actualStrength"Use when [DispensedDrug] does not specify the strength. This is the numeric part of the strength, of a single dosage unit of the dispensed product" - HL7 Version 2.8, RXD-16."Use when [DispensedDrug] does not specify the strength. This is the unit of the strength, of a single dosage unit of the dispensed product" - HL7 Version 2.8, RXD-17.
dateTimeDispensedIndicates when the pharmaceutical/treatment left the control of the pharmacy. This may be when the medication was picked up or mailed (outpatient), or delivered to a ward (inpatient). Note that this differs from the "fill date/time" in that the fill date is when the pharmaceutical/treatment was removed from inventory (e.g., when the pharmacist filled a bottle with tablets from inventory); once filled, the medication may remain in the pharmacy awaiting pick-up. Once delivered to the patient or another caregiver, the medication is then considered "dispensed."Dispense = "to make up and distribute (medicine), esp. on prescription." - Random House Unabridged Dictionary."Indicates when the pharmaceutical/treatment is dispensed from the pharmacy or treatment supplier." - HL7 Version 2.8, RXD-3."The time the dispensed product was provided to the patient or their representative." - HL7 FHIR, MedicationDispense.whenHandedOver
dateTimeFilledIndicates when the pharmaceutical/treatment was removed from inventory and prepared for delivery to the patient. Note that this differs from the "dispense date/time" in that the fill date is when the pharmaceutical/treatment was removed from inventory (e.g., when the pharmacist filled a bottle with tablets from inventory); once filled, the medication may remain in the pharmacy awaiting pick-up, where as the dispense date/time is when the mediation leaves the control of the pharmacy. Once delivered to the patient or another caregiver, the medication is then considered "dispensed.""The time when the dispensed product was packaged and reviewed." - HL7 FHIR, MedicationDispense.whenPrepared"Date prescription was prepared." - ASAP Standard for PDMP, DSP05: Date Filled
daysSupplyThe length of time in days that the quantity dispensed will last if consumed at the rate prescribed. For example if the patient is instructed to take 2 pills a day, 60 pills will last 30 days."Estimated number of days the prescription will last." - NCPDP Telecommunication (Field 405-D5, Data Dictionary 201104)."The amount of medication expressed as a timing amount." - HL7 FHIR, MedicationDispense.daysSupply"The calculated or estimated number of days the medication will cover." - ASAP Standard for PDMP, DSP10: Days Supply"Days supply. Number of days that the medication supports based on the number of doses as reported by the pharmacist. This amount is typically found on the dispensing record. Integer values are expected." - PCORnet Common Data Model, Dispensing.Dispense_Sup.
detectedIssue"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." - HL7 FHIR, MedicationDispense.detectedIssue
dispenseCategoryCategorizes the dispense, primarily along the lines of whether the fill was an original or refill and whether it was a full or partial fill. This property also indicates whether the fill was a manufacturer sample or trial quantity. This property is used to document the circumstances under which the fill occurred. In NCPDP SCRIPT, this information is conveyed in a Response Segment in response to a Prescription Fill Status request. In NCPDP Telecommunication, this property is limited to only Partial Fill or Completion of Partial Fill."This is the type of dispensing event that occurred." - HL7 Version 2.8, RXA-26 and RXO-27. Valid values (from HL7 Table 0484) include: Trial Quantity Balance; Compassionate Fill; New/Renew - Full Fill; New/Renew - Part Fill; Refill - Part Fill; Refill - Full Fill; Manufacturer Sample; Trial Quantity; Non-Prescription Fill."Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc." - HL7 FHIR, MedicationDispense.type"Code indicating the quantity dispensed is a partial fill or the completion of a partial fill…." - NCPDP Telecommunication (Field 343-HD, Data Dictionary 201104). Possible values include: Partial Fill; Completion of Partial Fill.
dispensedDrugPointer to the medication or pharmacy-stocked item that the Pharmacy actually supplied to the Patient or the Patient’s caregiver. This will normally be the same as the one ordered by the prescriber, but may be different under certain pre-defined conditions. For example, the provider may have ordered a brand-name drug, but indicated that a generic substitution is authorized, and the pharmacy may have substituted a generic drug. Other situations include changes due to inventory at hand, for example the prescriber may have ordered 10 mg tablets, but only 5 mg tablets were available. Note that the ordering application will typically indicate a Medicinal Product using a code like RxNorm, while the dispensing system will typically be more specific by indicating the Packaged Medicinal Product, using a code like the National Drug Code to specify the container from which the medication was dispensed, for pricing, inventory tracking, and recall-management purposes."Identifies the medical substance or treatment ordered to be given to the patient; it is equivalent to [the Ordered Item]." - HL7 Version 2.8, RXD-2."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." - HL7 FHIR, MedicationDispense.medication[x]"Full product identification as indicated in DSP07 [Product Id Qualifier], including leading zeros without punctuation. If the product is a compound, use 99999 as the first five characters of the product code. The remaining six characters are assigned by the pharmacy." - ASAP Standard for PDMP, DSP08: Product Id"Used to identify the type of product ID contained in DSP08 [Product Id]." - ASAP Standard for PDMP, DSP07: Product ID Qualifier. Possible values include: NDC; UPC; HRI; UPN; DIN; Compound (Used to indicate it is a compound. The CDI segment then becomes a required segment. Also, see instructions for DSP08.) Note that in FHIM, this information is in the Code data type
dispenseMethodThis optional property is included for compatibility to HL7 version 2. It is meant to convey how the medication was supplied, probably for pricing or workflow purposes. No specific federal requirements or uses for this field have been identified."Contains the method by which treatment is dispensed." - HL7 Version 2.8, RXD-24. Possible values (from HL7 Table 321) include: Traditional; Unit Dose; Floor Stock; Automatic Dispensing.
dispenseNotes"Contains free text notes to the person dispensing the medication/treatment (may include the ordering provider's original notes, as well as any notes from the formulary or the pharmacy or treatment supplier). This may contain free text describing a custom IV, mixture, or salve for example." - HL7 Version 2.8, RXD-9."Extra information about the dispense that could not be conveyed in the other attributes." - HL7 FHIR, MedicationDispense.note
dispenserPointer to the person who dispensed the prescription. The dispenser is the person who facilitated the release of the medication from the pharmacy's control, as opposed to the filler who is the person who measured out and packaged the medication. For example, the person who counted out the pills and put them in the bottle is the filler, the person who gave the bottle of pills to the patient is the dispenser. The person playing the filler role and the person playing the dispenser role may be the same person."Contains the provider ID of the person dispensing the pharmaceutical." - HL7 Version 2.8, RXD-10."The individual responsible for dispensing the medication." - HL7 FHIR, MedicationDispense.dispenser
dispenseRecipientPointer to the person who picked up (i.e., took custody of) the dispensed medication."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." - HL7 FHIR, MedicationDispense.receiver
dispenseToLocation"Contains the inpatient or outpatient location where the drug or treatment was dispensed (if applicable). The default (null) value is the current census location for the patient." - HL7 Version 2.8, RXD-13."Identification of the facility/location where the medication was shipped to, as part of the dispense event." - HL7 FHIR, MedicationDispense.destination
dispensingDevicePointer to information about the automated equipment which was used to fill the prescription.
dispensingInstructions"Contains pharmacy or treatment supplier-generated special instructions to the provider dispensing/administering the order." - HL7 Version 2.8, RXD-15.
fillerPointer to the person who filled the prescription. The filler is the person who measured out and packaged the medication, as opposed to the dispenser who is the person who facilitated the release of the medication from the pharmacy's control. For example, the person who counted out the pills and put them in the bottle is the filler, the person who gave the bottle of pills to the patient is the dispenser. The person playing the filler role and the person playing the dispenser role may be the same person.
fillSequenceNumberThis property enumerates how the current fill relates to the number of times that the medication request (prescription) has been filled. It is noted that this concept exists in both NCPDP and in HL7 version 2, yet the numbering is different in these two standards: NCPDP uses zero for the original fill then increments for each refill, while HL7 version 2 uses one for the original fill then increments for each refill. Implementers are cautioned to be cognizant of how this data is locally stored and how it is represented in the target standard."This field starts with 1 the first time that medication/treatment is delivered/dispensed for this order. Increments by one with each additional issuance." - HL7 Version 2.8, RXD-1."The code indicating whether the prescription is an original or a refill." - NCPDP Telecommunication (Field 403-D3, Data Dictionary 201104). Note that while the NCPDP Telecommunication structure treats this field as a code, it contains a number from 0-99, where zero is the original fill, and 1-99 are refills."Number of the fill of the prescription. 0 indicates original dispensing, 01-99 is the refill number." - ASAP Standard for PDMP, DSP06: Refill Number
isCompoundIndicates whether the dispensed medication was locally created by combining two or more products (one of which may be distilled water, which is a product). Common examples include mixing medications in flavored syrup for children, reconstituting a dried medication in distilled water, or mixing a medication into a cream for topical application. Note that this property is marked as derived in that it could be calculated based on whether the DispensedDrug is a LocallyManufacturedProduct."Code indicating whether or not the prescription is a compound." - NCPDP Telecommunication (Field 406-D6, Data Dictionary 201104). Note that the NCPDP Telecommunication structure treats this as a code, but the values are essentially Yes (Compound), No (Not a compound), and Not Specified. Note also that this property could be derived from the medication dispensed.
kind"Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient))." - HL7 FHIR, MedicationDispense.category
needsHumanReviewIndicates whether "the application receiving the dispense order needs to warn the person dispensing/administering the drug or treatment to pay attention to the text in [Dispensing Instructions]." - HL7 Version 2.8, RXD-14.
partialFill"This field is used when the quantity in DSP09 is less than the metric quantity per dispensing authorized by the prescriber. This dispensing activity is often referred to as a split filling." - ASAP Standard for PDMP, DSP13: Partial Fill Indicator. Possible values include: 00=Not a Partial Fill; 01=First Partial Fill; 02-99=Additional Fills. Note: For additional fills per prescription, increment by one. So the second partial fill would be reported as 02, up to a maximum of 99.
patientInstructions"Indicates how the medication is to be used by the patient." - HL7 FHIR, MedicationDispense.dosageInstructionNote that there is a patientInstruction property in the Pharmacy Request (i.e., the Prescription), which contains the prescriber's instructions to the patient. That information may be copied into this property and provided as-is, or be modified to include the Pharmacist's instructions.
pharmacistPointer to the Person (in the Role of Pharmacist) who is responsible for fulfillment of the medication order and providing oversight.
pharmacy"Specifies the pharmacy that will dispense or has dispensed the prescription." - HL7 Version 2.8, RXD-30."Specifies the address of the dispensing facility or the patient's location where the dispensing will occur." - HL7 Version 2.8, RXD-31.
pharmacyPromisePointer to the Pharmacy Promise under which this Dispense event was authorized. Through Pharmacy Promise the Dispense also has visibility of the original Request, or prescription."Indicates the medication order that is being dispensed against." - HL7 FHIR, MedicationDispense.authorizingPrescription
productSelectionCode"Code indicating whether or not the prescriber’s instructions regarding generic substitution were followed." - NCPDP Telecommunication (Field 408-D8, Data Dictionary 201104). Possible values include: Substitution Not Allowed by Prescriber; Substitution Not Allowed-Brand Drug Mandated by Law; Substitution Allowed-Patient Requested Product Dispensed; Substitution Allowed-Pharmacist Selected Product Dispensed; Substitution Allowed-Generic Drug Not in Stock; Substitution Allowed-Brand Drug Dispensed as a Generic; Substitution Allowed-Generic Drug Not Available in Marketplace; Substitution Allowed By Prescriber but Plan Requests Brand; Override; No Product Selection Indicated.
quantityDispensedThe quanitity of the medication dispensed to this patient in fulfillment of a request."Quantity dispensed expressed in metric decimal units." - NCPDP Telecommunication (Field 442-E7, Data Dictionary 201104)."The amount of medication that has been dispensed. Includes unit of measure." - HL7 FHIR, MedicationDispense.quantity"Number of metric units dispensed in metric decimal format. Example: 2.5. Note: For compounds show the first quantity in [Compound Ingredient Quantity]." - ASAP Standard for PDMP, DSP09: Quantity Dispensed"Number of units (pills, tablets, vials) dispensed. Net amount per NDC per dispensing. This amount is typically found on the dispensing record. Positive values are expected." - PCORnet Common Data Model, Dispensing.Dispense_Amt."Identifies the unit of measure for the quantity dispensed in DSP09 [Quantity Dispensed]" - ASAP Standard for PDMP, DSP11: Drug Dosage Units Code. Possible values include: Each (used to report solid dosage units or indivisible package; Milliliters (ml) (for liters adjust to the decimal milliliter equivalent); Grams (gm) (for milligrams adjust to the decimal gram equivalent).
reasonNotPerformed"Indicates the reason why a dispense was not performed." - HL7 FHIR, MedicationDispense.statusReason[x]
specialPackaging"Code indicating the type of dispensing dose." - NCPDP Telecommunication (Field 429-DT, Data Dictionary 201104). Possible values include: Not Unit Dose; Manufacturer Unit Dose; Pharmacy Unit Dose; Pharmacy Unit Dose Patient Compliance Packaging; Pharmacy Multi-drug Patient Compliance Packaging; Remote Device Unit Dose; Remote Device Multi- drug Compliance; Manufacturer Unit of Use Package (not unit dose); Not Specified.
substitutionCodeIf the Pharmacist has changed the kind of medication to be dispensed to the patient from the one originally ordered by the prescriber, this property provides a categorization of the kind of substitution that was made."Refer to HL7 Table 0167 - Substitution Status in Chapter 2C for suggested values." - HL7 Version 2.8, RXD-11."Refer to HL7 Table 0167 - Substitution Status in Chapter 2C for suggested values." - HL7 Version 2.8, RXE-9."Product/Service Substitution, coded" - NCPDP Script (Field 4457, Data Dictionary 201104)"Code indicating whether or not the prescriber’s instructions regarding generic substitution were followed." - NCPDP Telecommunication (Field 408-D8, Data Dictionary 201104).-----Possible values include (from HL7 Table 167): No substitute was dispensed. This is equivalent to the default (null) value; A generic substitution was dispensed; A therapeutic substitution was dispensed; No product selection indicated; Substitution not allowed by prescriber; Substitution allowed - patient requested product dispensed; Substitution allowed - pharmacist selected product dispensed; Substitution allowed - generic drug not in stock; Substitution allowed - brand drug dispensed as a generic; Substitution not allowed - brand drug mandated by law; Substitution allowed - generic drug not available in marketplace.-----Possible values include (From NCPDP ECL):No Product Selection IndicatedSubstitution Not Allowed by PrescriberSubstitution Allowed - Patient Requested Product DispensedSubstitution Allowed - Pharmacist Selected Product DispensedSubstitution Allowed - Generic Drug Not in StockSubstitution Allowed - Brand Drug Dispensed as a Generic OverrideSubstitution Not Allowed - Brand Drug Mandated by LawSubstitution Allowed - Generic Drug Not Available in MarketplaceSubstitution Allowed By Prescriber but Plan Requests Brand - Patient's Plan Requested Brand Product To Be Dispensed
wasSubstituted"True if the dispenser dispensed a different drug or product from what was prescribed." - HL7 FHIR, MedicationDispense.substitution.wasSubstitutedNote that this property could potentially be calcualted from either the substitution code or the Pharmacy Generated Order Modification, therefore this property is marked as derived.
FHIM::Common::ActionPerformed