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
| 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. |
| Short | Información acerca de la dispensaciónDispensing a medication to a named patient |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| Invariants | dom-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. |
| Short | A 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. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-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. |
| Short | Contained, 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. |
| Control | 0..0* |
| Type | Resource |
| Is Modifier | false |
| Summary | false |
| Alternate Names | inline 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). |
| Short | Extensions 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Summary | false |
| 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 Names | extensions, user content |
| Invariants | ele-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. |
| Short | Identificador de la dispensaciónExternal identifier |
| Comments | This is a business identifier, not a resource identifier. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 10..1* |
| Type | Identifier |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationDispense.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 10. MedicationDispense.identifier:DispenseIdentifier | |
| Slice Name | DispenseIdentifier |
| 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. |
| Short | External identifier |
| Comments | This is a business identifier, not a resource identifier. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1* |
| Type | Identifier |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | DispenseIdentifier |
| 14. MedicationDispense.identifier:DispenseIdentifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 0..01 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Invariants | ele-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. |
| Short | Sistema de identificación de la dispensaciónThe namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| 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. |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Número 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-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. |
| Short | Time period when id is/was valid for use |
| Control | 0..01 |
| Type | Period |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-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. |
| Short | Organization 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. |
| Control | 0..01 |
| Type | Reference(Organization) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. MedicationDispense.identifier:PendingIdentifier | |
| Slice Name | PendingIdentifier |
| 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. |
| Short | Identificador del pendienteExternal identifier |
| Comments | This is a business identifier, not a resource identifier. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1* |
| Type | Identifier |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | PendingIdentifier |
| 28. MedicationDispense.identifier:PendingIdentifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 0..01 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Invariants | ele-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. |
| Short | Sistema de identificación del pendienteThe namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| 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. |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Número 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-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. |
| Short | Time period when id is/was valid for use |
| Control | 0..01 |
| Type | Period |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-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. |
| Short | Organization 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. |
| Control | 0..01 |
| Type | Reference(Organization) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-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. |
| Short | Event that dispense is part of |
| Control | 0..0* |
| Type | Reference(Procedure) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | preparation | 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. |
| Control | 1..1 |
| Binding | The 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) |
| Type | code |
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-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. |
| Short | Why a dispense was not performed |
| Control | 0..1 |
| Binding | For 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. |
| Type | Choice of: CodeableConcept, Reference(DetectedIssue) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationDispense.statusReason[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 44. MedicationDispense.statusReason[x]:statusReasonCodeableConcept | |
| Slice Name | statusReasonCodeableConcept |
| 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. |
| Short | Causas de no entregaWhy a dispense was not performed |
| Control | 0..1 |
| Binding | The 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) |
| Type | CodeableConcept, Reference(DetectedIssue) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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)). |
| Short | Type 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. |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-category (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category) |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Código 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. |
| Control | 1..1 |
| Binding | For 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. |
| Type | CodeableConcept, Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-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. |
| Short | Code 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. |
| Control | 10..3* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationDispense.medication[x].coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 52. MedicationDispense.medication[x].coding:CUMS | |
| Slice Name | CUMS |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 0..1* |
| Binding | The codes SHALL be taken from For codes, see Codificacion CUMS (required to https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS) |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Identity 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS |
| Invariants | ele-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). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 58. MedicationDispense.medication[x].coding:DCI | |
| Slice Name | DCI |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 0..1* |
| Binding | The 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) |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Identity 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN |
| Invariants | ele-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). |
| Short | Código del medicamento (DCI)Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Label | Código del medicamento (DCI) |
| Invariants | ele-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. |
| Short | Representation defined by the system |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Label | Res. 1888 / Elemento: 26 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 66. MedicationDispense.medication[x].coding:IUM | |
| Slice Name | IUM |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 0..1* |
| Binding | The 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) |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Identity 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/IUM |
| Invariants | ele-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). |
| Short | Código del medicamento (IUM)Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Label | Res. 1888 / Elemento: 24.2 |
| Invariants | ele-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. |
| Short | Nombre del medicamentoRepresentation defined by the system |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Label | Res. 1888 / Elemento: 24.3 |
| Invariants | ele-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. |
| Short | Referencia al paciente a quien se prescribe u ordena la programaciónWho the dispense is for |
| Comments | SubstanceAdministration->subject->Patient. |
| Control | 10..1 |
| Type | Reference(Paciente (Patient) RDA, Patient, Group) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-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. |
| Short | Referencia 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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). |
| Short | Type 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. |
| Control | 10..1 |
| Binding | Unless 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). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Fixed Value | Patient |
| Invariants | ele-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. |
| Short | Identificación 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Label | Identificación nacional del paciente |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | NationalPersonIdentifier-0 |
| 84. MedicationDispense.subject.identifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 10..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Fixed Value | official |
| Invariants | ele-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. |
| Short | Description 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. |
| Control | 10..1 |
| Binding | Unless 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. |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows users to make use of identifiers when the identifier system is not known. |
| Invariants | ele-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. |
| Short | Code 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. |
| Control | 20..2* |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This 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: |
| 90. MedicationDispense.subject.identifier.type.coding:InternationalCode | |
| Slice Name | InternationalCode |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 10..1* |
| Binding | Unless not suitable, these codes SHALL be taken from For codes, see Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type) |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Sistema 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | http://terminology.hl7.org/CodeSystem/v2-0203 |
| Invariants | ele-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). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Fixed Value | PN |
| Invariants | ele-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. |
| Short | Representation defined by the system |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Fixed Value | Person number |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 98. MedicationDispense.subject.identifier.type.coding:ColombianCode | |
| Slice Name | ColombianCode |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 10..1* |
| Binding | The codes SHALL be taken from For codes, see ValueSet: Colombian Person Identifier Codes (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes) |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Sistema 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Label | Tipo identificación |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier |
| Invariants | ele-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). |
| Short | CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SISymbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Label | Elemento: 2.1 |
| Alternate Names | Tipo de documento de identificación |
| Invariants | ele-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. |
| Short | Cédula de ciudadanía | Tarjeta de identidad | Registro civil +Representation defined by the system |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Label | Elemento: 2.1 |
| Invariants | ele-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. |
| Short | The namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Número 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Label | Elemento: 2.2 |
| Alternate Names | Identificación del paciente |
| Example | General: 123456 |
| Invariants | ele-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. |
| Short | Nombre 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. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Label | Elementos: 3.1, 3.2, 3.3 y 3.4 |
| Invariants | ele-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. |
| Short | Encounter / Episode associated with event |
| Control | 0..1 |
| Type | Reference(Encuentro de atención ambulatoria (Encounter) RDA, Encuentro de atención de urgencias en salud (Encounter) RDA, Encuentro de hospitalización (Encounter) RDA, Encounter, EpisodeOfCare) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Referencias a información de soporte de la dispensaciónInformation that supports the dispensing of the medication |
| Control | 20..* |
| Type | Reference(Resource) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 116. MedicationDispense.supportingInformation:ReferenceRDA | |
| Slice Name | ReferenceRDA |
| 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. |
| Short | Referencia al código VIDA del documento RDA que originó la prescripción de medicamentosInformation that supports the dispensing of the medication |
| Control | 0..1* |
| Type | Reference(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 Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | ReferenceRDA |
| 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. |
| Short | Literal 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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). |
| Short | Type 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. |
| Control | 10..1 |
| Binding | Unless 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). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Fixed Value | Composition |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 124. MedicationDispense.supportingInformation:PrescriberPractitioner | |
| Slice Name | PrescriberPractitioner |
| 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. |
| Short | Referencia al profesional de la salud que realizó la prescripción del medicamentoInformation that supports the dispensing of the medication |
| Control | 10..1* |
| Type | Reference(Profesional de salud (Practitioner) RDA, Resource) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | PrescriberPractitioner |
| 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. |
| Short | Literal 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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). |
| Short | Type 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. |
| Control | 10..1 |
| Binding | Unless 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). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Fixed Value | Practitioner |
| Invariants | ele-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. |
| Short | Identificación 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Label | Identificación prescriptor |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | PrescriberIdentifier |
| 136. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 10..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Fixed Value | official |
| Invariants | ele-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. |
| Short | The namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Valor 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 142. MedicationDispense.supportingInformation:CareDeliveryOrganization | |
| Slice Name | CareDeliveryOrganization |
| 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. |
| Short | Referencia a la organización de atención en salud donde se realizó la prescripción del medicamentoInformation that supports the dispensing of the medication |
| Control | 10..1* |
| Type | Reference(Institución Prestadora de Servicios de Salud (Organization) RDA, Resource) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | CareDeliveryOrganization |
| 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. |
| Short | Literal 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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). |
| Short | Type 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. |
| Control | 10..1 |
| Binding | Unless 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). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Fixed Value | Organization |
| Invariants | ele-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. |
| Short | Identificación 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Label | Identificación IPS |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | OrganizationIdentifier |
| 154. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 10..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Fixed Value | official |
| Invariants | ele-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. |
| Short | The namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/REPS |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Valor 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 160. MedicationDispense.supportingInformation:CareDeliveryLocation | |
| Slice Name | CareDeliveryLocation |
| 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. |
| Short | Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamentoInformation that supports the dispensing of the medication |
| Control | 0..1* |
| Type | Reference(Punto de atención en salud (Location) RDA, Resource) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | CareDeliveryLocation |
| 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. |
| Short | Literal 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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). |
| Short | Type 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. |
| Control | 10..1 |
| Binding | Unless 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). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Fixed Value | Location |
| Invariants | ele-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. |
| Short | Identificador 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Label | Identificación sede |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | LocationIdentifier |
| 172. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 10..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Fixed Value | official |
| Invariants | ele-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. |
| Short | The namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/REPS |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Valor 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-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. |
| Short | Who performed event |
| Control | 10..2* |
| Type | BackboneElement |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationDispense.performer. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 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). |
| Short | Extensions 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| 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 Names | extensions, user content, modifiers |
| Invariants | ele-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. |
| Short | Individual who was performing |
| Control | 1..1 |
| Type | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 184. MedicationDispense.performer:HealthTechProviderOrganization | |
| Slice Name | HealthTechProviderOrganization |
| Definition | Referencia al Gestor Farmacéutico que realizó la entrega del medicamento al paciente. Indicates who or what performed the event. |
| Short | Gestor farmacéutico que realizó la dispensaciónWho performed event |
| Control | 10..1* |
| Type | BackboneElement |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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). |
| Short | Extensions 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| 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 Names | extensions, user content, modifiers |
| Invariants | ele-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. |
| Short | Who performed the dispense and what they did |
| Control | 10..1 |
| Binding | The 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) |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | false |
| Requirements | Allows disambiguation of the types of involvement of different performers. |
| Invariants | ele-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. |
| Short | Code 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. |
| Control | 10..1* |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Identity 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction |
| Invariants | ele-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). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Fixed Value | dispenser |
| Invariants | ele-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. |
| Short | Referencia al Gestor FarmacéuticoIndividual who was performing |
| Control | 1..1 |
| Type | Reference(Proveedor de Tecnología en Salud PTS (Organization), Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 198. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA | |
| Slice Name | HealthBenefitPlanAdminOrganizationRDA |
| 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. |
| Short | EAPB que direccionó la dispensaciónWho performed event |
| Control | 0..1* |
| Type | BackboneElement |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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). |
| Short | Extensions 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| 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 Names | extensions, user content, modifiers |
| Invariants | ele-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. |
| Short | Who performed the dispense and what they did |
| Control | 10..1 |
| Binding | The 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) |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | false |
| Requirements | Allows disambiguation of the types of involvement of different performers. |
| Invariants | ele-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. |
| Short | Code 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. |
| Control | 10..1* |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Identity 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction |
| Invariants | ele-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). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Fixed Value | payer |
| Invariants | ele-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. |
| Short | Referencia a la EAPBIndividual who was performing |
| Control | 1..1 |
| Type | Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA, Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Where the dispense occurred |
| Control | 0..1 |
| Type | Reference(Punto de dispensación (Location), Location) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Medication order that authorizes the dispense |
| Comments | Maps to basedOn in Event logical model. |
| Control | 10..* |
| Type | Reference(MedicationRequest) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 216. MedicationDispense.authorizingPrescription:MedicationRequestRDA | |
| Slice Name | MedicationRequestRDA |
| Definition | Número identificador de la orden médica (prescripción) asociada. Indicates the medication order that is being dispensed against. |
| Short | Identificador de la prescripciónMedication order that authorizes the dispense |
| Comments | Maps to basedOn in Event logical model. |
| Control | 10..1* |
| Type | Reference(Prescripción de Medicamentos (MedicationRequest) RDA, MedicationRequest) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | MedicationRequestRDA |
| 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. |
| Short | Referencia 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. |
| Control | 0..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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. |
| Short | Identificador 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-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. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 0..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Invariants | ele-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. |
| Short | Sistema de identificación de la prescripciónThe namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| 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. |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Número 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 230. MedicationDispense.authorizingPrescription:MedicationRequestAddressing | |
| Slice Name | MedicationRequestAddressing |
| Definition | Número identificador del direccionamiento asociado. Indicates the medication order that is being dispensed against. |
| Short | Identificador del direccionamientoMedication order that authorizes the dispense |
| Comments | Maps to basedOn in Event logical model. |
| Control | 0..1* |
| Type | Reference(Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing, MedicationRequest) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | MedicationRequestAddressing |
| 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. |
| Short | Referencia 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. |
| Control | 0..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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. |
| Short | Identificador 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-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. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 0..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Invariants | ele-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. |
| Short | Sistema de identificación del direccionamientoThe namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| 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. |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Número 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 244. MedicationDispense.authorizingPrescription:MedicationRequestScheduling | |
| Slice Name | MedicationRequestScheduling |
| Definition | Número identificador dela programación asociada Indicates the medication order that is being dispensed against. |
| Short | Identificador de la programaciónMedication order that authorizes the dispense |
| Comments | Maps to basedOn in Event logical model. |
| Control | 0..1* |
| Type | Reference(Programación de la dispensación de Medicamentos (MedicationRequest) Scheduling, MedicationRequest) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Pattern Value | MedicationRequestScheduling |
| 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. |
| Short | Referencia 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. |
| Control | 0..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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. |
| Short | Identificador 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-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. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 0..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Invariants | ele-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. |
| Short | Sistema de identificación de la programaciónThe namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| 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. |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-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. |
| Short | Número 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-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. |
| Short | Tipo de suministro farmacéuticoTrial fill, partial fill, emergency fill, etc. |
| Control | 10..1 |
| Binding | The 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) |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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. |
| Short | Code 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. |
| Control | 10..1* |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | Identity 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/PharmacySupplyType |
| Invariants | ele-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). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-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. |
| Short | Representation defined by the system |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Invariants | ele-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. |
| Short | Amount dispensed |
| Control | 0..1 |
| Binding | The codes SHALL be taken from For codes, see ValueSet: Mipres Dispense Unit (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes) |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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. |
| Short | ExtensionAdditional 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. |
| Control | 10..1* |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on MedicationDispense.quantity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 272. MedicationDispense.quantity.extension:ExtensionMedicationDispenseQuantity | |
| Slice Name | ExtensionMedicationDispenseQuantity |
| 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 |
| Short | Cantidad total de medicamentos programados para entrega |
| Control | 1..1 |
| Type | Extension(Extension: ExtensionMedicationDispenseQuantity) (Extension Type: Quantity(SimpleQuantity)) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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. |
| Short | Numerical 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). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-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 |
| Control | 0..01 |
| Binding | The 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. |
| Type | code |
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| 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 Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-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. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-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. |
| Short | System that defines coded unit form |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit |
| Invariants | ele-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. |
| Short | Coded 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. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| 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. |
| Invariants | ele-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. |
| Short | When product was given out |
| Control | 10..1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-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. |
| Short | Quien recibe el medicamentoWho collected the medication |
| Control | 0..* |
| Type | Reference(Paciente (Patient) RDA, Patient, Practitioner) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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. |
| Short | Identificación 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). |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 10..1 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Label | Identificación nacional del paciente |
| Invariants | ele-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. |
| Short | Unique id for inter-element referencing |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | NationalPersonIdentifier-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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on MedicationDispense.receiver.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 294. MedicationDispense.receiver.identifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 10..1 |
| Binding | The 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 . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Fixed Value | official |
| Invariants | ele-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. |
| Short | Description 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. |
| Control | 10..1 |
| Binding | Unless 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. |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows users to make use of identifiers when the identifier system is not known. |
| Invariants | ele-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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This 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: |
| 300. MedicationDispense.receiver.identifier.type.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 20..2* |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This 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: |
| 302. MedicationDispense.receiver.identifier.type.coding:InternationalCode | |
| Slice Name | InternationalCode |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 10..1* |
| Binding | Unless not suitable, these codes SHALL be taken from For codes, see Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type) |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This 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: |
| 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. |
| Short | Sistema 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Fixed Value | http://terminology.hl7.org/CodeSystem/v2-0203 |
| Invariants | ele-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. |
| Short | Version 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. |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..01 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-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). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Fixed Value | PN |
| Invariants | ele-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. |
| Short | Representation defined by the system |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Fixed Value | Person number |
| Invariants | ele-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). |
| Short | If 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. |
| Control | 0..01 |
| Type | boolean |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| 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. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 316. MedicationDispense.receiver.identifier.type.coding:ColombianCode | |
| Slice Name | ColombianCode |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code 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. |
| Control | 10..1* |
| Binding | The codes SHALL be taken from For codes, see ValueSet: Colombian Person Identifier Codes (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes) |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This 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: |
| 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. |
| Short | Sistema 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. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Label | Tipo identificación |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier |
| Invariants | ele-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. |
| Short | Version 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. |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..01 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-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). |
| Short | CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SISymbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Label | Código |
| Invariants | ele-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. |
| Short | Cédula de ciudadanía | Tarjeta de identidad | Registro civil +Representation defined by the system |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Label | Tipo |
| Invariants | ele-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). |
| Short | If 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. |
| Control | 0..01 |
| Type | boolean |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| 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. |
| Invariants | ele-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. |
| Short | 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Label | Número de identificación |
| Example | General: 123456 |
| Invariants | ele-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. |
| Short | Nombre 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. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-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. |
| Short | Whether a substitution was performed on the dispense |
| Control | 0..01 |
| Type | BackboneElement |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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 |
| Short | Información acerca de la dispensación |
| 2. MedicationDispense.meta | |
| 4. MedicationDispense.meta.profile | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA |
| 6. MedicationDispense.contained | |
| Control | 0..0 |
| 8. MedicationDispense.identifier | |
| Definition | Número interno de la dispensación asignado en el Gestor Farmacéutico |
| Short | Identificador de la dispensación |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..1 |
| Slicing | This element introduces a set of slices on MedicationDispense.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 10. MedicationDispense.identifier:DispenseIdentifier | |
| Slice Name | DispenseIdentifier |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| 12. MedicationDispense.identifier:DispenseIdentifier.id | |
| Control | 1..? |
| Pattern Value | DispenseIdentifier |
| 14. MedicationDispense.identifier:DispenseIdentifier.use | |
| Control | 0..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. |
| Short | Sistema de identificación de la dispensación |
| Control | 1..? |
| Must Support | true |
| 18. MedicationDispense.identifier:DispenseIdentifier.value | |
| Definition | Número interno de la dispensación asignado en el Gestor Farmacéutico |
| Short | Número identificador de la dispensación |
| Control | 1..? |
| Must Support | true |
| 20. MedicationDispense.identifier:DispenseIdentifier.period | |
| Control | 0..0 |
| 22. MedicationDispense.identifier:DispenseIdentifier.assigner | |
| Control | 0..0 |
| 24. MedicationDispense.identifier:PendingIdentifier | |
| Slice Name | PendingIdentifier |
| Definition | Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico |
| Short | Identificador del pendiente |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| 26. MedicationDispense.identifier:PendingIdentifier.id | |
| Control | 1..? |
| Pattern Value | PendingIdentifier |
| 28. MedicationDispense.identifier:PendingIdentifier.use | |
| Control | 0..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. |
| Short | Sistema de identificación del pendiente |
| Control | 1..? |
| Must Support | true |
| 32. MedicationDispense.identifier:PendingIdentifier.value | |
| Definition | Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico |
| Short | Número identificador del pendiente |
| Control | 1..? |
| Must Support | true |
| 34. MedicationDispense.identifier:PendingIdentifier.period | |
| Control | 0..0 |
| 36. MedicationDispense.identifier:PendingIdentifier.assigner | |
| Control | 0..0 |
| 38. MedicationDispense.partOf | |
| Control | 0..0 |
| 40. MedicationDispense.status | |
| Binding | The 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] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Slicing | This element introduces a set of slices on MedicationDispense.statusReason[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 44. MedicationDispense.statusReason[x]:statusReasonCodeableConcept | |
| Slice Name | statusReasonCodeableConcept |
| Definition | Código que indica la causa por la cual no se realizó la entrega del medicamento. Obligatorio cuando status no es #completed. |
| Short | Causas de no entrega |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ValueSet: Mipres Causas no direccionamiento (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes) |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 46. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding | |
| 48. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.system | |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento |
| 50. MedicationDispense.category | |
| Binding | The 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 |
| Short | Código de medicamento (IUM, CUM o DCI) |
| Type | CodeableConcept, Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 54. MedicationDispense.medication[x].coding | |
| Control | 1..3 |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationDispense.medication[x].coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 56. MedicationDispense.medication[x].coding:CUMS | |
| Slice Name | CUMS |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Codificacion CUMS (required to https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS) |
| 58. MedicationDispense.medication[x].coding:CUMS.system | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS |
| 60. MedicationDispense.medication[x].coding:CUMS.code | |
| Control | 1..? |
| 62. MedicationDispense.medication[x].coding:DCI | |
| Slice Name | DCI |
| Control | 0..1 |
| Binding | The 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 | |
| Control | 1..? |
| Fixed Value | https://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. |
| Short | Código del medicamento (DCI) |
| Control | 1..? |
| Label | Código del medicamento (DCI) |
| 68. MedicationDispense.medication[x].coding:DCI.display | |
| Label | Res. 1888 / Elemento: 26 |
| 70. MedicationDispense.medication[x].coding:IUM | |
| Slice Name | IUM |
| Control | 0..1 |
| Binding | The 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 | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/IUM |
| 74. MedicationDispense.medication[x].coding:IUM.code | |
| Short | Código del medicamento (IUM) |
| Control | 1..? |
| Must Support | true |
| Label | Res. 1888 / Elemento: 24.2 |
| 76. MedicationDispense.medication[x].coding:IUM.display | |
| Short | Nombre del medicamento |
| Must Support | true |
| Label | Res. 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. |
| Short | Referencia al paciente a quien se prescribe u ordena la programación |
| Control | 1..? |
| Type | Reference(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. |
| Short | Referencia al paciente a quien se prescribe u ordena la programación |
| Control | 1..? |
| Must Support | true |
| 82. MedicationDispense.subject.type | |
| Control | 1..? |
| Fixed Value | Patient |
| 84. MedicationDispense.subject.identifier | |
| Definition | Identificación de la persona que desempeña el rol de paciente |
| Short | Identificación del paciente |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Label | Identificación nacional del paciente |
| 86. MedicationDispense.subject.identifier.id | |
| Control | 1..? |
| Pattern Value | NationalPersonIdentifier-0 |
| 88. MedicationDispense.subject.identifier.use | |
| Control | 1..? |
| Fixed Value | official |
| 90. MedicationDispense.subject.identifier.type | |
| Control | 1..? |
| 92. MedicationDispense.subject.identifier.type.coding | |
| Control | 2..2 |
| Slicing | This 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: |
| 94. MedicationDispense.subject.identifier.type.coding:InternationalCode | |
| Slice Name | InternationalCode |
| Control | 1..1 |
| Binding | Unless 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 |
| Short | Sistema de codificación internacional |
| Control | 1..? |
| Fixed Value | http://terminology.hl7.org/CodeSystem/v2-0203 |
| 98. MedicationDispense.subject.identifier.type.coding:InternationalCode.code | |
| Control | 1..? |
| Fixed Value | PN |
| 100. MedicationDispense.subject.identifier.type.coding:InternationalCode.display | |
| Control | 1..? |
| Fixed Value | Person number |
| 102. MedicationDispense.subject.identifier.type.coding:ColombianCode | |
| Slice Name | ColombianCode |
| Control | 1..1 |
| Binding | The 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 |
| Short | Sistema de codificación colombiano |
| Control | 1..? |
| Label | Tipo identificación |
| Fixed Value | https://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 |
| Short | CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI |
| Control | 1..? |
| Must Support | true |
| Label | Elemento: 2.1 |
| Alternate Names | Tipo 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 |
| Short | Cédula de ciudadanía | Tarjeta de identidad | Registro civil + |
| Control | 1..? |
| Label | Elemento: 2.1 |
| 110. MedicationDispense.subject.identifier.system | |
| Pattern Value | https://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 |
| Short | Número de documento de identificación |
| Control | 1..? |
| Must Support | true |
| Label | Elemento: 2.2 |
| Alternate Names | Identificación 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. |
| Short | Nombre del paciente |
| Must Support | true |
| Label | Elementos: 3.1, 3.2, 3.3 y 3.4 |
| 116. MedicationDispense.context | |
| Type | Reference(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. |
| Short | Referencias a información de soporte de la dispensación |
| Control | 2..? |
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 120. MedicationDispense.supportingInformation:ReferenceRDA | |
| Slice Name | ReferenceRDA |
| 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. |
| Short | Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos |
| Control | 0..1 |
| Type | Reference(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 | |
| Control | 1..? |
| Pattern Value | ReferenceRDA |
| 124. MedicationDispense.supportingInformation:ReferenceRDA.reference | |
| Control | 1..? |
| Must Support | true |
| 126. MedicationDispense.supportingInformation:ReferenceRDA.type | |
| Control | 1..? |
| Fixed Value | Composition |
| 128. MedicationDispense.supportingInformation:PrescriberPractitioner | |
| Slice Name | PrescriberPractitioner |
| Definition | Referencia al profesional de la salud que realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Practitioner del RDA. |
| Short | Referencia al profesional de la salud que realizó la prescripción del medicamento |
| Control | 1..1 |
| Type | Reference(Profesional de salud (Practitioner) RDA) |
| 130. MedicationDispense.supportingInformation:PrescriberPractitioner.id | |
| Control | 1..? |
| Pattern Value | PrescriberPractitioner |
| 132. MedicationDispense.supportingInformation:PrescriberPractitioner.reference | |
| Control | 1..? |
| Must Support | true |
| 134. MedicationDispense.supportingInformation:PrescriberPractitioner.type | |
| Control | 1..? |
| Fixed Value | Practitioner |
| 136. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier | |
| Definition | Identificación del profesional de la salud que realizó la prescripción del medicamento |
| Short | Identificación del profesional de la salud |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Label | Identificación prescriptor |
| 138. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.id | |
| Control | 1..? |
| Fixed Value | PrescriberIdentifier |
| 140. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.use | |
| Control | 1..? |
| Fixed Value | official |
| 142. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.system | |
| Control | 1..? |
| Fixed Value | https://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 |
| Short | Valor de la identificación |
| Control | 1..? |
| Must Support | true |
| 146. MedicationDispense.supportingInformation:CareDeliveryOrganization | |
| Slice Name | CareDeliveryOrganization |
| 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. |
| Short | Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento |
| Control | 1..1 |
| Type | Reference(Institución Prestadora de Servicios de Salud (Organization) RDA) |
| 148. MedicationDispense.supportingInformation:CareDeliveryOrganization.id | |
| Control | 1..? |
| Pattern Value | CareDeliveryOrganization |
| 150. MedicationDispense.supportingInformation:CareDeliveryOrganization.reference | |
| Control | 1..? |
| Must Support | true |
| 152. MedicationDispense.supportingInformation:CareDeliveryOrganization.type | |
| Control | 1..? |
| Fixed Value | Organization |
| 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 |
| Short | Identificación de la organización de atención en salud |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Label | Identificación IPS |
| 156. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.id | |
| Control | 1..? |
| Fixed Value | OrganizationIdentifier |
| 158. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.use | |
| Control | 1..? |
| Fixed Value | official |
| 160. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.system | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/NamingSystem/REPS |
| 162. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.value | |
| Definition | Valor del identificador de la organización de atención en salud |
| Short | Valor del identificador |
| Control | 1..? |
| Must Support | true |
| 164. MedicationDispense.supportingInformation:CareDeliveryLocation | |
| Slice Name | CareDeliveryLocation |
| 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. |
| Short | Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento |
| Control | 0..1 |
| Type | Reference(Punto de atención en salud (Location) RDA) |
| 166. MedicationDispense.supportingInformation:CareDeliveryLocation.id | |
| Control | 1..? |
| Pattern Value | CareDeliveryLocation |
| 168. MedicationDispense.supportingInformation:CareDeliveryLocation.reference | |
| Control | 1..? |
| Must Support | true |
| 170. MedicationDispense.supportingInformation:CareDeliveryLocation.type | |
| Control | 1..? |
| Fixed Value | Location |
| 172. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier | |
| Definition | Identificador del punto de atención en salud (sede) |
| Short | Identificador del punto de atención en salud (sede) |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Label | Identificación sede |
| 174. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.id | |
| Control | 1..? |
| Fixed Value | LocationIdentifier |
| 176. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.use | |
| Control | 1..? |
| Fixed Value | official |
| 178. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.system | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/NamingSystem/REPS |
| 180. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.value | |
| Definition | Valor del identificador del punto de atención en salud (sede) |
| Short | Valor del identificador |
| Control | 1..? |
| Must Support | true |
| 182. MedicationDispense.performer | |
| Control | 1..2 |
| Slicing | This element introduces a set of slices on MedicationDispense.performer. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 184. MedicationDispense.performer:HealthTechProviderOrganization | |
| Slice Name | HealthTechProviderOrganization |
| Definition | Referencia al Gestor Farmacéutico que realizó la entrega del medicamento al paciente. |
| Short | Gestor farmacéutico que realizó la dispensación |
| Control | 1..1 |
| 186. MedicationDispense.performer:HealthTechProviderOrganization.function | |
| Control | 1..? |
| Binding | The 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 | |
| Control | 1..1 |
| 190. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.system | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction |
| 192. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.code | |
| Control | 1..? |
| Fixed Value | dispenser |
| 194. MedicationDispense.performer:HealthTechProviderOrganization.actor | |
| Definition | Referencia a la organización que actúa como Gestor Farmacéutico y realizó la dispensación. |
| Short | Referencia al Gestor Farmacéutico |
| Type | Reference(Proveedor de Tecnología en Salud PTS (Organization)) |
| 196. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA | |
| Slice Name | HealthBenefitPlanAdminOrganizationRDA |
| Definition | Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación. |
| Short | EAPB que direccionó la dispensación |
| Control | 0..1 |
| 198. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function | |
| Control | 1..? |
| Binding | The 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 | |
| Control | 1..1 |
| 202. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.system | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction |
| 204. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.code | |
| Control | 1..? |
| Fixed Value | payer |
| 206. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.actor | |
| Definition | Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación. |
| Short | Referencia a la EAPB |
| Type | Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA) |
| 208. MedicationDispense.location | |
| Type | Reference(Punto de dispensación (Location)) |
| 210. MedicationDispense.authorizingPrescription | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 212. MedicationDispense.authorizingPrescription:MedicationRequestRDA | |
| Slice Name | MedicationRequestRDA |
| Definition | Número identificador de la orden médica (prescripción) asociada. |
| Short | Identificador de la prescripción |
| Control | 1..1 |
| Type | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) |
| 214. MedicationDispense.authorizingPrescription:MedicationRequestRDA.id | |
| Control | 1..? |
| Pattern Value | MedicationRequestRDA |
| 216. MedicationDispense.authorizingPrescription:MedicationRequestRDA.reference | |
| Definition | Referencia al recurso MedicationRequestRDA que contiene la prescripción original del RDA. |
| Short | Referencia a la prescripción original |
| Must Support | true |
| 218. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier | |
| Definition | Número identificador de la orden médica (prescripción). |
| Short | Identificador de la prescripción |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| 220. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.system | |
| Definition | Sistema de identificación de la prescripción. |
| Short | Sistema de identificación de la prescripción |
| Control | 1..? |
| Must Support | true |
| 222. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.value | |
| Definition | Número de la orden médica (prescripción). |
| Short | Número de la prescripción |
| Control | 1..? |
| Must Support | true |
| 224. MedicationDispense.authorizingPrescription:MedicationRequestAddressing | |
| Slice Name | MedicationRequestAddressing |
| Definition | Número identificador del direccionamiento asociado. |
| Short | Identificador del direccionamiento |
| Control | 0..1 |
| Type | Reference(Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing) |
| 226. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.id | |
| Control | 1..? |
| Pattern Value | MedicationRequestAddressing |
| 228. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.reference | |
| Definition | Referencia al recurso MedicationRequestAddressing que contiene el direccionamiento de la prescripción. |
| Short | Referencia al direccionamiento |
| Must Support | true |
| 230. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier | |
| Definition | Número identificador del direccionamiento. |
| Short | Identificador del direccionamiento |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| 232. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.system | |
| Definition | Sistema de identificación del direccionamiento. |
| Short | Sistema de identificación del direccionamiento |
| Control | 1..? |
| Must Support | true |
| 234. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.value | |
| Definition | Número del direccionamiento. |
| Short | Número del direccionamiento |
| Control | 1..? |
| Must Support | true |
| 236. MedicationDispense.authorizingPrescription:MedicationRequestScheduling | |
| Slice Name | MedicationRequestScheduling |
| Definition | Número identificador dela programación asociada |
| Short | Identificador de la programación |
| Control | 0..1 |
| Type | Reference(Programación de la dispensación de Medicamentos (MedicationRequest) Scheduling) |
| 238. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.id | |
| Control | 1..? |
| Pattern Value | MedicationRequestScheduling |
| 240. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.reference | |
| Definition | URL o ID relativo del recurso MedicationRequestScheduling que contiene la programación de la dispensación. |
| Short | Referencia a la programación |
| Must Support | true |
| 242. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier | |
| Definition | Número identificador de la programación |
| Short | Identificador de la programación |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| 244. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.system | |
| Definition | Sistema de identificación de la programación. |
| Short | Sistema de identificación de la programación |
| Control | 1..? |
| Must Support | true |
| 246. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.value | |
| Definition | Número de la programación. |
| Short | Número de la programación |
| Control | 1..? |
| Must Support | true |
| 248. MedicationDispense.type | |
| Definition | Clasifica el tipo de dispensación |
| Short | Tipo de suministro farmacéutico |
| Control | 1..? |
| Binding | The codes SHALL be taken from ValueSet: Pharmacy Supply Type Codes (required to https://fhir.minsalud.gov.co/rda/ValueSet/PharmacySupplyTypeCodes) |
| Must Support | true |
| 250. MedicationDispense.type.coding | |
| Control | 1..1 |
| 252. MedicationDispense.type.coding.system | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/PharmacySupplyType |
| 254. MedicationDispense.type.coding.code | |
| Control | 1..? |
| Must Support | true |
| 256. MedicationDispense.type.coding.display | |
| Control | 1..? |
| 258. MedicationDispense.quantity | |
| Binding | The codes SHALL be taken from ValueSet: Mipres Dispense Unit (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes) |
| Must Support | true |
| 260. MedicationDispense.quantity.extension | |
| Control | 1..1 |
| Must Support | true |
| 262. MedicationDispense.quantity.extension:ExtensionMedicationDispenseQuantity | |
| Slice Name | ExtensionMedicationDispenseQuantity |
| 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 |
| Short | Cantidad total de medicamentos programados para entrega |
| Control | 1..1 |
| Type | Extension(Extension: ExtensionMedicationDispenseQuantity) (Extension Type: Quantity(SimpleQuantity)) |
| Must Support | true |
| 264. MedicationDispense.quantity.value | |
| Control | 1..? |
| Must Support | true |
| 266. MedicationDispense.quantity.unit | |
| Must Support | true |
| 268. MedicationDispense.quantity.system | |
| Control | 1..? |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit |
| 270. MedicationDispense.quantity.code | |
| Control | 1..? |
| Must Support | true |
| 272. MedicationDispense.whenHandedOver | |
| Control | 1..? |
| 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. |
| Short | Quien recibe el medicamento |
| Type | Reference(Paciente (Patient) RDA) |
| 276. MedicationDispense.receiver.identifier | |
| Definition | Identificación nacional de la persona que desempeña el rol de paciente |
| Short | Identificación nacional de la persona |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..? |
| Label | Identificación nacional del paciente |
| 278. MedicationDispense.receiver.identifier.id | |
| Control | 1..? |
| Fixed Value | NationalPersonIdentifier-0 |
| 280. MedicationDispense.receiver.identifier.extension | |
| Control | 0..0 |
| 282. MedicationDispense.receiver.identifier.use | |
| Control | 1..? |
| Fixed Value | official |
| 284. MedicationDispense.receiver.identifier.type | |
| Control | 1..? |
| 286. MedicationDispense.receiver.identifier.type.extension | |
| Control | 0..0 |
| 288. MedicationDispense.receiver.identifier.type.coding | |
| Control | 2..2 |
| Slicing | This 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: |
| 290. MedicationDispense.receiver.identifier.type.coding:InternationalCode | |
| Slice Name | InternationalCode |
| Control | 1..1 |
| Binding | Unless 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 | |
| Control | 0..0 |
| 294. MedicationDispense.receiver.identifier.type.coding:InternationalCode.system | |
| Definition | Codificación internacional de identificaciones para personas |
| Short | Sistema de codificación internacional |
| Control | 1..? |
| Fixed Value | http://terminology.hl7.org/CodeSystem/v2-0203 |
| 296. MedicationDispense.receiver.identifier.type.coding:InternationalCode.version | |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..0 |
| 298. MedicationDispense.receiver.identifier.type.coding:InternationalCode.code | |
| Control | 1..? |
| Fixed Value | PN |
| 300. MedicationDispense.receiver.identifier.type.coding:InternationalCode.display | |
| Control | 1..? |
| Fixed Value | Person number |
| 302. MedicationDispense.receiver.identifier.type.coding:InternationalCode.userSelected | |
| Control | 0..0 |
| 304. MedicationDispense.receiver.identifier.type.coding:ColombianCode | |
| Slice Name | ColombianCode |
| Control | 1..1 |
| Binding | The 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 | |
| Control | 0..0 |
| 308. MedicationDispense.receiver.identifier.type.coding:ColombianCode.system | |
| Definition | Codificación colombiana de identificaciones para personas |
| Short | Sistema de codificación nacional |
| Control | 1..? |
| Label | Tipo identificación |
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier |
| 310. MedicationDispense.receiver.identifier.type.coding:ColombianCode.version | |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..0 |
| 312. MedicationDispense.receiver.identifier.type.coding:ColombianCode.code | |
| Definition | Colombian identifier type code. [ES: Código colombiano del tipo de identificación] |
| Short | CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI |
| Control | 1..? |
| Must Support | true |
| Label | Código |
| 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] |
| Short | Cédula de ciudadanía | Tarjeta de identidad | Registro civil + |
| Control | 1..? |
| Label | Tipo |
| 316. MedicationDispense.receiver.identifier.type.coding:ColombianCode.userSelected | |
| Control | 0..0 |
| 318. MedicationDispense.receiver.identifier.value | |
| Definition | Valor del documento de identificación colombiano |
| Short | Documento de identificación |
| Control | 1..? |
| Must Support | true |
| Label | Número de identificación |
| 320. MedicationDispense.receiver.display | |
| Definition | Nombre completo de la persona que recibe el medicamento. |
| Short | Nombre de la persona que recibe el medicamento |
| Control | 1..? |
| Must Support | true |
| 322. MedicationDispense.substitution | |
| Control | 0..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 | ||||
| Short | Información acerca de la dispensación | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | dom-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. | ||||
| Short | Logical 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. | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| 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. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Version 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. | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | When 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. | ||||
| Control | 0..1 | ||||
| Type | instant | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Identifies 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. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Profiles 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. | ||||
| Control | 1..* | ||||
| Type | canonical(StructureDefinition) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA | ||||
| Invariants | ele-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. | ||||
| Short | Security 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. | ||||
| Control | 0..* | ||||
| Binding | Unless 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. | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Tags 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. | ||||
| Control | 0..* | ||||
| Binding | For 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". | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | A 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. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Language 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). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages)A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-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. | ||||
| Short | Contained, 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. | ||||
| Control | 0..0 | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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). | ||||
| Short | Extensions 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| 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 Names | extensions, user content | ||||
| Invariants | ele-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 | ||||
| Short | Identificador de la dispensación | ||||
| Comments | This is a business identifier, not a resource identifier. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 1..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 36. MedicationDispense.identifier:DispenseIdentifier | |||||
| Slice Name | DispenseIdentifier | ||||
| 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. | ||||
| Short | External identifier | ||||
| Comments | This is a business identifier, not a resource identifier. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | DispenseIdentifier | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 42. MedicationDispense.identifier:DispenseIdentifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 0..0 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | Sistema de identificación de la dispensación | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 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. | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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 | ||||
| Short | Número 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..0 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..0 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 54. MedicationDispense.identifier:PendingIdentifier | |||||
| Slice Name | PendingIdentifier | ||||
| Definition | Número interno del pendiente de dispensación asignado en el Gestor Farmacéutico | ||||
| Short | Identificador del pendiente | ||||
| Comments | This is a business identifier, not a resource identifier. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | PendingIdentifier | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 60. MedicationDispense.identifier:PendingIdentifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 0..0 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | Sistema de identificación del pendiente | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 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. | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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 | ||||
| Short | Número 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..0 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..0 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Event that dispense is part of | ||||
| Control | 0..0 | ||||
| Type | Reference(Procedure) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | preparation | 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. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from MedicationDispense Status Codes (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1) | ||||
| Type | code | ||||
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Why a dispense was not performed | ||||
| Control | 0..1 | ||||
| Binding | For 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. | ||||
| Type | Choice of: CodeableConcept, Reference(DetectedIssue) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.statusReason[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 78. MedicationDispense.statusReason[x]:statusReasonCodeableConcept | |||||
| Slice Name | statusReasonCodeableConcept | ||||
| Definition | Código que indica la causa por la cual no se realizó la entrega del medicamento. Obligatorio cuando status no es #completed. | ||||
| Short | Causas de no entrega | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Mipres Causas no direccionamiento (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.statusReason[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 84. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 90. MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity 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. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 0..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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)). | ||||
| Short | Type 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. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from MedicationDispense Category Codes (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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 | ||||
| Short | Código 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. | ||||
| Control | 1..1 | ||||
| Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes)A coded concept identifying which substance or product can be dispensed. | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 110. MedicationDispense.medication[x].coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..3 | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.medication[x].coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 112. MedicationDispense.medication[x].coding:CUMS | |||||
| Slice Name | CUMS | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from Codificacion CUMS (required to https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS) | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 118. MedicationDispense.medication[x].coding:CUMS.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 128. MedicationDispense.medication[x].coding:DCI | |||||
| Slice Name | DCI | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI) | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 134. MedicationDispense.medication[x].coding:DCI.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Código del medicamento (DCI) | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Label | Código del medicamento (DCI) | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Label | Res. 1888 / Elemento: 26 | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 144. MedicationDispense.medication[x].coding:IUM | |||||
| Slice Name | IUM | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required to https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes) | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 150. MedicationDispense.medication[x].coding:IUM.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/IUM | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Código del medicamento (IUM) | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Label | Res. 1888 / Elemento: 24.2 | ||||
| Invariants | ele-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. | ||||
| Short | Nombre del medicamento | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Label | Res. 1888 / Elemento: 24.3 | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Referencia al paciente a quien se prescribe u ordena la programación | ||||
| Comments | SubstanceAdministration->subject->Patient. | ||||
| Control | 1..1 | ||||
| Type | Reference(Paciente (Patient) RDA) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Referencia 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Fixed Value | Patient | ||||
| Invariants | ele-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 | ||||
| Short | Identificación 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Label | Identificación nacional del paciente | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | NationalPersonIdentifier-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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.subject.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 178. MedicationDispense.subject.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 1..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Fixed Value | official | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 186. MedicationDispense.subject.identifier.type.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 2..2 | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This 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: | ||||
| 188. MedicationDispense.subject.identifier.type.coding:InternationalCode | |||||
| Slice Name | InternationalCode | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type) | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 194. MedicationDispense.subject.identifier.type.coding:InternationalCode.system | |||||
| Definition | Codificación internacional de identificaciones para personas | ||||
| Short | Sistema 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | http://terminology.hl7.org/CodeSystem/v2-0203 | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Fixed Value | PN | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Fixed Value | Person number | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 204. MedicationDispense.subject.identifier.type.coding:ColombianCode | |||||
| Slice Name | ColombianCode | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Colombian Person Identifier Codes (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes) | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 210. MedicationDispense.subject.identifier.type.coding:ColombianCode.system | |||||
| Definition | Codificación colombiana de identificaciones para personas | ||||
| Short | Sistema 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Label | Tipo identificación | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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 | ||||
| Short | CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Label | Elemento: 2.1 | ||||
| Alternate Names | Tipo de documento de identificación | ||||
| Invariants | ele-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 | ||||
| Short | Cédula de ciudadanía | Tarjeta de identidad | Registro civil + | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Label | Elemento: 2.1 | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | The namespace for the identifier value | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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 | ||||
| Short | Número 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Label | Elemento: 2.2 | ||||
| Alternate Names | Identificación del paciente | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Nombre 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Label | Elementos: 3.1, 3.2, 3.3 y 3.4 | ||||
| Invariants | ele-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. | ||||
| Short | Encounter / Episode associated with event | ||||
| Control | 0..1 | ||||
| Type | Reference(Encuentro de atención ambulatoria (Encounter) RDA, Encuentro de atención de urgencias en salud (Encounter) RDA, Encuentro de hospitalización (Encounter) RDA) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Referencias a información de soporte de la dispensación | ||||
| Control | 2..* | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 236. MedicationDispense.supportingInformation:ReferenceRDA | |||||
| Slice Name | ReferenceRDA | ||||
| 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. | ||||
| Short | Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos | ||||
| Control | 0..1 | ||||
| Type | Reference(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 Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | ReferenceRDA | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Literal 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Fixed Value | Composition | ||||
| Invariants | ele-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. | ||||
| Short | 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 250. MedicationDispense.supportingInformation:PrescriberPractitioner | |||||
| Slice Name | PrescriberPractitioner | ||||
| Definition | Referencia al profesional de la salud que realizó la prescripción del medicamento que originó esta dispensación, utilizando el recurso Practitioner del RDA. | ||||
| Short | Referencia al profesional de la salud que realizó la prescripción del medicamento | ||||
| Control | 1..1 | ||||
| Type | Reference(Profesional de salud (Practitioner) RDA) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | PrescriberPractitioner | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Literal 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Fixed Value | Practitioner | ||||
| Invariants | ele-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 | ||||
| Short | Identificación 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Label | Identificación prescriptor | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | PrescriberIdentifier | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 266. MedicationDispense.supportingInformation:PrescriberPractitioner.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 1..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Fixed Value | official | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | The namespace for the identifier value | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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 | ||||
| Short | Valor 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 280. MedicationDispense.supportingInformation:CareDeliveryOrganization | |||||
| Slice Name | CareDeliveryOrganization | ||||
| 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. | ||||
| Short | Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento | ||||
| Control | 1..1 | ||||
| Type | Reference(Institución Prestadora de Servicios de Salud (Organization) RDA) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | CareDeliveryOrganization | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Literal 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Fixed Value | Organization | ||||
| Invariants | ele-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 | ||||
| Short | Identificación 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Label | Identificación IPS | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | OrganizationIdentifier | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 296. MedicationDispense.supportingInformation:CareDeliveryOrganization.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 1..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Fixed Value | official | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | The namespace for the identifier value | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/REPS | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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 | ||||
| Short | Valor 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 310. MedicationDispense.supportingInformation:CareDeliveryLocation | |||||
| Slice Name | CareDeliveryLocation | ||||
| 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. | ||||
| Short | Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento | ||||
| Control | 0..1 | ||||
| Type | Reference(Punto de atención en salud (Location) RDA) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | CareDeliveryLocation | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Literal 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Fixed Value | Location | ||||
| Invariants | ele-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) | ||||
| Short | Identificador 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Label | Identificación sede | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | LocationIdentifier | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.supportingInformation.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 326. MedicationDispense.supportingInformation:CareDeliveryLocation.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 1..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Fixed Value | official | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | The namespace for the identifier value | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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 Value | https://fhir.minsalud.gov.co/rda/NamingSystem/REPS | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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) | ||||
| Short | Valor 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Who performed event | ||||
| Control | 1..2 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.performer. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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). | ||||
| Short | Extensions 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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 Names | extensions, user content, modifiers | ||||
| Invariants | ele-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. | ||||
| Short | Who performed the dispense and what they did | ||||
| Control | 0..1 | ||||
| Binding | For 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Allows disambiguation of the types of involvement of different performers. | ||||
| Invariants | ele-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. | ||||
| Short | Individual who was performing | ||||
| Control | 1..1 | ||||
| Type | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 352. MedicationDispense.performer:HealthTechProviderOrganization | |||||
| Slice Name | HealthTechProviderOrganization | ||||
| Definition | Referencia al Gestor Farmacéutico que realizó la entrega del medicamento al paciente. | ||||
| Short | Gestor farmacéutico que realizó la dispensación | ||||
| Control | 1..1 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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). | ||||
| Short | Extensions 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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 Names | extensions, user content, modifiers | ||||
| Invariants | ele-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. | ||||
| Short | Who performed the dispense and what they did | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Función en el proceso de dispensación de medicamentos (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Allows disambiguation of the types of involvement of different performers. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.performer.function.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 366. MedicationDispense.performer:HealthTechProviderOrganization.function.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..1 | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 372. MedicationDispense.performer:HealthTechProviderOrganization.function.coding.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Fixed Value | dispenser | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Referencia al Gestor Farmacéutico | ||||
| Control | 1..1 | ||||
| Type | Reference(Proveedor de Tecnología en Salud PTS (Organization)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 386. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA | |||||
| Slice Name | HealthBenefitPlanAdminOrganizationRDA | ||||
| Definition | Referencia a la Entidad Administradora de Planes de Beneficios en Salud (EAPB) responsable de direccionar la dispensación. | ||||
| Short | EAPB que direccionó la dispensación | ||||
| Control | 0..1 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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). | ||||
| Short | Extensions 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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 Names | extensions, user content, modifiers | ||||
| Invariants | ele-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. | ||||
| Short | Who performed the dispense and what they did | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Función en el proceso de dispensación de medicamentos (required to https://fhir.minsalud.gov.co/rda/ValueSet/MedicationDispensePerformerFunctionCodes) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Allows disambiguation of the types of involvement of different performers. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.performer.function.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 400. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..1 | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 406. MedicationDispense.performer:HealthBenefitPlanAdminOrganizationRDA.function.coding.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationDispensePerformerFunction | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Fixed Value | payer | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Referencia a la EAPB | ||||
| Control | 1..1 | ||||
| Type | Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Where the dispense occurred | ||||
| Control | 0..1 | ||||
| Type | Reference(Punto de dispensación (Location)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Medication order that authorizes the dispense | ||||
| Comments | Maps to basedOn in Event logical model. | ||||
| Control | 1..* | ||||
| Type | Reference(MedicationRequest) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 424. MedicationDispense.authorizingPrescription:MedicationRequestRDA | |||||
| Slice Name | MedicationRequestRDA | ||||
| Definition | Número identificador de la orden médica (prescripción) asociada. | ||||
| Short | Identificador de la prescripción | ||||
| Comments | Maps to basedOn in Event logical model. | ||||
| Control | 1..1 | ||||
| Type | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | MedicationRequestRDA | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 430. MedicationDispense.authorizingPrescription:MedicationRequestRDA.reference | |||||
| Definition | Referencia al recurso MedicationRequestRDA que contiene la prescripción original del RDA. | ||||
| Short | Referencia 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. | ||||
| Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Identificador 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 440. MedicationDispense.authorizingPrescription:MedicationRequestRDA.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 0..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | Sistema de identificación de la prescripción | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 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. | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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). | ||||
| Short | Número 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 454. MedicationDispense.authorizingPrescription:MedicationRequestAddressing | |||||
| Slice Name | MedicationRequestAddressing | ||||
| Definition | Número identificador del direccionamiento asociado. | ||||
| Short | Identificador del direccionamiento | ||||
| Comments | Maps to basedOn in Event logical model. | ||||
| Control | 0..1 | ||||
| Type | Reference(Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | MedicationRequestAddressing | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 460. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.reference | |||||
| Definition | Referencia al recurso MedicationRequestAddressing que contiene el direccionamiento de la prescripción. | ||||
| Short | Referencia 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. | ||||
| Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Identificador 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 470. MedicationDispense.authorizingPrescription:MedicationRequestAddressing.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 0..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | Sistema de identificación del direccionamiento | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 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. | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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. | ||||
| Short | Número 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 484. MedicationDispense.authorizingPrescription:MedicationRequestScheduling | |||||
| Slice Name | MedicationRequestScheduling | ||||
| Definition | Número identificador dela programación asociada | ||||
| Short | Identificador de la programación | ||||
| Comments | Maps to basedOn in Event logical model. | ||||
| Control | 0..1 | ||||
| Type | Reference(Programación de la dispensación de Medicamentos (MedicationRequest) Scheduling) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Pattern Value | MedicationRequestScheduling | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 490. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.reference | |||||
| Definition | URL o ID relativo del recurso MedicationRequestScheduling que contiene la programación de la dispensación. | ||||
| Short | Referencia 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. | ||||
| Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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 | ||||
| Short | Identificador 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.authorizingPrescription.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 500. MedicationDispense.authorizingPrescription:MedicationRequestScheduling.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 0..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | Sistema de identificación de la programación | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 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. | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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. | ||||
| Short | Número 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Text 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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 | ||||
| Short | Tipo de suministro farmacéutico | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Pharmacy Supply Type Codes (required to https://fhir.minsalud.gov.co/rda/ValueSet/PharmacySupplyTypeCodes) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 520. MedicationDispense.type.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..1 | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 526. MedicationDispense.type.coding.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/PharmacySupplyType | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Amount dispensed | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Mipres Dispense Unit (required to https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes) | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 542. MedicationDispense.quantity.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 1..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.quantity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 544. MedicationDispense.quantity.extension:ExtensionMedicationDispenseQuantity | |||||
| Slice Name | ExtensionMedicationDispenseQuantity | ||||
| 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 | ||||
| Short | Cantidad total de medicamentos programados para entrega | ||||
| Control | 1..1 | ||||
| Type | Extension(Extension: ExtensionMedicationDispenseQuantity) (Extension Type: Quantity(SimpleQuantity)) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Numerical 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). | ||||
| Control | 1..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-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 | ||||
| Control | 0..0 | ||||
| Binding | The 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. | ||||
| Type | code | ||||
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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 Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-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. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-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. | ||||
| Short | System that defines coded unit form | ||||
| Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit | ||||
| Invariants | ele-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. | ||||
| Short | Coded 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. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Amount of medication expressed as a timing amount | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | When product was packaged and reviewed | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | When product was given out | ||||
| Control | 1..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Where the medication was sent | ||||
| Control | 0..1 | ||||
| Type | Reference(Location) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Quien recibe el medicamento | ||||
| Control | 0..* | ||||
| Type | Reference(Paciente (Patient) RDA) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 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. | ||||
| Short | Additional 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.receiver.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 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. | ||||
| Short | Literal 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. | ||||
| Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Type 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless 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). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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 | ||||
| Short | Identificación 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 1..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Label | Identificación nacional del paciente | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | NationalPersonIdentifier-0 | ||||
| 578. MedicationDispense.receiver.identifier.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| Slicing | This element introduces a set of slices on MedicationDispense.receiver.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 580. MedicationDispense.receiver.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 1..1 | ||||
| Binding | The 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 . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Fixed Value | official | ||||
| Invariants | ele-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. | ||||
| Short | Description 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless 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. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 586. MedicationDispense.receiver.identifier.type.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 588. MedicationDispense.receiver.identifier.type.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 2..2 | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This 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: | ||||
| 590. MedicationDispense.receiver.identifier.type.coding:InternationalCode | |||||
| Slice Name | InternationalCode | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type) | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 594. MedicationDispense.receiver.identifier.type.coding:InternationalCode.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 596. MedicationDispense.receiver.identifier.type.coding:InternationalCode.system | |||||
| Definition | Codificación internacional de identificaciones para personas | ||||
| Short | Sistema 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Fixed Value | http://terminology.hl7.org/CodeSystem/v2-0203 | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..0 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Fixed Value | PN | ||||
| Invariants | ele-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. | ||||
| Short | Representation defined by the system | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Fixed Value | Person number | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..0 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 606. MedicationDispense.receiver.identifier.type.coding:ColombianCode | |||||
| Slice Name | ColombianCode | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code 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. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from ValueSet: Colombian Person Identifier Codes (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes) | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-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. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 610. MedicationDispense.receiver.identifier.type.coding:ColombianCode.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| Slicing | This 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: | ||||
| 612. MedicationDispense.receiver.identifier.type.coding:ColombianCode.system | |||||
| Definition | Codificación colombiana de identificaciones para personas | ||||
| Short | Sistema 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Label | Tipo identificación | ||||
| Fixed Value | https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier | ||||
| Invariants | ele-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. | ||||
| Short | Version 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. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..0 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-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] | ||||
| Short | CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Label | Código | ||||
| Invariants | ele-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] | ||||
| Short | Cédula de ciudadanía | Tarjeta de identidad | Registro civil + | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Label | Tipo | ||||
| Invariants | ele-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). | ||||
| Short | If 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. | ||||
| Control | 0..0 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Invariants | ele-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. | ||||
| Short | The namespace for the identifier value | ||||
| Comments | Identifier.system is always case sensitive. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| 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. | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-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 | ||||
| Short | 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Label | Número de identificación | ||||
| Example | General: 123456 | ||||
| Invariants | ele-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. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Organization 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Nombre 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. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-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. | ||||
| Short | Information about the dispense | ||||
| Control | 0..* | ||||
| Type | Annotation | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | How 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. | ||||
| Control | 0..* | ||||
| Type | Dosage | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Whether a substitution was performed on the dispense | ||||
| Control | 0..0 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. | ||||
| Short | Clinical 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. | ||||
| Control | 0..* | ||||
| Type | Reference(DetectedIssue) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert | ||||
| Invariants | ele-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. | ||||
| Short | A 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.). | ||||
| Control | 0..* | ||||
| Type | Reference(Provenance) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||