAdministration->subject->Patient.

                                                                    Control1..1
                                                                    TypeReference(Paciente (Patient) RDA)
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    164. MedicationDispense.subject.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    166. MedicationDispense.subject.extension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

                                                                    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.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on MedicationDispense.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 168. MedicationDispense.subject.reference
                                                                      Definition

                                                                      Referencia al paciente a quien se prescribe u ordena la programación de la prescripción de medicamentos, utilizando el recurso Patient del RDA.

                                                                      ShortReferencia al paciente a quien se prescribe u ordena la programación
                                                                      Comments

                                                                      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.

                                                                      Control1..1
                                                                      This element is affected by the following invariants: ref-1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      170. MedicationDispense.subject.type
                                                                      Definition

                                                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                      ShortType the reference refers to (e.g. "Patient")
                                                                      Comments

                                                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                      Control1..1
                                                                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                      Aa resource (or, for logical models, the URI of the logical model).

                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Fixed ValuePatient
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      172. MedicationDispense.subject.identifier
                                                                      Definition

                                                                      Identificación de la persona que desempeña el rol de paciente

                                                                      ShortIdentificación del paciente
                                                                      Comments

                                                                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                      Control0..1
                                                                      TypeIdentifier
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      LabelIdentificación nacional del paciente
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      174. MedicationDispense.subject.identifier.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      Pattern ValueNationalPersonIdentifier-0
                                                                      176. MedicationDispense.subject.identifier.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      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.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on MedicationDispense.subject.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 178. MedicationDispense.subject.identifier.use
                                                                        Definition

                                                                        The purpose of this identifier.

                                                                        Shortusual | official | temp | secondary | old (If known)
                                                                        Comments

                                                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from IdentifierUse
                                                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                        Identifies the purpose for this identifier, if known .

                                                                        Typecode
                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Requirements

                                                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                        Fixed Valueofficial
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        180. MedicationDispense.subject.identifier.type
                                                                        Definition

                                                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                        ShortDescription of identifier
                                                                        Comments

                                                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                        Control1..1
                                                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                        TypeCodeableConcept
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Requirements

                                                                        Allows users to make use of identifiers when the identifier system is not known.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        182. MedicationDispense.subject.identifier.type.id
                                                                        Definition

                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        184. MedicationDispense.subject.identifier.type.extension
                                                                        Definition

                                                                        May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

                                                                        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.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on MedicationDispense.subject.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 186. MedicationDispense.subject.identifier.type.coding
                                                                          Definition

                                                                          A reference to a code defined by a terminology system.

                                                                          ShortCode defined by a terminology system
                                                                          Comments

                                                                          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 labeled as UserSelected = true.

                                                                          Control2..2
                                                                          TypeCoding
                                                                          Is Modifierfalse
                                                                          Summarytrue
                                                                          Requirements

                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          SlicingThis element introduces a set of slices on MedicationDispense.subject.identifier.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                          • value @ system
                                                                          • 188. MedicationDispense.subject.identifier.type.coding:InternationalCode
                                                                            Slice NameInternationalCode
                                                                            Definition

                                                                            A reference to a code defined by a terminology system.

                                                                            ShortCode defined by a terminology system
                                                                            Comments

                                                                            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 labeled as UserSelected = true.

                                                                            Control1..1
                                                                            BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
                                                                            TypeCoding
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Requirements

                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            190. MedicationDispense.subject.identifier.type.coding:InternationalCode.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            192. MedicationDispense.subject.identifier.type.coding:InternationalCode.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            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.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on MedicationDispense.subject.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 194. MedicationDispense.subject.identifier.type.coding:InternationalCode.system
                                                                              Definition

                                                                              Codificación internacional de identificaciones para personas

                                                                              ShortSistema de codificación internacional
                                                                              Comments

                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                              Control1..1
                                                                              Typeuri
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                              Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              196. MedicationDispense.subject.identifier.type.coding:InternationalCode.version
                                                                              Definition

                                                                              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.

                                                                              ShortVersion of the system - if relevant
                                                                              Comments

                                                                              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.

                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              198. MedicationDispense.subject.identifier.type.coding:InternationalCode.code
                                                                              Definition

                                                                              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).

                                                                              ShortSymbol in syntax defined by the system
                                                                              Control1..1
                                                                              Typecode
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Need to refer to a particular code in the system.

                                                                              Fixed ValuePN
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              200. MedicationDispense.subject.identifier.type.coding:InternationalCode.display
                                                                              Definition

                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                              ShortRepresentation defined by the system
                                                                              Control1..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                              Fixed ValuePerson number
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              202. MedicationDispense.subject.identifier.type.coding:InternationalCode.userSelected
                                                                              Definition

                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                              ShortIf this coding was chosen directly by the user
                                                                              Comments

                                                                              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.

                                                                              Control0..1
                                                                              Typeboolean
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              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.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              204. MedicationDispense.subject.identifier.type.coding:ColombianCode
                                                                              Slice NameColombianCode
                                                                              Definition

                                                                              A reference to a code defined by a terminology system.

                                                                              ShortCode defined by a terminology system
                                                                              Comments

                                                                              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 labeled as UserSelected = true.

                                                                              Control1..1
                                                                              BindingThe codes SHALL be taken from ValueSet: Colombian Person Identifier Codes
                                                                              (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
                                                                              TypeCoding
                                                                              Is Modifierfalse
                                                                              Summarytrue
                                                                              Requirements

                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              206. MedicationDispense.subject.identifier.type.coding:ColombianCode.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              208. MedicationDispense.subject.identifier.type.coding:ColombianCode.extension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

                                                                              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.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on MedicationDispense.subject.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 210. MedicationDispense.subject.identifier.type.coding:ColombianCode.system
                                                                                Definition

                                                                                Codificación colombiana de identificaciones para personas

                                                                                ShortSistema de codificación colombiano
                                                                                Comments

                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                Control1..1
                                                                                Typeuri
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                LabelTipo identificación
                                                                                Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                212. MedicationDispense.subject.identifier.type.coding:ColombianCode.version
                                                                                Definition

                                                                                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.

                                                                                ShortVersion of the system - if relevant
                                                                                Comments

                                                                                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.

                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                214. MedicationDispense.subject.identifier.type.coding:ColombianCode.code
                                                                                Definition

                                                                                Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                                ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                                                                Control1..1
                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Must Supporttrue
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need to refer to a particular code in the system.

                                                                                LabelElemento: 2.1
                                                                                Alternate NamesTipo de documento de identificación
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                216. MedicationDispense.subject.identifier.type.coding:ColombianCode.display
                                                                                Definition

                                                                                Representación del código definido por el sistema de identificaciones colombianas de personas

                                                                                ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                                                                Control1..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                LabelElemento: 2.1
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                218. MedicationDispense.subject.identifier.type.coding:ColombianCode.userSelected
                                                                                Definition

                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                ShortIf this coding was chosen directly by the user
                                                                                Comments

                                                                                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.

                                                                                Control0..1
                                                                                Typeboolean
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                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.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                220. MedicationDispense.subject.identifier.type.text
                                                                                Definition

                                                                                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.

                                                                                ShortPlain text representation of the concept
                                                                                Comments

                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                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.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                222. MedicationDispense.subject.identifier.system
                                                                                Definition

                                                                                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                ShortThe namespace for the identifier value
                                                                                Comments

                                                                                Identifier.system is always case sensitive.

                                                                                Control0..1
                                                                                Typeuri
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                Pattern Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
                                                                                ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                224. MedicationDispense.subject.identifier.value
                                                                                Definition

                                                                                Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                                ShortNúmero de documento de identificación
                                                                                Comments

                                                                                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                Control1..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Must Supporttrue
                                                                                Summarytrue
                                                                                LabelElemento: 2.2
                                                                                Alternate NamesIdentificación del paciente
                                                                                ExampleGeneral: 123456
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                226. MedicationDispense.subject.identifier.period
                                                                                Definition

                                                                                Time period during which identifier is/was valid for use.

                                                                                ShortTime period when id is/was valid for use
                                                                                Control0..1
                                                                                TypePeriod
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                228. MedicationDispense.subject.identifier.assigner
                                                                                Definition

                                                                                Organization that issued/manages the identifier.

                                                                                ShortOrganization that issued id (may be just text)
                                                                                Comments

                                                                                The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                Control0..1
                                                                                TypeReference(Organization)
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                230. MedicationDispense.subject.display
                                                                                Definition

                                                                                Nombre del paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.

                                                                                ShortNombre del paciente
                                                                                Comments

                                                                                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.

                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Must Supporttrue
                                                                                Summarytrue
                                                                                LabelElementos: 3.1, 3.2, 3.3 y 3.4
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                232. MedicationDispense.context
                                                                                Definition

                                                                                The encounter or episode of care that establishes the context for this event.

                                                                                ShortEncounter / Episode associated with event
                                                                                Control0..1
                                                                                TypeReference(Encuentro de atención ambulatoria (Encounter) RDA, Encuentro de atención de urgencias en salud (Encounter) RDA, Encuentro de hospitalización (Encounter) RDA)
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                234. MedicationDispense.supportingInformation
                                                                                Definition

                                                                                Referencias a información de soporte de la dispensación, que puede incluir el Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó esta programación, o referencias a condiciones clínicas asociadas a la prescripción.

                                                                                ShortReferencias a información de soporte de la dispensación
                                                                                Control2..*
                                                                                TypeReference(Resource)
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                • value @ id
                                                                                • 236. MedicationDispense.supportingInformation:ReferenceRDA
                                                                                  Slice NameReferenceRDA
                                                                                  Definition

                                                                                  Referencia al Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó esta dispensación. Cadena alfanumérica, que certifica la recepción y validación del RDA en el mecanismo de IHCE del Ministerio de Salud y Protección social.

                                                                                  ShortReferencia al código VIDA del documento RDA que originó la prescripción de medicamentos
                                                                                  Control0..1
                                                                                  TypeReference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta), Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  238. MedicationDispense.supportingInformation:ReferenceRDA.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control1..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  Pattern ValueReferenceRDA
                                                                                  240. MedicationDispense.supportingInformation:ReferenceRDA.extension
                                                                                  Definition

                                                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                  ShortAdditional content defined by implementations
                                                                                  Comments

                                                                                  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.

                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 242. MedicationDispense.supportingInformation:ReferenceRDA.reference
                                                                                    Definition

                                                                                    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.

                                                                                    ShortLiteral reference, Relative, internal or absolute URL
                                                                                    Comments

                                                                                    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.

                                                                                    Control1..1
                                                                                    This element is affected by the following invariants: ref-1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Must Supporttrue
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    244. MedicationDispense.supportingInformation:ReferenceRDA.type
                                                                                    Definition

                                                                                    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                    ShortType the reference refers to (e.g. "Patient")
                                                                                    Comments

                                                                                    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                    Control1..1
                                                                                    BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                    Aa resource (or, for logical models, the URI of the logical model).

                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Fixed ValueComposition
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    246. MedicationDispense.supportingInformation:ReferenceRDA.identifier
                                                                                    Definition

                                                                                    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                                    ShortLogical reference, when literal reference is not known
                                                                                    Comments

                                                                                    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                    Control0..1
                                                                                    TypeIdentifier
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    248. MedicationDispense.supportingInformation:ReferenceRDA.display
                                                                                    Definition

                                                                                    Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                    ShortText alternative for the resource
                                                                                    Comments

                                                                                    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.

                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    250. MedicationDispense.supportingInformation:PrescriberPractitioner
                                                                                    Slice NamePrescriberPractitioner
                                                                                    Definition

                                                                                    Referencia al profesional de la salud que realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Practitioner del RDA.

                                                                                    ShortReferencia al profesional de la salud que realizó la prescripción del medicamento
                                                                                    Control1..1
                                                                                    TypeReference(Profesional de salud (Practitioner) RDA)
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    252. MedicationDispense.supportingInformation:PrescriberPractitioner.id
                                                                                    Definition

                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                    ShortUnique id for inter-element referencing
                                                                                    Control1..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    Pattern ValuePrescriberPractitioner
                                                                                    254. MedicationDispense.supportingInformation:PrescriberPractitioner.extension
                                                                                    Definition

                                                                                    May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                    ShortAdditional content defined by implementations
                                                                                    Comments

                                                                                    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.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 256. MedicationDispense.supportingInformation:PrescriberPractitioner.reference
                                                                                      Definition

                                                                                      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.

                                                                                      ShortLiteral reference, Relative, internal or absolute URL
                                                                                      Comments

                                                                                      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.

                                                                                      Control1..1
                                                                                      This element is affected by the following invariants: ref-1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Must Supporttrue
                                                                                      Summarytrue
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      258. MedicationDispense.supportingInformation:PrescriberPractitioner.type
                                                                                      Definition

                                                                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                      ShortType the reference refers to (e.g. "Patient")
                                                                                      Comments

                                                                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                      Control1..1
                                                                                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                      Aa resource (or, for logical models, the URI of the logical model).

                                                                                      Typeuri
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      Fixed ValuePractitioner
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      260. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier
                                                                                      Definition

                                                                                      Identificación del profesional de la salud que realizó la prescripción del medicamento

                                                                                      ShortIdentificación del profesional de la salud
                                                                                      Comments

                                                                                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                      Control0..1
                                                                                      TypeIdentifier
                                                                                      Is Modifierfalse
                                                                                      Summarytrue
                                                                                      LabelIdentificación prescriptor
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      262. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control1..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      Fixed ValuePrescriberIdentifier
                                                                                      264. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      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.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 266. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.use
                                                                                        Definition

                                                                                        The purpose of this identifier.

                                                                                        Shortusual | official | temp | secondary | old (If known)
                                                                                        Comments

                                                                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                        Control1..1
                                                                                        BindingThe codes SHALL be taken from IdentifierUse
                                                                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                        Identifies the purpose for this identifier, if known .

                                                                                        Typecode
                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                        Fixed Valueofficial
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        268. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.type
                                                                                        Definition

                                                                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                        ShortDescription of identifier
                                                                                        Comments

                                                                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                        Control0..1
                                                                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                        TypeCodeableConcept
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Allows users to make use of identifiers when the identifier system is not known.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        270. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.system
                                                                                        Definition

                                                                                        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                        ShortThe namespace for the identifier value
                                                                                        Comments

                                                                                        Identifier.system is always case sensitive.

                                                                                        Control1..1
                                                                                        Typeuri
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                        Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
                                                                                        ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        272. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.value
                                                                                        Definition

                                                                                        Valor de la identificación del profesional de la salud que realizó la prescripción del medicamento

                                                                                        ShortValor de la identificación
                                                                                        Comments

                                                                                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                        Control1..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        ExampleGeneral: 123456
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        274. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.period
                                                                                        Definition

                                                                                        Time period during which identifier is/was valid for use.

                                                                                        ShortTime period when id is/was valid for use
                                                                                        Control0..1
                                                                                        TypePeriod
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        276. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.assigner
                                                                                        Definition

                                                                                        Organization that issued/manages the identifier.

                                                                                        ShortOrganization that issued id (may be just text)
                                                                                        Comments

                                                                                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                        Control0..1
                                                                                        TypeReference(Organization)
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        278. MedicationDispense.supportingInformation:PrescriberPractitioner.display
                                                                                        Definition

                                                                                        Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                        ShortText alternative for the resource
                                                                                        Comments

                                                                                        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.

                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        280. MedicationDispense.supportingInformation:CareDeliveryOrganization
                                                                                        Slice NameCareDeliveryOrganization
                                                                                        Definition

                                                                                        Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Organization del RDA.

                                                                                        ShortReferencia a la organización de atención en salud donde se realizó la prescripción del medicamento
                                                                                        Control1..1
                                                                                        TypeReference(Institución Prestadora de Servicios de Salud (Organization) RDA)
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        282. MedicationDispense.supportingInformation:CareDeliveryOrganization.id
                                                                                        Definition

                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control1..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        Pattern ValueCareDeliveryOrganization
                                                                                        284. MedicationDispense.supportingInformation:CareDeliveryOrganization.extension
                                                                                        Definition

                                                                                        May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                        ShortAdditional content defined by implementations
                                                                                        Comments

                                                                                        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.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Alternate Namesextensions, user content
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 286. MedicationDispense.supportingInformation:CareDeliveryOrganization.reference
                                                                                          Definition

                                                                                          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.

                                                                                          ShortLiteral reference, Relative, internal or absolute URL
                                                                                          Comments

                                                                                          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.

                                                                                          Control1..1
                                                                                          This element is affected by the following invariants: ref-1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Must Supporttrue
                                                                                          Summarytrue
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          288. MedicationDispense.supportingInformation:CareDeliveryOrganization.type
                                                                                          Definition

                                                                                          The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                          The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                          ShortType the reference refers to (e.g. "Patient")
                                                                                          Comments

                                                                                          This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                          Control1..1
                                                                                          BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                          (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                          Aa resource (or, for logical models, the URI of the logical model).

                                                                                          Typeuri
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Fixed ValueOrganization
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          290. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier
                                                                                          Definition

                                                                                          Identificación de la organización de atención en salud donde se realizó la prescripción del medicamento que originó esta dispensación

                                                                                          ShortIdentificación de la organización de atención en salud
                                                                                          Comments

                                                                                          When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                          When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                          Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                          Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                          Control0..1
                                                                                          TypeIdentifier
                                                                                          Is Modifierfalse
                                                                                          Summarytrue
                                                                                          LabelIdentificación IPS
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          292. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control1..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          Fixed ValueOrganizationIdentifier
                                                                                          294. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          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.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                          • value @ url
                                                                                          • 296. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.use
                                                                                            Definition

                                                                                            The purpose of this identifier.

                                                                                            Shortusual | official | temp | secondary | old (If known)
                                                                                            Comments

                                                                                            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                            Control1..1
                                                                                            BindingThe codes SHALL be taken from IdentifierUse
                                                                                            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                            Identifies the purpose for this identifier, if known .

                                                                                            Typecode
                                                                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                            Fixed Valueofficial
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            298. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.type
                                                                                            Definition

                                                                                            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                            ShortDescription of identifier
                                                                                            Comments

                                                                                            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                            Control0..1
                                                                                            BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                            A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                            TypeCodeableConcept
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Allows users to make use of identifiers when the identifier system is not known.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            300. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.system
                                                                                            Definition

                                                                                            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                            ShortThe namespace for the identifier value
                                                                                            Comments

                                                                                            Identifier.system is always case sensitive.

                                                                                            Control1..1
                                                                                            Typeuri
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                            Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/REPS
                                                                                            ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            302. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.value
                                                                                            Definition

                                                                                            Valor del identificador de la organización de atención en salud

                                                                                            ShortValor del identificador
                                                                                            Comments

                                                                                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                            Control1..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            ExampleGeneral: 123456
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            304. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.period
                                                                                            Definition

                                                                                            Time period during which identifier is/was valid for use.

                                                                                            ShortTime period when id is/was valid for use
                                                                                            Control0..1
                                                                                            TypePeriod
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            306. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.assigner
                                                                                            Definition

                                                                                            Organization that issued/manages the identifier.

                                                                                            ShortOrganization that issued id (may be just text)
                                                                                            Comments

                                                                                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                            Control0..1
                                                                                            TypeReference(Organization)
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            308. MedicationDispense.supportingInformation:CareDeliveryOrganization.display
                                                                                            Definition

                                                                                            Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                            ShortText alternative for the resource
                                                                                            Comments

                                                                                            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.

                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            310. MedicationDispense.supportingInformation:CareDeliveryLocation
                                                                                            Slice NameCareDeliveryLocation
                                                                                            Definition

                                                                                            Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Location del RDA.

                                                                                            ShortReferencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
                                                                                            Control0..1
                                                                                            TypeReference(Punto de atención en salud (Location) RDA)
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            312. MedicationDispense.supportingInformation:CareDeliveryLocation.id
                                                                                            Definition

                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                            ShortUnique id for inter-element referencing
                                                                                            Control1..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            Pattern ValueCareDeliveryLocation
                                                                                            314. MedicationDispense.supportingInformation:CareDeliveryLocation.extension
                                                                                            Definition

                                                                                            May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                            ShortAdditional content defined by implementations
                                                                                            Comments

                                                                                            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.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Alternate Namesextensions, user content
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 316. MedicationDispense.supportingInformation:CareDeliveryLocation.reference
                                                                                              Definition

                                                                                              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.

                                                                                              ShortLiteral reference, Relative, internal or absolute URL
                                                                                              Comments

                                                                                              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.

                                                                                              Control1..1
                                                                                              This element is affected by the following invariants: ref-1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Must Supporttrue
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              318. MedicationDispense.supportingInformation:CareDeliveryLocation.type
                                                                                              Definition

                                                                                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                              ShortType the reference refers to (e.g. "Patient")
                                                                                              Comments

                                                                                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                              Control1..1
                                                                                              BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                              Aa resource (or, for logical models, the URI of the logical model).

                                                                                              Typeuri
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Fixed ValueLocation
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              320. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier
                                                                                              Definition

                                                                                              Identificador del punto de atención en salud (sede)

                                                                                              ShortIdentificador del punto de atención en salud (sede)
                                                                                              Comments

                                                                                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                              Control0..1
                                                                                              TypeIdentifier
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              LabelIdentificación sede
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              322. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control1..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              Fixed ValueLocationIdentifier
                                                                                              324. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.extension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

                                                                                              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.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              SlicingThis element introduces a set of slices on MedicationDispense.supportingInformation.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 326. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.use
                                                                                                Definition

                                                                                                The purpose of this identifier.

                                                                                                Shortusual | official | temp | secondary | old (If known)
                                                                                                Comments

                                                                                                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                Control1..1
                                                                                                BindingThe codes SHALL be taken from IdentifierUse
                                                                                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                Identifies the purpose for this identifier, if known .

                                                                                                Typecode
                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                Fixed Valueofficial
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                328. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.type
                                                                                                Definition

                                                                                                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                ShortDescription of identifier
                                                                                                Comments

                                                                                                This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                Control0..1
                                                                                                BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                                A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                TypeCodeableConcept
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows users to make use of identifiers when the identifier system is not known.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                330. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.system
                                                                                                Definition

                                                                                                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                                ShortThe namespace for the identifier value
                                                                                                Comments

                                                                                                Identifier.system is always case sensitive.

                                                                                                Control1..1
                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                Fixed Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/REPS
                                                                                                ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                332. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.value
                                                                                                Definition

                                                                                                Valor del identificador del punto de atención en salud (sede)

                                                                                                ShortValor del identificador
                                                                                                Comments

                                                                                                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                Control1..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Must Supporttrue
                                                                                                Summarytrue
                                                                                                ExampleGeneral: 123456
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                334. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.period
                                                                                                Definition

                                                                                                Time period during which identifier is/was valid for use.

                                                                                                ShortTime period when id is/was valid for use
                                                                                                Control0..1
                                                                                                TypePeriod
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                336. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.assigner
                                                                                                Definition

                                                                                                Organization that issued/manages the identifier.

                                                                                                ShortOrganization that issued id (may be just text)
                                                                                                Comments

                                                                                                The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                Control0..1
                                                                                                TypeReference(Organization)
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                338. MedicationDispense.supportingInformation:CareDeliveryLocation.display
                                                                                                Definition

                                                                                                Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                ShortText alternative for the resource
                                                                                                Comments

                                                                                                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.

                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                340. MedicationDispense.performer
                                                                                                Definition

                                                                                                Indicates who or what performed the event.

                                                                                                ShortWho performed event
                                                                                                Control1..2
                                                                                                TypeBackboneElement
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                SlicingThis element introduces a set of slices on MedicationDispense.performer. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                • value @ function.coding.code
                                                                                                • 342. MedicationDispense.performer.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  344. MedicationDispense.performer.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  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.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  346. MedicationDispense.performer.modifierExtension
                                                                                                  Definition

                                                                                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                  Comments

                                                                                                  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.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  348. MedicationDispense.performer.function
                                                                                                  Definition

                                                                                                  Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.

                                                                                                  ShortWho performed the dispense and what they did
                                                                                                  Control0..1
                                                                                                  BindingFor example codes, see MedicationDispense Performer Function Codes
                                                                                                  (example to http://hl7.org/fhir/ValueSet/medicationdispense-performer-function)

                                                                                                  A code describing the role an individual played in dispensing a medication.

                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Requirements

                                                                                                  Allows disambiguation of the types of involvement of different performers.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  350. MedicationDispense.performer.actor
                                                                                                  Definition

                                                                                                  The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.

                                                                                                  ShortIndividual who was performing
                                                                                                  Control1..1
                                                                                                  TypeReference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson)
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  352. MedicationDispense.performer:HealthTechProviderOrganization
                                                                                                  Slice NameHealthTechProviderOrganization
                                                                                                  Definition

                                                                                                  Referencia al Gestor Farmacéutico que realizó la entrega del medicamento al paciente.

                                                                                                  ShortGestor farmacéutico que realizó la dispensación
                                                                                                  Control1..1
                                                                                                  TypeBackboneElement
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  354. MedicationDispense.performer:HealthTechProviderOrganization.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  356. MedicationDispense.performer:HealthTechProviderOrganization.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  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.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  358. MedicationDispense.performer:HealthTechProviderOrganization.modifierExtension
                                                                                                  Definition

                                                                                                  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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                  Comments

                                                                                                  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.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  360. MedicationDispense.performer:HealthTechProviderOrganization.function
                                                                                                  Definition

                                                                                                  Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.

                                                                                                  ShortWho performed the dispense and what they did
                                                                                                  Control1..1
                                                                                                  BindingThe codes SHALL be taken from ValueSet: Función en el proceso de dispensación de medicamentos
                                                                                                  (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes)
                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Requirements

                                                                                                  Allows disambiguation of the types of involvement of different performers.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  362. MedicationDispense.performer:HealthTechProviderOrganization.function.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  364. MedicationDispense.performer:HealthTechProviderOrganization.function.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  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.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  SlicingThis element introduces a set of slices on MedicationDispense.performer.function.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                  • value @ url
                                                                                                  • 366. MedicationDispense.performer:HealthTechProviderOrganization.function.coding
                                                                                                    Definition

                                                                                                    A reference to a code defined by a terminology system.

                                                                                                    ShortCode defined by a terminology system
                                                                                                    Comments

                                                                                                    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 labeled as UserSelected = true.

                                                                                                    Control1..1
                                                                                                    TypeCoding
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    368. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    370. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.extension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    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.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    SlicingThis element introduces a set of slices on MedicationDispense.performer.function.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                    • value @ url
                                                                                                    • 372. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.system
                                                                                                      Definition

                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                      ShortIdentity of the terminology system
                                                                                                      Comments

                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                      Control1..1
                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                      Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      374. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.version
                                                                                                      Definition

                                                                                                      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.

                                                                                                      ShortVersion of the system - if relevant
                                                                                                      Comments

                                                                                                      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.

                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      376. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.code
                                                                                                      Definition

                                                                                                      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).

                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                      Control1..1
                                                                                                      Typecode
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Need to refer to a particular code in the system.

                                                                                                      Fixed Valuedispenser
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      378. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.display
                                                                                                      Definition

                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                      ShortRepresentation defined by the system
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      380. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.userSelected
                                                                                                      Definition

                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                      Comments

                                                                                                      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.

                                                                                                      Control0..1
                                                                                                      Typeboolean
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      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.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      382. MedicationDispense.performer:HealthTechProviderOrganization.function.text
                                                                                                      Definition

                                                                                                      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.

                                                                                                      ShortPlain text representation of the concept
                                                                                                      Comments

                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      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.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      384. MedicationDispense.performer:HealthTechProviderOrganization.actor
                                                                                                      Definition

                                                                                                      Referencia a la organización que actúa como Gestor Farmacéutico y realizó la dispensación.

                                                                                                      ShortReferencia al Gestor Farmacéutico
                                                                                                      Control1..1
                                                                                                      TypeReference(Proveedor de Tecnología en Salud PTS (Organization))
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      386. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA
                                                                                                      Slice NameHealthBenefitPlanAdminOrganizationRDA
                                                                                                      Definition

                                                                                                      Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación.

                                                                                                      ShortEAPB que direccionó la dispensación
                                                                                                      Control0..1
                                                                                                      TypeBackboneElement
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      388. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      390. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      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.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      392. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.modifierExtension
                                                                                                      Definition

                                                                                                      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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                      Comments

                                                                                                      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.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      394. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function
                                                                                                      Definition

                                                                                                      Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.

                                                                                                      ShortWho performed the dispense and what they did
                                                                                                      Control1..1
                                                                                                      BindingThe codes SHALL be taken from ValueSet: Función en el proceso de dispensación de medicamentos
                                                                                                      (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes)
                                                                                                      TypeCodeableConcept
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Requirements

                                                                                                      Allows disambiguation of the types of involvement of different performers.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      396. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      398. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      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.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on MedicationDispense.performer.function.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 400. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding
                                                                                                        Definition

                                                                                                        A reference to a code defined by a terminology system.

                                                                                                        ShortCode defined by a terminology system
                                                                                                        Comments

                                                                                                        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 labeled as UserSelected = true.

                                                                                                        Control1..1
                                                                                                        TypeCoding
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        402. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        404. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        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.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        SlicingThis element introduces a set of slices on MedicationDispense.performer.function.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 406. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.system
                                                                                                          Definition

                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                          ShortIdentity of the terminology system
                                                                                                          Comments

                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                          Control1..1
                                                                                                          Typeuri
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                          Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          408. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.version
                                                                                                          Definition

                                                                                                          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.

                                                                                                          ShortVersion of the system - if relevant
                                                                                                          Comments

                                                                                                          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.

                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          410. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.code
                                                                                                          Definition

                                                                                                          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).

                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                          Control1..1
                                                                                                          Typecode
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Need to refer to a particular code in the system.

                                                                                                          Fixed Valuepayer
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          412. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.display
                                                                                                          Definition

                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                          ShortRepresentation defined by the system
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          414. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.userSelected
                                                                                                          Definition

                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                          Comments

                                                                                                          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.

                                                                                                          Control0..1
                                                                                                          Typeboolean
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          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.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          416. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.text
                                                                                                          Definition

                                                                                                          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.

                                                                                                          ShortPlain text representation of the concept
                                                                                                          Comments

                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          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.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          418. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.actor
                                                                                                          Definition

                                                                                                          Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación.

                                                                                                          ShortReferencia a la EAPB
                                                                                                          Control1..1
                                                                                                          TypeReference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          420. MedicationDispense.location
                                                                                                          Definition

                                                                                                          The principal physical location where the dispense was performed.

                                                                                                          ShortWhere the dispense occurred
                                                                                                          Control0..1
                                                                                                          TypeReference(Punto de dispensación (Location))
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          422. MedicationDispense.authorizingPrescription
                                                                                                          Definition

                                                                                                          Indicates the medication order that is being dispensed against.

                                                                                                          ShortMedication order that authorizes the dispense
                                                                                                          Comments

                                                                                                          Maps to basedOn in Event logical model.

                                                                                                          Control1..*
                                                                                                          TypeReference(MedicationRequest)
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                          • value @ id
                                                                                                          • 424. MedicationDispense.authorizingPrescription:MedicationRequestRDA
                                                                                                            Slice NameMedicationRequestRDA
                                                                                                            Definition

                                                                                                            Número identificador de la orden médica (prescripción) asociada.

                                                                                                            ShortIdentificador de la prescripción
                                                                                                            Comments

                                                                                                            Maps to basedOn in Event logical model.

                                                                                                            Control1..1
                                                                                                            TypeReference(Prescripción de Medicamentos (MedicationRequest) RDA)
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            426. MedicationDispense.authorizingPrescription:MedicationRequestRDA.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control1..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            Pattern ValueMedicationRequestRDA
                                                                                                            428. MedicationDispense.authorizingPrescription:MedicationRequestRDA.extension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            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.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                            • value @ url
                                                                                                            • 430. MedicationDispense.authorizingPrescription:MedicationRequestRDA.reference
                                                                                                              Definition

                                                                                                              Referencia al recurso MedicationRequestRDA que contiene la prescripción original del RDA.

                                                                                                              ShortReferencia a la prescripción original
                                                                                                              Comments

                                                                                                              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.

                                                                                                              Control0..1
                                                                                                              This element is affected by the following invariants: ref-1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              432. MedicationDispense.authorizingPrescription:MedicationRequestRDA.type
                                                                                                              Definition

                                                                                                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                              ShortType the reference refers to (e.g. "Patient")
                                                                                                              Comments

                                                                                                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                              Control0..1
                                                                                                              BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                              Aa resource (or, for logical models, the URI of the logical model).

                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              434. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier
                                                                                                              Definition

                                                                                                              Número identificador de la orden médica (prescripción).

                                                                                                              ShortIdentificador de la prescripción
                                                                                                              Comments

                                                                                                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                              Control0..1
                                                                                                              TypeIdentifier
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              436. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              438. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              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.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                              • value @ url
                                                                                                              • 440. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.use
                                                                                                                Definition

                                                                                                                The purpose of this identifier.

                                                                                                                Shortusual | official | temp | secondary | old (If known)
                                                                                                                Comments

                                                                                                                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                                Control0..1
                                                                                                                BindingThe codes SHALL be taken from IdentifierUse
                                                                                                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                                Identifies the purpose for this identifier, if known .

                                                                                                                Typecode
                                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                442. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.type
                                                                                                                Definition

                                                                                                                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                ShortDescription of identifier
                                                                                                                Comments

                                                                                                                This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                                Control0..1
                                                                                                                BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                                (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                                                A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Allows users to make use of identifiers when the identifier system is not known.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                444. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.system
                                                                                                                Definition

                                                                                                                Sistema de identificación de la prescripción.

                                                                                                                ShortSistema de identificación de la prescripción
                                                                                                                Comments

                                                                                                                Identifier.system is always case sensitive.

                                                                                                                Control1..1
                                                                                                                Typeuri
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Must Supporttrue
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                                ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                446. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.value
                                                                                                                Definition

                                                                                                                Número de la orden médica (prescripción).

                                                                                                                ShortNúmero de la prescripción
                                                                                                                Comments

                                                                                                                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                                Control1..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Must Supporttrue
                                                                                                                Summarytrue
                                                                                                                ExampleGeneral: 123456
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                448. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.period
                                                                                                                Definition

                                                                                                                Time period during which identifier is/was valid for use.

                                                                                                                ShortTime period when id is/was valid for use
                                                                                                                Control0..1
                                                                                                                TypePeriod
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                450. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.assigner
                                                                                                                Definition

                                                                                                                Organization that issued/manages the identifier.

                                                                                                                ShortOrganization that issued id (may be just text)
                                                                                                                Comments

                                                                                                                The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                                Control0..1
                                                                                                                TypeReference(Organization)
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                452. MedicationDispense.authorizingPrescription:MedicationRequestRDA.display
                                                                                                                Definition

                                                                                                                Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                                ShortText alternative for the resource
                                                                                                                Comments

                                                                                                                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.

                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                454. MedicationDispense.authorizingPrescription:MedicationRequestAddressing
                                                                                                                Slice NameMedicationRequestAddressing
                                                                                                                Definition

                                                                                                                Número identificador del direccionamiento asociado.

                                                                                                                ShortIdentificador del direccionamiento
                                                                                                                Comments

                                                                                                                Maps to basedOn in Event logical model.

                                                                                                                Control0..1
                                                                                                                TypeReference(Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing)
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                456. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.id
                                                                                                                Definition

                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control1..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                Pattern ValueMedicationRequestAddressing
                                                                                                                458. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.extension
                                                                                                                Definition

                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                ShortAdditional content defined by implementations
                                                                                                                Comments

                                                                                                                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.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Alternate Namesextensions, user content
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 460. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.reference
                                                                                                                  Definition

                                                                                                                  Referencia al recurso MedicationRequestAddressing que contiene el direccionamiento de la prescripción.

                                                                                                                  ShortReferencia al direccionamiento
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ref-1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supporttrue
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  462. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.type
                                                                                                                  Definition

                                                                                                                  The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                                  The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                                  ShortType the reference refers to (e.g. "Patient")
                                                                                                                  Comments

                                                                                                                  This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                                  Control0..1
                                                                                                                  BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                                  (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                                  Aa resource (or, for logical models, the URI of the logical model).

                                                                                                                  Typeuri
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  464. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier
                                                                                                                  Definition

                                                                                                                  Número identificador del direccionamiento.

                                                                                                                  ShortIdentificador del direccionamiento
                                                                                                                  Comments

                                                                                                                  When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                                  When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                                  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                                  Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                  Control0..1
                                                                                                                  TypeIdentifier
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  466. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  468. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  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.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                  • value @ url
                                                                                                                  • 470. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.use
                                                                                                                    Definition

                                                                                                                    The purpose of this identifier.

                                                                                                                    Shortusual | official | temp | secondary | old (If known)
                                                                                                                    Comments

                                                                                                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                                    Control0..1
                                                                                                                    BindingThe codes SHALL be taken from IdentifierUse
                                                                                                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                                    Identifies the purpose for this identifier, if known .

                                                                                                                    Typecode
                                                                                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    472. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.type
                                                                                                                    Definition

                                                                                                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                    ShortDescription of identifier
                                                                                                                    Comments

                                                                                                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                                    Control0..1
                                                                                                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                                                    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                    TypeCodeableConcept
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Allows users to make use of identifiers when the identifier system is not known.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    474. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.system
                                                                                                                    Definition

                                                                                                                    Sistema de identificación del direccionamiento.

                                                                                                                    ShortSistema de identificación del direccionamiento
                                                                                                                    Comments

                                                                                                                    Identifier.system is always case sensitive.

                                                                                                                    Control1..1
                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                                    ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    476. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.value
                                                                                                                    Definition

                                                                                                                    Número del direccionamiento.

                                                                                                                    ShortNúmero del direccionamiento
                                                                                                                    Comments

                                                                                                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                                    Control1..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    ExampleGeneral: 123456
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    478. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.period
                                                                                                                    Definition

                                                                                                                    Time period during which identifier is/was valid for use.

                                                                                                                    ShortTime period when id is/was valid for use
                                                                                                                    Control0..1
                                                                                                                    TypePeriod
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    480. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.assigner
                                                                                                                    Definition

                                                                                                                    Organization that issued/manages the identifier.

                                                                                                                    ShortOrganization that issued id (may be just text)
                                                                                                                    Comments

                                                                                                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                                    Control0..1
                                                                                                                    TypeReference(Organization)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    482. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.display
                                                                                                                    Definition

                                                                                                                    Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                                    ShortText alternative for the resource
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    484. MedicationDispense.authorizingPrescription:MedicationRequestScheduling
                                                                                                                    Slice NameMedicationRequestScheduling
                                                                                                                    Definition

                                                                                                                    Número identificador dela programación asociada

                                                                                                                    ShortIdentificador de la programación
                                                                                                                    Comments

                                                                                                                    Maps to basedOn in Event logical model.

                                                                                                                    Control0..1
                                                                                                                    TypeReference(Programación de la dispensación de Medicamentos (MedicationRequest) Scheduling)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    486. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control1..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    Pattern ValueMedicationRequestScheduling
                                                                                                                    488. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    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.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                    • value @ url
                                                                                                                    • 490. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.reference
                                                                                                                      Definition

                                                                                                                      URL o ID relativo del recurso MedicationRequestScheduling que contiene la programación de la dispensación.

                                                                                                                      ShortReferencia a la programación
                                                                                                                      Comments

                                                                                                                      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.

                                                                                                                      Control0..1
                                                                                                                      This element is affected by the following invariants: ref-1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Must Supporttrue
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      492. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.type
                                                                                                                      Definition

                                                                                                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                                      ShortType the reference refers to (e.g. "Patient")
                                                                                                                      Comments

                                                                                                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                                      Control0..1
                                                                                                                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                                      Aa resource (or, for logical models, the URI of the logical model).

                                                                                                                      Typeuri
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      494. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier
                                                                                                                      Definition

                                                                                                                      Número identificador de la programación

                                                                                                                      ShortIdentificador de la programación
                                                                                                                      Comments

                                                                                                                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                      Control0..1
                                                                                                                      TypeIdentifier
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      496. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      498. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.extension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

                                                                                                                      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.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Alternate Namesextensions, user content
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      SlicingThis element introduces a set of slices on MedicationDispense.authorizingPrescription.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                      • value @ url
                                                                                                                      • 500. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.use
                                                                                                                        Definition

                                                                                                                        The purpose of this identifier.

                                                                                                                        Shortusual | official | temp | secondary | old (If known)
                                                                                                                        Comments

                                                                                                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                                        Control0..1
                                                                                                                        BindingThe codes SHALL be taken from IdentifierUse
                                                                                                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                                        Identifies the purpose for this identifier, if known .

                                                                                                                        Typecode
                                                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        502. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.type
                                                                                                                        Definition

                                                                                                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                        ShortDescription of identifier
                                                                                                                        Comments

                                                                                                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                                        Control0..1
                                                                                                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                                                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                        TypeCodeableConcept
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Allows users to make use of identifiers when the identifier system is not known.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        504. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.system
                                                                                                                        Definition

                                                                                                                        Sistema de identificación de la programación.

                                                                                                                        ShortSistema de identificación de la programación
                                                                                                                        Comments

                                                                                                                        Identifier.system is always case sensitive.

                                                                                                                        Control1..1
                                                                                                                        Typeuri
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Must Supporttrue
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                                        ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        506. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.value
                                                                                                                        Definition

                                                                                                                        Número de la programación.

                                                                                                                        ShortNúmero de la programación
                                                                                                                        Comments

                                                                                                                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                                        Control1..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Must Supporttrue
                                                                                                                        Summarytrue
                                                                                                                        ExampleGeneral: 123456
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        508. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.period
                                                                                                                        Definition

                                                                                                                        Time period during which identifier is/was valid for use.

                                                                                                                        ShortTime period when id is/was valid for use
                                                                                                                        Control0..1
                                                                                                                        TypePeriod
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        510. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.assigner
                                                                                                                        Definition

                                                                                                                        Organization that issued/manages the identifier.

                                                                                                                        ShortOrganization that issued id (may be just text)
                                                                                                                        Comments

                                                                                                                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                                        Control0..1
                                                                                                                        TypeReference(Organization)
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        512. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.display
                                                                                                                        Definition

                                                                                                                        Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                                        ShortText alternative for the resource
                                                                                                                        Comments

                                                                                                                        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.

                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        514. MedicationDispense.type
                                                                                                                        Definition

                                                                                                                        Clasifica el tipo de dispensación

                                                                                                                        ShortTipo de suministro farmacéutico
                                                                                                                        Control1..1
                                                                                                                        BindingThe codes SHALL be taken from ValueSet: Pharmacy Supply Type Codes
                                                                                                                        (required to https://fhir.minsalud.gov.co/rda/ValueSet/PharmacySupplyTypeCodes)
                                                                                                                        TypeCodeableConcept
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supporttrue
                                                                                                                        Summaryfalse
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        516. MedicationDispense.type.id
                                                                                                                        Definition

                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                        Summaryfalse
                                                                                                                        518. MedicationDispense.type.extension
                                                                                                                        Definition

                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                        Comments

                                                                                                                        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.

                                                                                                                        Control0..*
                                                                                                                        TypeExtension
                                                                                                                        Is Modifierfalse
                                                                                                                        Summaryfalse
                                                                                                                        Alternate Namesextensions, user content
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        SlicingThis element introduces a set of slices on MedicationDispense.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                        • value @ url
                                                                                                                        • 520. MedicationDispense.type.coding
                                                                                                                          Definition

                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                          ShortCode defined by a terminology system
                                                                                                                          Comments

                                                                                                                          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 labeled as UserSelected = true.

                                                                                                                          Control1..1
                                                                                                                          TypeCoding
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          522. MedicationDispense.type.coding.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          524. MedicationDispense.type.coding.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          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.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          SlicingThis element introduces a set of slices on MedicationDispense.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 526. MedicationDispense.type.coding.system
                                                                                                                            Definition

                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                            ShortIdentity of the terminology system
                                                                                                                            Comments

                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                            Control1..1
                                                                                                                            Typeuri
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                            Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/PharmacySupplyType
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            528. MedicationDispense.type.coding.version
                                                                                                                            Definition

                                                                                                                            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.

                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                            Comments

                                                                                                                            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.

                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                            Control0..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            530. MedicationDispense.type.coding.code
                                                                                                                            Definition

                                                                                                                            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).

                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                            Control1..1
                                                                                                                            Typecode
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Must Supporttrue
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            532. MedicationDispense.type.coding.display
                                                                                                                            Definition

                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                            ShortRepresentation defined by the system
                                                                                                                            Control1..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            534. MedicationDispense.type.coding.userSelected
                                                                                                                            Definition

                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                            Comments

                                                                                                                            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.

                                                                                                                            Control0..1
                                                                                                                            Typeboolean
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            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.

                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            536. MedicationDispense.type.text
                                                                                                                            Definition

                                                                                                                            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.

                                                                                                                            ShortPlain text representation of the concept
                                                                                                                            Comments

                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                            Control0..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            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.

                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            538. MedicationDispense.quantity
                                                                                                                            Definition

                                                                                                                            The amount of medication that has been dispensed. Includes unit of measure.

                                                                                                                            ShortAmount dispensed
                                                                                                                            Control0..1
                                                                                                                            BindingThe codes SHALL be taken from ValueSet: Mipres Dispense Unit
                                                                                                                            (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes)
                                                                                                                            TypeQuantity(SimpleQuantity)
                                                                                                                            Is Modifierfalse
                                                                                                                            Must Supporttrue
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            540. MedicationDispense.quantity.id
                                                                                                                            Definition

                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                            Control0..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            542. MedicationDispense.quantity.extension
                                                                                                                            Definition

                                                                                                                            An Extension

                                                                                                                            ShortExtension
                                                                                                                            Control1..1
                                                                                                                            TypeExtension
                                                                                                                            Is Modifierfalse
                                                                                                                            Must Supporttrue
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            SlicingThis element introduces a set of slices on MedicationDispense.quantity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                            • value @ url
                                                                                                                            • 544. MedicationDispense.quantity.extension:ExtensionMedicationDispenseQuantity
                                                                                                                              Slice NameExtensionMedicationDispenseQuantity
                                                                                                                              Definition

                                                                                                                              Cantidad total del medicamento que se programan para dispensación al paciente. Esta cantidad corresponde a la cantidad total del medicamento que se autoriza para dispensación al paciente. teniendo en cuenta el número de entregas (dispensaciones) autorizadas y la cantidad de medicamento a suministrar por cada entrega (dispensación). Esta extensión incluye el código y nombre de la unidad de entrega del medicamento

                                                                                                                              ShortCantidad total de medicamentos programados para entrega
                                                                                                                              Control1..1
                                                                                                                              TypeExtension(Extension: ExtensionMedicationDispenseQuantity) (Extension Type: Quantity(SimpleQuantity))
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supporttrue
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              546. MedicationDispense.quantity.value
                                                                                                                              Definition

                                                                                                                              The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                                                                                                                              ShortNumerical value (with implicit precision)
                                                                                                                              Comments

                                                                                                                              The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

                                                                                                                              Control1..1
                                                                                                                              Typedecimal
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Must Supporttrue
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Precision is handled implicitly in almost all cases of measurement.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              548. MedicationDispense.quantity.comparator
                                                                                                                              Definition

                                                                                                                              Not allowed to be used in this context

                                                                                                                              Short< | <= | >= | > - how to understand the value
                                                                                                                              Control0..0
                                                                                                                              BindingThe codes SHALL be taken from QuantityComparator
                                                                                                                              (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

                                                                                                                              How the Quantity should be understood and represented.

                                                                                                                              Typecode
                                                                                                                              Is Modifiertrue because 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
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                                                                                                                              Meaning if MissingIf there is no comparator, then there is no modification of the value
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              550. MedicationDispense.quantity.unit
                                                                                                                              Definition

                                                                                                                              A human-readable form of the unit.

                                                                                                                              ShortUnit representation
                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Must Supporttrue
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              552. MedicationDispense.quantity.system
                                                                                                                              Definition

                                                                                                                              The identification of the system that provides the coded form of the unit.

                                                                                                                              ShortSystem that defines coded unit form
                                                                                                                              Control1..1
                                                                                                                              This element is affected by the following invariants: qty-3
                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to know the system that defines the coded form of the unit.

                                                                                                                              Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              554. MedicationDispense.quantity.code
                                                                                                                              Definition

                                                                                                                              A computer processable form of the unit in some unit representation system.

                                                                                                                              ShortCoded form of the unit
                                                                                                                              Comments

                                                                                                                              The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

                                                                                                                              Control1..1
                                                                                                                              Typecode
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Must Supporttrue
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              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.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              556. MedicationDispense.daysSupply
                                                                                                                              Definition

                                                                                                                              The amount of medication expressed as a timing amount.

                                                                                                                              ShortAmount of medication expressed as a timing amount
                                                                                                                              Control0..1
                                                                                                                              TypeQuantity(SimpleQuantity)
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              558. MedicationDispense.whenPrepared
                                                                                                                              Definition

                                                                                                                              The time when the dispensed product was packaged and reviewed.

                                                                                                                              ShortWhen product was packaged and reviewed
                                                                                                                              Control0..1
                                                                                                                              TypedateTime
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              560. MedicationDispense.whenHandedOver
                                                                                                                              Definition

                                                                                                                              The time the dispensed product was provided to the patient or their representative.

                                                                                                                              ShortWhen product was given out
                                                                                                                              Control1..1
                                                                                                                              TypedateTime
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              562. MedicationDispense.destination
                                                                                                                              Definition

                                                                                                                              Identification of the facility/location where the medication was shipped to, as part of the dispense event.

                                                                                                                              ShortWhere the medication was sent
                                                                                                                              Control0..1
                                                                                                                              TypeReference(Location)
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              564. MedicationDispense.receiver
                                                                                                                              Definition

                                                                                                                              Identifica a la persona que recibe el medicamento. Generalmente será el paciente o su cuidador, pero existen algunos casos en los que puede ser un profesional de la salud.

                                                                                                                              ShortQuien recibe el medicamento
                                                                                                                              Control0..*
                                                                                                                              TypeReference(Paciente (Patient) RDA)
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              566. MedicationDispense.receiver.id
                                                                                                                              Definition

                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              568. MedicationDispense.receiver.extension
                                                                                                                              Definition

                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                              Comments

                                                                                                                              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.

                                                                                                                              Control0..*
                                                                                                                              TypeExtension
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Alternate Namesextensions, user content
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              SlicingThis element introduces a set of slices on MedicationDispense.receiver.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                              • value @ url
                                                                                                                              • 570. MedicationDispense.receiver.reference
                                                                                                                                Definition

                                                                                                                                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.

                                                                                                                                ShortLiteral reference, Relative, internal or absolute URL
                                                                                                                                Comments

                                                                                                                                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.

                                                                                                                                Control0..1
                                                                                                                                This element is affected by the following invariants: ref-1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                572. MedicationDispense.receiver.type
                                                                                                                                Definition

                                                                                                                                The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                                                The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                                                ShortType the reference refers to (e.g. "Patient")
                                                                                                                                Comments

                                                                                                                                This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                                                Control0..1
                                                                                                                                BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                                                (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                                                Aa resource (or, for logical models, the URI of the logical model).

                                                                                                                                Typeuri
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                574. MedicationDispense.receiver.identifier
                                                                                                                                Definition

                                                                                                                                Identificación nacional de la persona que desempeña el rol de paciente

                                                                                                                                ShortIdentificación nacional de la persona
                                                                                                                                Comments

                                                                                                                                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                                                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                                                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                                                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                                Control1..1
                                                                                                                                TypeIdentifier
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                LabelIdentificación nacional del paciente
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                576. MedicationDispense.receiver.identifier.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control1..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                Fixed ValueNationalPersonIdentifier-0
                                                                                                                                578. MedicationDispense.receiver.identifier.extension
                                                                                                                                Definition

                                                                                                                                An Extension

                                                                                                                                ShortExtension
                                                                                                                                Control0..0
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                • value @ url
                                                                                                                                • 580. MedicationDispense.receiver.identifier.use
                                                                                                                                  Definition

                                                                                                                                  The purpose of this identifier.

                                                                                                                                  Shortusual | official | temp | secondary | old (If known)
                                                                                                                                  Comments

                                                                                                                                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                                                  Control1..1
                                                                                                                                  BindingThe codes SHALL be taken from IdentifierUse
                                                                                                                                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                                                  Identifies the purpose for this identifier, if known .

                                                                                                                                  Typecode
                                                                                                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                                                  Fixed Valueofficial
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  582. MedicationDispense.receiver.identifier.type
                                                                                                                                  Definition

                                                                                                                                  A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                                  ShortDescription of identifier
                                                                                                                                  Comments

                                                                                                                                  This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                                                  Control1..1
                                                                                                                                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                                                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                                                                  A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                                  TypeCodeableConcept
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Allows users to make use of identifiers when the identifier system is not known.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  584. MedicationDispense.receiver.identifier.type.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  586. MedicationDispense.receiver.identifier.type.extension
                                                                                                                                  Definition

                                                                                                                                  An Extension

                                                                                                                                  ShortExtension
                                                                                                                                  Control0..0
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                  • value @ url
                                                                                                                                  • 588. MedicationDispense.receiver.identifier.type.coding
                                                                                                                                    Definition

                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                    Comments

                                                                                                                                    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 labeled as UserSelected = true.

                                                                                                                                    Control2..2
                                                                                                                                    TypeCoding
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                    • value @ system
                                                                                                                                    • 590. MedicationDispense.receiver.identifier.type.coding:InternationalCode
                                                                                                                                      Slice NameInternationalCode
                                                                                                                                      Definition

                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                      Comments

                                                                                                                                      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 labeled as UserSelected = true.

                                                                                                                                      Control1..1
                                                                                                                                      BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                                                      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
                                                                                                                                      TypeCoding
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      592. MedicationDispense.receiver.identifier.type.coding:InternationalCode.id
                                                                                                                                      Definition

                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      594. MedicationDispense.receiver.identifier.type.coding:InternationalCode.extension
                                                                                                                                      Definition

                                                                                                                                      An Extension

                                                                                                                                      ShortExtension
                                                                                                                                      Control0..0
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                      • value @ url
                                                                                                                                      • 596. MedicationDispense.receiver.identifier.type.coding:InternationalCode.system
                                                                                                                                        Definition

                                                                                                                                        Codificación internacional de identificaciones para personas

                                                                                                                                        ShortSistema de codificación internacional
                                                                                                                                        Comments

                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                        Control1..1
                                                                                                                                        Typeuri
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                        Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        598. MedicationDispense.receiver.identifier.type.coding:InternationalCode.version
                                                                                                                                        Definition

                                                                                                                                        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.

                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                        Comments

                                                                                                                                        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.

                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                        Control0..0
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        600. MedicationDispense.receiver.identifier.type.coding:InternationalCode.code
                                                                                                                                        Definition

                                                                                                                                        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).

                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                        Control1..1
                                                                                                                                        Typecode
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                        Fixed ValuePN
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        602. MedicationDispense.receiver.identifier.type.coding:InternationalCode.display
                                                                                                                                        Definition

                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                        Control1..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                        Fixed ValuePerson number
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        604. MedicationDispense.receiver.identifier.type.coding:InternationalCode.userSelected
                                                                                                                                        Definition

                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                        Comments

                                                                                                                                        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.

                                                                                                                                        Control0..0
                                                                                                                                        Typeboolean
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        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.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        606. MedicationDispense.receiver.identifier.type.coding:ColombianCode
                                                                                                                                        Slice NameColombianCode
                                                                                                                                        Definition

                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                        Comments

                                                                                                                                        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 labeled as UserSelected = true.

                                                                                                                                        Control1..1
                                                                                                                                        BindingThe codes SHALL be taken from ValueSet: Colombian Person Identifier Codes
                                                                                                                                        (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
                                                                                                                                        TypeCoding
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        608. MedicationDispense.receiver.identifier.type.coding:ColombianCode.id
                                                                                                                                        Definition

                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                        Control0..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                        Summaryfalse
                                                                                                                                        610. MedicationDispense.receiver.identifier.type.coding:ColombianCode.extension
                                                                                                                                        Definition

                                                                                                                                        An Extension

                                                                                                                                        ShortExtension
                                                                                                                                        Control0..0
                                                                                                                                        TypeExtension
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                        SlicingThis element introduces a set of slices on MedicationDispense.receiver.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                        • value @ url
                                                                                                                                        • 612. MedicationDispense.receiver.identifier.type.coding:ColombianCode.system
                                                                                                                                          Definition

                                                                                                                                          Codificación colombiana de identificaciones para personas

                                                                                                                                          ShortSistema de codificación nacional
                                                                                                                                          Comments

                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                          Control1..1
                                                                                                                                          Typeuri
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                          LabelTipo identificación
                                                                                                                                          Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          614. MedicationDispense.receiver.identifier.type.coding:ColombianCode.version
                                                                                                                                          Definition

                                                                                                                                          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.

                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                          Control0..0
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          616. MedicationDispense.receiver.identifier.type.coding:ColombianCode.code
                                                                                                                                          Definition

                                                                                                                                          Colombian identifier type code. [ES: Código colombiano del tipo de identificación]

                                                                                                                                          ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                                                                                                                          Control1..1
                                                                                                                                          Typecode
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Must Supporttrue
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                          LabelCódigo
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          618. MedicationDispense.receiver.identifier.type.coding:ColombianCode.display
                                                                                                                                          Definition

                                                                                                                                          Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]

                                                                                                                                          ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                                                                                                                          Control1..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                          LabelTipo
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          620. MedicationDispense.receiver.identifier.type.coding:ColombianCode.userSelected
                                                                                                                                          Definition

                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control0..0
                                                                                                                                          Typeboolean
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          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.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          622. MedicationDispense.receiver.identifier.type.text
                                                                                                                                          Definition

                                                                                                                                          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.

                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                          Comments

                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                          Control0..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          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.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          624. MedicationDispense.receiver.identifier.system
                                                                                                                                          Definition

                                                                                                                                          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                                                                          ShortThe namespace for the identifier value
                                                                                                                                          Comments

                                                                                                                                          Identifier.system is always case sensitive.

                                                                                                                                          Control0..1
                                                                                                                                          Typeuri
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                                                          ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          626. MedicationDispense.receiver.identifier.value
                                                                                                                                          Definition

                                                                                                                                          Valor del documento de identificación colombiano

                                                                                                                                          ShortDocumento de identificación
                                                                                                                                          Comments

                                                                                                                                          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                                                          Control1..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Must Supporttrue
                                                                                                                                          Summarytrue
                                                                                                                                          LabelNúmero de identificación
                                                                                                                                          ExampleGeneral: 123456
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          628. MedicationDispense.receiver.identifier.period
                                                                                                                                          Definition

                                                                                                                                          Time period during which identifier is/was valid for use.

                                                                                                                                          ShortTime period when id is/was valid for use
                                                                                                                                          Control0..1
                                                                                                                                          TypePeriod
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summarytrue
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          630. MedicationDispense.receiver.identifier.assigner
                                                                                                                                          Definition

                                                                                                                                          Organization that issued/manages the identifier.

                                                                                                                                          ShortOrganization that issued id (may be just text)
                                                                                                                                          Comments

                                                                                                                                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                                                          Control0..1
                                                                                                                                          TypeReference(Organization)
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summarytrue
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          632. MedicationDispense.receiver.display
                                                                                                                                          Definition

                                                                                                                                          Nombre completo de la persona que recibe el medicamento.

                                                                                                                                          ShortNombre de la persona que recibe el medicamento
                                                                                                                                          Comments

                                                                                                                                          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.

                                                                                                                                          Control1..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Must Supporttrue
                                                                                                                                          Summarytrue
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          634. MedicationDispense.note
                                                                                                                                          Definition

                                                                                                                                          Extra information about the dispense that could not be conveyed in the other attributes.

                                                                                                                                          ShortInformation about the dispense
                                                                                                                                          Control0..*
                                                                                                                                          TypeAnnotation
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          636. MedicationDispense.dosageInstruction
                                                                                                                                          Definition

                                                                                                                                          Indicates how the medication is to be used by the patient.

                                                                                                                                          ShortHow the medication is to be used by the patient or administered by the caregiver
                                                                                                                                          Comments

                                                                                                                                          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. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.

                                                                                                                                          Control0..*
                                                                                                                                          TypeDosage
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          638. MedicationDispense.substitution
                                                                                                                                          Definition

                                                                                                                                          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. If nothing is specified, substitution was not done.

                                                                                                                                          ShortWhether a substitution was performed on the dispense
                                                                                                                                          Control0..0
                                                                                                                                          TypeBackboneElement
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          647. MedicationDispense.detectedIssue
                                                                                                                                          Definition

                                                                                                                                          Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.

                                                                                                                                          ShortClinical issue with action
                                                                                                                                          Comments

                                                                                                                                          This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.

                                                                                                                                          Control0..*
                                                                                                                                          TypeReference(DetectedIssue)
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate NamesContraindication, Drug Utilization Review (DUR), Alert
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          649. MedicationDispense.eventHistory
                                                                                                                                          Definition

                                                                                                                                          A summary of the events of interest that have occurred, such as when the dispense was verified.

                                                                                                                                          ShortA list of relevant lifecycle events
                                                                                                                                          Comments

                                                                                                                                          This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).

                                                                                                                                          Control0..*
                                                                                                                                          TypeReference(Provenance)
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))