Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• JSON

Resource Profile: Dispensación de Medicamento RDA

Indica que un medicamentos ha sido dispensado a un paciente. Incluye una descripción del medicamento y las instrucciones para administrar el medicamento

Permite registrar y comunicar la información relacionada con la dispensación de medicamentos

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Como se debe tomar el medicamento el paciente Constraints: mdd-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required)
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred)
medication[x]	SΣ	1..1	CodeableConcept	Código de medicamento (IUM, CUM o DCI) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for coding	SΣ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:DCI	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
quantity	S	0..1	SimpleQuantity	Amount dispensed Binding: ValueSet: Mipres Dispense Unit (required)
value	Σ	1..1	decimal	Numerical value (with implicit precision)
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	Σ	1..1	code	Coded form of the unit
receiver		0..*	Reference(Patient | Practitioner)	Quien recibe el medicamento
identifier	Σ	1..1	Identifier	Identificación nacional de la persona
id		1..1	string	Unique id for inter-element referencing Fixed Value: NationalPersonIdentifier-0
extension		0..0
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
Slices for coding	Σ	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
extension		0..0
system	Σ	1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Número de persona
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
extension		0..0
system	Σ	1..1	uri	Sistema de codificación nacional Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
value	SΣ	1..1	string	Documento de identificación Example General: 123456
display	SΣ	1..1	string	Nombre de la persona que recibe el medicamento
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	1..1	string	Descripción en texto narrativo de la posología indicada en la prescripción del medicamento.
timing	SΣ	0..1	Timing	When medication should be administered
route	SΣ	0..1	CodeableConcept	How drug should enter body Binding: ValueSet: Mipres Dosage Route (required)
method	SΣ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered
maxDosePerPeriod	SΣ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	SΣ	0..1	SimpleQuantity	Upper limit on medication per administration
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationDispense.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationDispense.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationDispense.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationDispense.receiver.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationDispense.dosageInstruction.route	required	VADCodigos(a valid code from CodeSystem: Vía de Administración de Dósis (VAD)) https://fhir.minsalud.gov.co/rda/ValueSet/VADCodigos From this IG
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	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	error	MedicationDispense	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	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	Como se debe tomar el medicamento el paciente
meta
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA
contained		0..0
identifier		0..*	Identifier	External identifier
partOf		0..0
status		1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required)
statusReason[x]		0..0
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred)
medication[x]	S	1..1	CodeableConcept	Código de medicamento (IUM, CUM o DCI)
Slices for coding	S	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:CUMS		0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code		1..1	code	Symbol in syntax defined by the system
coding:DCI		0..1	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code		1..1	code	Código del medicamento (DCI)
display		0..1	string	Representation defined by the system
coding:IUM		0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	S	1..1	code	Código del medicamento (IUM)
display	S	0..1	string	Nombre del medicamento
subject		1..1	Reference(Patient | Group)	Who the dispense is for
performer
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example)
type		0..0
quantity	S	0..1	SimpleQuantity	Amount dispensed Binding: ValueSet: Mipres Dispense Unit (required)
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code		1..1	code	Coded form of the unit
receiver		0..*	Reference(Patient | Practitioner)	Quien recibe el medicamento
reference		0..0
identifier		1..1	Identifier	Identificación nacional de la persona
id		1..1	string	Unique id for inter-element referencing Fixed Value: NationalPersonIdentifier-0
extension		0..0
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
type		1..1	CodeableConcept	Description of identifier
extension		0..0
Slices for coding		2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode		1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
extension		0..0
system		1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		1..1	string	Representation defined by the system Fixed Value: Número de persona
userSelected		0..0
coding:ColombianCode		1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
extension		0..0
system		1..1	uri	Sistema de codificación nacional Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
version		0..0
code	S	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display		1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
userSelected		0..0
value	S	1..1	string	Documento de identificación
display	S	1..1	string	Nombre de la persona que recibe el medicamento
dosageInstruction
text	S	1..1	string	Descripción en texto narrativo de la posología indicada en la prescripción del medicamento.
timing	S	0..1	Timing	When medication should be administered
route	S	0..1	CodeableConcept	How drug should enter body Binding: ValueSet: Mipres Dosage Route (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/VAD
code		1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	Technique for administering medication
doseAndRate	S	0..*	Element	Amount of medication administered
maxDosePerPeriod	S	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	S	0..1	SimpleQuantity	Upper limit on medication per administration
substitution		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationDispense.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationDispense.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationDispense.receiver.identifier.type.coding:InternationalCode	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationDispense.dosageInstruction.route	required	VADCodigos(a valid code from CodeSystem: Vía de Administración de Dósis (VAD)) https://fhir.minsalud.gov.co/rda/ValueSet/VADCodigos From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Como se debe tomar el medicamento el paciente Constraints: mdd-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required)
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred)
medication[x]	SΣ	1..1	CodeableConcept	Código de medicamento (IUM, CUM o DCI) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:DCI	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example)
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense
quantity	S	0..1	SimpleQuantity	Amount dispensed Binding: ValueSet: Mipres Dispense Unit (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	Σ	1..1	code	Coded form of the unit
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver		0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Quien recibe el medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Identificación nacional de la persona
id		1..1	string	Unique id for inter-element referencing Fixed Value: NationalPersonIdentifier-0
extension		0..0
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
Slices for coding	Σ	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
system	Σ	1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Número de persona
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
system	Σ	1..1	uri	Sistema de codificación nacional Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Documento de identificación Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	1..1	string	Nombre de la persona que recibe el medicamento
note		0..*	Annotation	Information about the dispense
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	1..1	string	Descripción en texto narrativo de la posología indicada en la prescripción del medicamento.
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	SΣ	0..1	CodeableConcept	How drug should enter body Binding: ValueSet: Mipres Dosage Route (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/VAD
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	SΣ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	SΣ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	SΣ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationDispense.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationDispense.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationDispense.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationDispense.receiver.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationDispense.receiver.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes From the FHIR Standard
MedicationDispense.dosageInstruction.route	required	VADCodigos(a valid code from CodeSystem: Vía de Administración de Dósis (VAD)) https://fhir.minsalud.gov.co/rda/ValueSet/VADCodigos From this IG
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	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	error	MedicationDispense	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	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements(27 nested mandatory elements)
Must-Support: 15 elements
Fixed: 12 elements
Prohibited: 14 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.medication[x].coding
• The element 1 is sliced based on the value of MedicationDispense.receiver.identifier.type.coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Como se debe tomar el medicamento el paciente Constraints: mdd-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required)
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred)
medication[x]	SΣ	1..1	CodeableConcept	Código de medicamento (IUM, CUM o DCI) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for coding	SΣ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:DCI	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
quantity	S	0..1	SimpleQuantity	Amount dispensed Binding: ValueSet: Mipres Dispense Unit (required)
value	Σ	1..1	decimal	Numerical value (with implicit precision)
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	Σ	1..1	code	Coded form of the unit
receiver		0..*	Reference(Patient | Practitioner)	Quien recibe el medicamento
identifier	Σ	1..1	Identifier	Identificación nacional de la persona
id		1..1	string	Unique id for inter-element referencing Fixed Value: NationalPersonIdentifier-0
extension		0..0
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
Slices for coding	Σ	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
extension		0..0
system	Σ	1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Número de persona
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
extension		0..0
system	Σ	1..1	uri	Sistema de codificación nacional Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
value	SΣ	1..1	string	Documento de identificación Example General: 123456
display	SΣ	1..1	string	Nombre de la persona que recibe el medicamento
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	1..1	string	Descripción en texto narrativo de la posología indicada en la prescripción del medicamento.
timing	SΣ	0..1	Timing	When medication should be administered
route	SΣ	0..1	CodeableConcept	How drug should enter body Binding: ValueSet: Mipres Dosage Route (required)
method	SΣ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered
maxDosePerPeriod	SΣ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	SΣ	0..1	SimpleQuantity	Upper limit on medication per administration
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationDispense.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationDispense.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationDispense.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationDispense.receiver.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationDispense.dosageInstruction.route	required	VADCodigos(a valid code from CodeSystem: Vía de Administración de Dósis (VAD)) https://fhir.minsalud.gov.co/rda/ValueSet/VADCodigos From this IG
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	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	error	MedicationDispense	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	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	Como se debe tomar el medicamento el paciente
meta
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA
contained		0..0
identifier		0..*	Identifier	External identifier
partOf		0..0
status		1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required)
statusReason[x]		0..0
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred)
medication[x]	S	1..1	CodeableConcept	Código de medicamento (IUM, CUM o DCI)
Slices for coding	S	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:CUMS		0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code		1..1	code	Symbol in syntax defined by the system
coding:DCI		0..1	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code		1..1	code	Código del medicamento (DCI)
display		0..1	string	Representation defined by the system
coding:IUM		0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	S	1..1	code	Código del medicamento (IUM)
display	S	0..1	string	Nombre del medicamento
subject		1..1	Reference(Patient | Group)	Who the dispense is for
performer
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example)
type		0..0
quantity	S	0..1	SimpleQuantity	Amount dispensed Binding: ValueSet: Mipres Dispense Unit (required)
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code		1..1	code	Coded form of the unit
receiver		0..*	Reference(Patient | Practitioner)	Quien recibe el medicamento
reference		0..0
identifier		1..1	Identifier	Identificación nacional de la persona
id		1..1	string	Unique id for inter-element referencing Fixed Value: NationalPersonIdentifier-0
extension		0..0
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
type		1..1	CodeableConcept	Description of identifier
extension		0..0
Slices for coding		2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode		1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
extension		0..0
system		1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		1..1	string	Representation defined by the system Fixed Value: Número de persona
userSelected		0..0
coding:ColombianCode		1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
extension		0..0
system		1..1	uri	Sistema de codificación nacional Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
version		0..0
code	S	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display		1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
userSelected		0..0
value	S	1..1	string	Documento de identificación
display	S	1..1	string	Nombre de la persona que recibe el medicamento
dosageInstruction
text	S	1..1	string	Descripción en texto narrativo de la posología indicada en la prescripción del medicamento.
timing	S	0..1	Timing	When medication should be administered
route	S	0..1	CodeableConcept	How drug should enter body Binding: ValueSet: Mipres Dosage Route (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/VAD
code		1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	Technique for administering medication
doseAndRate	S	0..*	Element	Amount of medication administered
maxDosePerPeriod	S	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	S	0..1	SimpleQuantity	Upper limit on medication per administration
substitution		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationDispense.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationDispense.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationDispense.receiver.identifier.type.coding:InternationalCode	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationDispense.dosageInstruction.route	required	VADCodigos(a valid code from CodeSystem: Vía de Administración de Dósis (VAD)) https://fhir.minsalud.gov.co/rda/ValueSet/VADCodigos From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Como se debe tomar el medicamento el paciente Constraints: mdd-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationDispenseRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required)
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred)
medication[x]	SΣ	1..1	CodeableConcept	Código de medicamento (IUM, CUM o DCI) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:DCI	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example)
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense
quantity	S	0..1	SimpleQuantity	Amount dispensed Binding: ValueSet: Mipres Dispense Unit (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	Σ	1..1	code	Coded form of the unit
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver		0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Quien recibe el medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Identificación nacional de la persona
id		1..1	string	Unique id for inter-element referencing Fixed Value: NationalPersonIdentifier-0
extension		0..0
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
Slices for coding	Σ	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
system	Σ	1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Número de persona
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
system	Σ	1..1	uri	Sistema de codificación nacional Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Documento de identificación Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	1..1	string	Nombre de la persona que recibe el medicamento
note		0..*	Annotation	Information about the dispense
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	1..1	string	Descripción en texto narrativo de la posología indicada en la prescripción del medicamento.
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	SΣ	0..1	CodeableConcept	How drug should enter body Binding: ValueSet: Mipres Dosage Route (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/VAD
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	SΣ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	SΣ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	SΣ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationDispense.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationDispense.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationDispense.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationDispense.receiver.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationDispense.receiver.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.receiver.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes From the FHIR Standard
MedicationDispense.dosageInstruction.route	required	VADCodigos(a valid code from CodeSystem: Vía de Administración de Dósis (VAD)) https://fhir.minsalud.gov.co/rda/ValueSet/VADCodigos From this IG
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	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	error	MedicationDispense	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	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements(27 nested mandatory elements)
Must-Support: 15 elements
Fixed: 12 elements
Prohibited: 14 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.medication[x].coding
• The element 1 is sliced based on the value of MedicationDispense.receiver.identifier.type.coding