<?xml version="1.0" encoding="UTF-8"?>
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/*
  Copyright (c) 2011+, HL7, Inc.
  All rights reserved.
  
  Redistribution and use in source and binary forms, with or without modification, 
  are permitted provided that the following conditions are met:
  
   * Redistributions of source code must retain the above copyright notice, this 
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     this list of conditions and the following disclaimer in the documentation 
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     endorse or promote products derived from this software without specific 
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  INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT 
  NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR 
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  Generated on Thu, Apr 9, 2026 17:12+0000 for FHIR v6.0.0-ballot4 

  Note: the schemas &amp; schematrons do not contain all of the rules about what makes resources
  valid. Implementers will still need to be familiar with the content of the specification and with
  any profiles that apply to the resources in order to make a conformant implementation.

-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" targetNamespace="http://hl7.org/fhir" elementFormDefault="qualified" version="1.0">
  <xs:include schemaLocation="fhir-base.xsd"/>
  <xs:element name="MedicationDispense" type="MedicationDispense">
    <xs:annotation>
      <xs:documentation xml:lang="en">Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.</xs:documentation>
    </xs:annotation>
  </xs:element>
  <xs:complexType name="MedicationDispense">
    <xs:annotation>
      <xs:documentation xml:lang="en">Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="DomainResource">
        <xs:sequence>
          <xs:element name="identifier" minOccurs="0" maxOccurs="unbounded" type="Identifier">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="basedOn" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A plan that is fulfilled in whole or in part by this MedicationDispense.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="partOf" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The procedure or medication administration that triggered the dispense.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="status" minOccurs="1" maxOccurs="1" type="MedicationDispenseStatusCodes">
            <xs:annotation>
              <xs:documentation xml:lang="en">A code specifying the state of the set of dispense events.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="notPerformedReason" minOccurs="0" maxOccurs="1" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the reason why a dispense was not performed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="statusChanged" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">The date (and maybe time) when the status of the dispense record changed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="category" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the type of medication dispense (for example, drug classification like ATC, where meds would be administered, legal category of the medication.).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="medication" minOccurs="1" maxOccurs="1" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies the medication supplied (or intended to be supplied). 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.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="subject" minOccurs="1" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A link to a resource representing the person or the group to whom the medication will be given.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="encounter" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The encounter that establishes the context for this event.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="supportingInformation" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Additional information that supports the medication being dispensed.  For example, there may be requirements that a specific lab test has been completed prior to dispensing or the patient's weight at the time of dispensing is documented.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="performer" type="MedicationDispense.Performer" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates who or what performed the event.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="location" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The principal physical location where the dispense was performed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="authorizingPrescription" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the medication order that is being dispensed against.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="type" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="quantity" minOccurs="0" maxOccurs="1" type="Quantity">
            <xs:annotation>
              <xs:documentation xml:lang="en">The amount of medication that has been (or was intended to be) dispensed. Includes unit of measure.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="daysSupply" minOccurs="0" maxOccurs="1" type="Quantity">
            <xs:annotation>
              <xs:documentation xml:lang="en">The amount of medication expressed as a timing amount.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="fillNumber" minOccurs="0" maxOccurs="1" type="positiveInt">
            <xs:annotation>
              <xs:documentation xml:lang="en">Represents the known number of the fill over the entire lifetime of the prescription, i.e. if this is the first dispense by this pharmacy but the third fill overall, then the fillNumber will be 3.  Each fill number represents one dispensation, even if that dispensation is not for the full quantity.  Partial fills are not represented by decimal quantities, i.e., a partial fill of 40 tablets (full quantity is 100 tablets) adds 1 to the prior fill number, not 0.4. This means that the 'fillNumber' may sometimes be higher than the MedicationRequest.numberOfRepeatsAllowed, as the latter assumes full fills, while fillNumber does not.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="recorded" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">The date the occurrence of the MedicationDispense was first captured in the system.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="whenPrepared" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">The time when the dispensed product was packaged and reviewed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="whenHandedOver" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">The time the dispensed product was provided to the patient or their representative.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="destination" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identification of the facility/location where the medication was/will be shipped to, as part of the dispense event.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="receiver" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies the person who picked up the medication or the location or organization where the medication was delivered. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional or a location, or organization.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="note" minOccurs="0" maxOccurs="unbounded" type="Annotation">
            <xs:annotation>
              <xs:documentation xml:lang="en">Extra information about the dispense that could not be conveyed in the other attributes.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="dosageInstruction" minOccurs="0" maxOccurs="1" type="DosageDetails">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates how the medication is to be used by the patient.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="doseAdministrationAid" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Provides information about the type of adherence packaging supplied for the medication dispense.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="substitution" type="MedicationDispense.Substitution" minOccurs="0" maxOccurs="1">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates whether or not substitution was made as part of the dispense.  In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.  If nothing is specified, substitution was not done.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="eventHistory" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A summary of the events of interest that have occurred, such as when the dispense was verified.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="MedicationDispense.Performer">
    <xs:annotation>
      <xs:documentation xml:lang="en">Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="function" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="actor" minOccurs="1" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="MedicationDispense.Substitution">
    <xs:annotation>
      <xs:documentation xml:lang="en">Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="wasSubstituted" minOccurs="1" maxOccurs="1" type="boolean">
            <xs:annotation>
              <xs:documentation xml:lang="en">True if the dispenser dispensed a different drug or product from what was prescribed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="type" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A code signifying whether a different drug was dispensed from what was prescribed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="reason" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the reason for the substitution (or lack of substitution) from what was prescribed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="responsibleParty" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The person or organization that has primary responsibility for the substitution.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="MedicationDispenseStatusCodesEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="preparation">
        <xs:annotation>
          <xs:documentation xml:lang="en">Preparation</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="in-progress">
        <xs:annotation>
          <xs:documentation xml:lang="en">In Progress</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="cancelled">
        <xs:annotation>
          <xs:documentation xml:lang="en">Cancelled</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="on-hold">
        <xs:annotation>
          <xs:documentation xml:lang="en">On Hold</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="completed">
        <xs:annotation>
          <xs:documentation xml:lang="en">Completed</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="entered-in-error">
        <xs:annotation>
          <xs:documentation xml:lang="en">Entered in Error</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="unfulfilled">
        <xs:annotation>
          <xs:documentation xml:lang="en">Unfulfilled</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="declined">
        <xs:annotation>
          <xs:documentation xml:lang="en">Declined</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="unknown">
        <xs:annotation>
          <xs:documentation xml:lang="en">Unknown</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="MedicationDispenseStatusCodes">
    <xs:annotation>
      <xs:documentation xml:lang="en">A coded concept specifying the state of the dispense event.</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="MedicationDispenseStatusCodesEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
</xs:schema>
