Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft Australia flag

Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

Resource Profile: ADHA Core MedicationDispense

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationdispense-core-1 Version: 0.0.4
Draft as of 2024-09-12 Computable Name: ADHAMedicationDispenseCore

Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to provide a core representation of a dispense of a medication for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.

This profile identifies the additional constraints, extensions, and value sets that build on and extend MedicationDispense that are supported.

Where a more specific MedicationDispense profile is applicable, e.g. dispense record, an implementation SHALL ensure the resource conforms to that specific profile.

This profile is designed to set a core MedicationDispense standard for:

  • Query medications dispensed or intended to be dispensed for a patient
  • Record or update a record of dispense intended or completed for a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

  • See the Medicine information section for guidance.
  • MedicationDispense resources can represent a medication using either a code, or reference a Medication resource.
    • When referencing a Medication resource, it is preferred the resource is contained but it may be an external resource.

Boundaries and relationships

These profiles build on this profile (ADHA Core MedicationDispense) to define specific roles:

Usage:

Formal Views of Profile Content

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

This structure is derived from AUBaseMedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..* AUBaseMedicationDispense A dispense record for a medication for a patient in an Australian healthcare context
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dispenseNumber S 0..1 integer Number of this dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... identifier S 0..* Identifier, AULocalDispenseIdentifier External identifier
... status S 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
... category S 0..1 CodeableConcept Type of medication dispense
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) What medication was supplied
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Coded Dispensed Medication
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs S 0..* Coding Code defined by a terminology system
...... coding:amt S 0..* Coding Code defined by a terminology system
.... medication[x]:medicationReference 0..1 Reference(ADHA Core Medication) Dispensed Medication
... subject SC 1..1 Reference(ADHA Core Patient) Who the dispense is for
inv-dh-medisp-01: At least reference or a valid identifier shall be present
... context S 0..1 Reference(ADHA Core Encounter) Encounter / Episode associated with event
... performer SC 1..* BackboneElement Who performed event
inv-dh-medisp-02: The actor shall at least have a reference, an identifier or a display
.... function S 1..1 CodeableConcept Who performed the dispense and what they did
.... actor SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) Individual who was performing
... location S 0..1 Reference(ADHA Core Location) Where the dispense occurred
... authorizingPrescription S 0..* Reference(ADHA Core MedicationRequest) Medication order that authorizes the dispense
... quantity S 0..1 SimpleQuantity Amount dispensed
... daysSupply S 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenHandedOver S 0..1 dateTime When product was given out
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* AUBaseDosage Dosage information in an Australian healthcare context
... substitution S 0..1 BackboneElement Whether a substitution was performed on the dispense
.... wasSubstituted S 1..1 boolean Whether a substitution was or was not performed on the dispense

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medisp-01errorMedicationDispense.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medisp-02errorMedicationDispense.performerThe actor shall at least have a reference, an identifier or a display
: actor.exists() implies actor.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* AUBaseMedicationDispense A dispense record for a medication for a patient in an Australian healthcare context
mdd-1: whenHandedOver cannot be before whenPrepared
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... subsidisedConcurrentSupply 0..1 Coding Grounds for concurrent supply of medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Concurrent Supply Grounds . (required)
.... dispenseNumber S 0..1 integer Number of this dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.

... statusReason[x] S 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category S 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.

... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Dispensed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:All Slices Content/Rules for all slices
....... Slices for extension Content/Rules for all slices
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
...... coding:pbs SΣ 0..* Coding Code defined by a terminology system
....... Slices for extension Content/Rules for all slices
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
...... coding:amt SΣ 0..* Coding Code defined by a terminology system
....... Slices for extension Content/Rules for all slices
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
.... medication[x]:medicationReference Σ 0..1 Reference(ADHA Core Medication) Dispensed Medication
... subject SΣC 1..1 Reference(ADHA Core Patient) Who the dispense is for
inv-dh-medisp-01: At least reference or a valid identifier shall be present
... context S 0..1 Reference(ADHA Core Encounter) Encounter / Episode associated with event
... performer SC 1..* BackboneElement Who performed event
inv-dh-medisp-02: The actor shall at least have a reference, an identifier or a display
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 1..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) Individual who was performing
... location S 0..1 Reference(ADHA Core Location) Where the dispense occurred
... authorizingPrescription S 0..* Reference(ADHA Core MedicationRequest) Medication order that authorizes the dispense
... quantity S 0..1 SimpleQuantity Amount dispensed
... daysSupply S 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenHandedOver S 0..1 dateTime When product was given out
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* AUBaseDosage Dosage information in an Australian healthcare context
... substitution S 0..1 BackboneElement Whether a substitution was performed on the dispense
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted S 1..1 boolean Whether a substitution was or was not performed on the dispense
.... reason 0..1 CodeableConcept Why was substitution made
Binding: Medicine Substitution Reason . (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
Additional Bindings Purpose Documentation
Australian Medication . Preferred

This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes Preferred

This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS Preferred

This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN Preferred

This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medisp-01errorMedicationDispense.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medisp-02errorMedicationDispense.performerThe actor shall at least have a reference, an identifier or a display
: actor.exists() implies actor.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* AUBaseMedicationDispense A dispense record for a medication for a patient in an Australian healthcare context
mdd-1: whenHandedOver cannot be before whenPrepared
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... subsidisedConcurrentSupply 0..1 Coding Grounds for concurrent supply of medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Concurrent Supply Grounds . (required)
.... dispenseNumber S 0..1 integer Number of this dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier, AULocalDispenseIdentifier External identifier
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.

... statusReason[x] S 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category S 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.

... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Dispensed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... 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 Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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:pbs SΣ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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:amt SΣ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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 Medication primary text
.... medication[x]:medicationReference Σ 0..1 Reference(ADHA Core Medication) Dispensed Medication
... subject SΣC 1..1 Reference(ADHA Core Patient) Who the dispense is for
inv-dh-medisp-01: At least reference or a valid identifier shall be present
... context S 0..1 Reference(ADHA Core Encounter) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer SC 1..* BackboneElement Who performed event
inv-dh-medisp-02: The actor shall at least have a reference, an identifier or a display
.... 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 S 1..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) Individual who was performing
... location S 0..1 Reference(ADHA Core Location) Where the dispense occurred
... authorizingPrescription S 0..* Reference(ADHA Core MedicationRequest) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.

... quantity S 0..1 SimpleQuantity Amount dispensed
... daysSupply S 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... destination 0..1 Reference(Location) Where the medication was sent
... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* AUBaseDosage Dosage information in an Australian healthcare context
... substitution S 0..1 BackboneElement Whether a substitution was performed on the dispense
.... 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
.... wasSubstituted S 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.

.... reason 0..1 CodeableConcept Why was substitution made
Binding: Medicine Substitution Reason . (preferred)
.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
Additional Bindings Purpose Documentation
Australian Medication . Preferred

This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes Preferred

This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS Preferred

This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN Preferred

This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.typeexampleActPharmacySupplyType
http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medisp-01errorMedicationDispense.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medisp-02errorMedicationDispense.performerThe actor shall at least have a reference, an identifier or a display
: actor.exists() implies actor.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Differential View

This structure is derived from AUBaseMedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..* AUBaseMedicationDispense A dispense record for a medication for a patient in an Australian healthcare context
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dispenseNumber S 0..1 integer Number of this dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... identifier S 0..* Identifier, AULocalDispenseIdentifier External identifier
... status S 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
... category S 0..1 CodeableConcept Type of medication dispense
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) What medication was supplied
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Coded Dispensed Medication
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:pbs S 0..* Coding Code defined by a terminology system
...... coding:amt S 0..* Coding Code defined by a terminology system
.... medication[x]:medicationReference 0..1 Reference(ADHA Core Medication) Dispensed Medication
... subject SC 1..1 Reference(ADHA Core Patient) Who the dispense is for
inv-dh-medisp-01: At least reference or a valid identifier shall be present
... context S 0..1 Reference(ADHA Core Encounter) Encounter / Episode associated with event
... performer SC 1..* BackboneElement Who performed event
inv-dh-medisp-02: The actor shall at least have a reference, an identifier or a display
.... function S 1..1 CodeableConcept Who performed the dispense and what they did
.... actor SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) Individual who was performing
... location S 0..1 Reference(ADHA Core Location) Where the dispense occurred
... authorizingPrescription S 0..* Reference(ADHA Core MedicationRequest) Medication order that authorizes the dispense
... quantity S 0..1 SimpleQuantity Amount dispensed
... daysSupply S 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenHandedOver S 0..1 dateTime When product was given out
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* AUBaseDosage Dosage information in an Australian healthcare context
... substitution S 0..1 BackboneElement Whether a substitution was performed on the dispense
.... wasSubstituted S 1..1 boolean Whether a substitution was or was not performed on the dispense

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medisp-01errorMedicationDispense.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medisp-02errorMedicationDispense.performerThe actor shall at least have a reference, an identifier or a display
: actor.exists() implies actor.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* AUBaseMedicationDispense A dispense record for a medication for a patient in an Australian healthcare context
mdd-1: whenHandedOver cannot be before whenPrepared
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... subsidisedConcurrentSupply 0..1 Coding Grounds for concurrent supply of medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Concurrent Supply Grounds . (required)
.... dispenseNumber S 0..1 integer Number of this dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.

... statusReason[x] S 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category S 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.

... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Dispensed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:All Slices Content/Rules for all slices
....... Slices for extension Content/Rules for all slices
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
...... coding:pbs SΣ 0..* Coding Code defined by a terminology system
....... Slices for extension Content/Rules for all slices
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
...... coding:amt SΣ 0..* Coding Code defined by a terminology system
....... Slices for extension Content/Rules for all slices
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
.... medication[x]:medicationReference Σ 0..1 Reference(ADHA Core Medication) Dispensed Medication
... subject SΣC 1..1 Reference(ADHA Core Patient) Who the dispense is for
inv-dh-medisp-01: At least reference or a valid identifier shall be present
... context S 0..1 Reference(ADHA Core Encounter) Encounter / Episode associated with event
... performer SC 1..* BackboneElement Who performed event
inv-dh-medisp-02: The actor shall at least have a reference, an identifier or a display
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 1..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) Individual who was performing
... location S 0..1 Reference(ADHA Core Location) Where the dispense occurred
... authorizingPrescription S 0..* Reference(ADHA Core MedicationRequest) Medication order that authorizes the dispense
... quantity S 0..1 SimpleQuantity Amount dispensed
... daysSupply S 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenHandedOver S 0..1 dateTime When product was given out
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* AUBaseDosage Dosage information in an Australian healthcare context
... substitution S 0..1 BackboneElement Whether a substitution was performed on the dispense
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted S 1..1 boolean Whether a substitution was or was not performed on the dispense
.... reason 0..1 CodeableConcept Why was substitution made
Binding: Medicine Substitution Reason . (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
Additional Bindings Purpose Documentation
Australian Medication . Preferred

This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes Preferred

This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS Preferred

This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN Preferred

This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medisp-01errorMedicationDispense.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medisp-02errorMedicationDispense.performerThe actor shall at least have a reference, an identifier or a display
: actor.exists() implies actor.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* AUBaseMedicationDispense A dispense record for a medication for a patient in an Australian healthcare context
mdd-1: whenHandedOver cannot be before whenPrepared
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... subsidisedConcurrentSupply 0..1 Coding Grounds for concurrent supply of medication
URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
Binding: Concurrent Supply Grounds . (required)
.... dispenseNumber S 0..1 integer Number of this dispense
URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier, AULocalDispenseIdentifier External identifier
... partOf 0..* Reference(Procedure) Event that dispense is part of
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.

... statusReason[x] S 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.

.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category S 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.

... Slices for medication[x] SΣ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Coded Dispensed Medication
Binding: SNOMEDCTMedicationCodes (example)
Additional BindingsPurpose
Australian Medication . Preferred
PBS Item Codes Preferred
MIMS Preferred
GTIN Preferred
..... 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 Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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:pbs SΣ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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:amt SΣ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ medicationClass 0..1 Coding Medication type
URL: http://hl7.org.au/fhir/StructureDefinition/medication-type
Binding: Medication Type (required)
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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 Medication primary text
.... medication[x]:medicationReference Σ 0..1 Reference(ADHA Core Medication) Dispensed Medication
... subject SΣC 1..1 Reference(ADHA Core Patient) Who the dispense is for
inv-dh-medisp-01: At least reference or a valid identifier shall be present
... context S 0..1 Reference(ADHA Core Encounter) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer SC 1..* BackboneElement Who performed event
inv-dh-medisp-02: The actor shall at least have a reference, an identifier or a display
.... 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 S 1..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.

.... actor SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson) Individual who was performing
... location S 0..1 Reference(ADHA Core Location) Where the dispense occurred
... authorizingPrescription S 0..* Reference(ADHA Core MedicationRequest) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.

... quantity S 0..1 SimpleQuantity Amount dispensed
... daysSupply S 0..1 SimpleQuantity Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... destination 0..1 Reference(Location) Where the medication was sent
... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
... note S 0..* Annotation Information about the dispense
... dosageInstruction S 0..* AUBaseDosage Dosage information in an Australian healthcare context
... substitution S 0..1 BackboneElement Whether a substitution was performed on the dispense
.... 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
.... wasSubstituted S 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.

.... reason 0..1 CodeableConcept Why was substitution made
Binding: Medicine Substitution Reason . (preferred)
.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationDispense.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
from the FHIR Standard
MedicationDispense.categorypreferredMedicationDispense Category Codes
http://hl7.org/fhir/ValueSet/medicationdispense-category
from the FHIR Standard
MedicationDispense.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
Additional Bindings Purpose Documentation
Australian Medication . Preferred

This value set is for use when AMT (Australian Medicines Terminology) codes are preferred.
PBS Item Codes Preferred

This value set is for use when PBS (Pharmaceutical Benefits Scheme) item codes are preferred.
MIMS Preferred

This value set is for use when MIMS (Monthly Index of Medical Specialties) codes are preferred.
GTIN Preferred

This value set is for use when GTIN (Global Trade Item Number) codes are preferred.
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.typeexampleActPharmacySupplyType
http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonpreferredMedicineSubstitutionReason .
https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-medisp-01errorMedicationDispense.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-medisp-02errorMedicationDispense.performerThe actor shall at least have a reference, an identifier or a display
: actor.exists() implies actor.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.