CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
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Resource Profile: DIS MedicationDispense

Definition of the medication dispense for the medication dispense document

Usages:

• Use this Profile: DIS Document and PML Document
• Refer to this Profile: DIS Composition
• Examples for this Profile: MedicationDispense/MedicationDispenseTriatecDis

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..*	CHEMEDMedicationDispense	CH EMED MedicationDispense (DIS) Constraints: mdd-1, ch-dosage-meddis, split-dosage-instruction-unit-must-match-base-dosage-instruction
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:treatmentReason		0..*	string	Treatment reason URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
extension:prescription		0..1	(Complex)	Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
extension:pharmaceuticalAdvice	D	0..1	(Complex)	✕ This element is not supported URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
extension:treatmentPlan		1..1	(Complex)	CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
identifier		1..1	Identifier	MedicationDispense Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
partOf	D	0..*	Reference(Procedure)	✕ This element is not supported
status	?!Σ	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. Fixed Value: completed
statusReason[x]	D	0..1		✕ This is only meaningful when the 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	D	0..1	CodeableConcept	✕ This element is not supported Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1	Reference(CH Core Medication)	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication (DIS)) {c}	Reference to the contained medication
subject	Σ	0..1	Reference(CH EMED EPR Patient) {r, b}	Patient
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element is not supported
supportingInformation	D	0..*	Reference(Resource)	✕ This element is not supported
performer		1..1	BackboneElement	Who performed event
actor		1..1	Reference(CH EMED PractitionerRole)	The author of the medical decision, see also 'Guidance - Authorship'
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
location	D	0..1	Reference(Location)	✕ This element is not supported
authorizingPrescription	D	0..*	Reference(MedicationRequest)	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity		1..1	CHEMEDEPRAmountQuantity	Number of packages
daysSupply	D	0..1	CHEMEDEPRTimeQuantity	✕ This element is not supported
whenPrepared	ΣD	0..1	dateTime	✕ This element is not supported
whenHandedOver		1..1	dateTime	When product was given out
destination	D	0..1	Reference(Location)	✕ This element is not supported
receiver	D	0..*	Reference(Patient | Practitioner)	✕ This element is not supported
Slices for dosageInstruction		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosage	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-meddis	error	MedicationDispense	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
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
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationDispense	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

This structure is derived from CHEMEDMedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	CHEMEDMedicationDispense	CH EMED MedicationDispense (DIS) Constraints: split-dosage-instruction-unit-must-match-base-dosage-instruction
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:prescription		0..1	CHEMEDExtPrescription	Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed.
extension:pharmaceuticalAdvice	D	0..1	CHEMEDExtPharmaceuticalAdvice	✕ This element is not supported
extension:treatmentPlan		1..1	CHEMEDExtTreatmentPlan	CH EMED Extension
modifierExtension		0..0
partOf	D	0..*	Reference(Procedure)	✕ This element is not supported
statusReason[x]	D	0..1	CodeableConcept, Reference(DetectedIssue)	✕ This is only meaningful when the dispense was not performed
category	D	0..1	CodeableConcept	✕ This element is not supported
medication[x]		1..1	Reference(CH Core Medication)	What medication was supplied
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference		0..1	Reference(CH EMED EPR Medication (DIS)) {c}	Reference to the contained medication
subject		0..1	Reference(CH EMED EPR Patient) {r, b}	Patient
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element is not supported
supportingInformation	D	0..*	Reference(Resource)	✕ This element is not supported
performer
modifierExtension		0..0
location	D	0..1	Reference(Location)	✕ This element is not supported
authorizingPrescription	D	0..*	Reference(MedicationRequest)	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported
quantity		1..1	CHEMEDEPRAmountQuantity	Number of packages
daysSupply	D	0..1	CHEMEDEPRTimeQuantity	✕ This element is not supported
whenPrepared	D	0..1	dateTime	✕ This element is not supported
destination	D	0..1	Reference(Location)	✕ This element is not supported
receiver	D	0..*	Reference(Patient | Practitioner)	✕ This element is not supported
note
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
author[x]	D	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	✕ The note author is ignored, as it cannot be different than the document and/or entry's author
time	D	0..1	dateTime	✕ This element is not supported
text		1..1	markdown	The annotation text content (as raw text, no markdown allowed).
Slices for dosageInstruction				Content/Rules for all slices
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosage	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
substitution
modifierExtension		0..0
type
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
code		1..1	code	Symbol in syntax defined by the system Fixed Value: E
display		1..1	string	Representation defined by the system Fixed Value: equivalent
reason	D	0..*	CodeableConcept	✕ This element is not supported
responsibleParty	D	0..*	Reference(Practitioner | PractitionerRole)	✕ This element is not supported
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationDispense	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	CHEMEDMedicationDispense	CH EMED MedicationDispense (DIS) Constraints: mdd-1, ch-dosage-meddis, split-dosage-instruction-unit-must-match-base-dosage-instruction
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	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:treatmentReason		0..*	string	Treatment reason URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
extension:prescription		0..1	(Complex)	Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
extension:pharmaceuticalAdvice	D	0..1	(Complex)	✕ This element is not supported URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
extension:treatmentPlan		1..1	(Complex)	CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
identifier		1..1	Identifier	MedicationDispense Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..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.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
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)
partOf	D	0..*	Reference(Procedure)	✕ This element is not supported
status	?!Σ	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. Fixed Value: completed
statusReason[x]	D	0..1		✕ This is only meaningful when the 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	D	0..1	CodeableConcept	✕ This element is not supported Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1	Reference(CH Core Medication)	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication (DIS)) {c}	Reference to the contained medication
subject	Σ	0..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute 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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element is not supported
supportingInformation	D	0..*	Reference(Resource)	✕ This element is not supported
performer		1..1	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
function		0..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		1..1	Reference(CH EMED PractitionerRole)	The author of the medical decision, see also 'Guidance - Authorship'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute 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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
location	D	0..1	Reference(Location)	✕ This element is not supported
authorizingPrescription	D	0..*	Reference(MedicationRequest)	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported 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		1..1	CHEMEDEPRAmountQuantity	Number of packages
daysSupply	D	0..1	CHEMEDEPRTimeQuantity	✕ This element is not supported
whenPrepared	ΣD	0..1	dateTime	✕ This element is not supported
whenHandedOver		1..1	dateTime	When product was given out
destination	D	0..1	Reference(Location)	✕ This element is not supported
receiver	D	0..*	Reference(Patient | Practitioner)	✕ This element is not supported
note		0..*	Annotation	Information about the dispense
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
author[x]	ΣD	0..1		✕ The note author is ignored, as it cannot be different than the document and/or entry's author
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	ΣD	0..1	dateTime	✕ This element is not supported
text	Σ	1..1	markdown	The annotation text content (as raw text, no markdown allowed).
Slices for dosageInstruction		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosage	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
substitution	C	0..1	BackboneElement	Whether a substitution was performed on the dispense Constraints: ch-meddis-1, ch-emed-dis-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
wasSubstituted		1..1	boolean	Whether a substitution was (true) or was not (false) performed on the dispense
type		0..1	CodeableConcept	If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected. Binding: ActSubstanceAdminSubstitutionCode (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 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: E
display		1..1	string	Representation defined by the system Fixed Value: equivalent
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reason	D	0..*	CodeableConcept	✕ This element is not supported Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty	D	0..*	Reference(Practitioner | PractitionerRole)	✕ This element is not supported
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported
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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	required	ActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-meddis	error	MedicationDispense	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
ch-emed-dis-1	error	MedicationDispense.substitution	If no substitution was performed, no type is expected. : wasSubstituted = true or (wasSubstituted = false and type.exists().not())
ch-meddis-1	warning	MedicationDispense.substitution	If no substitution was performed, no type is expected. : wasSubstituted = true or (wasSubstituted = false and type.exists().not())
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
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationDispense	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

This structure is derived from CHEMEDMedicationDispense

Summary

Mandatory: 2 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• CH Core Medication (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication)
• CH EMED EPR Medication (DIS) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication-medicationdispense)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• Amount Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity)
• Time Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-time-quantity)
• Dosage (MedicationStatement / MedicationDispense) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage)
• Dosage Split (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	CHEMEDMedicationDispense	CH EMED MedicationDispense (DIS) Constraints: mdd-1, ch-dosage-meddis, split-dosage-instruction-unit-must-match-base-dosage-instruction
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:treatmentReason		0..*	string	Treatment reason URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
extension:prescription		0..1	(Complex)	Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
extension:pharmaceuticalAdvice	D	0..1	(Complex)	✕ This element is not supported URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
extension:treatmentPlan		1..1	(Complex)	CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
identifier		1..1	Identifier	MedicationDispense Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
partOf	D	0..*	Reference(Procedure)	✕ This element is not supported
status	?!Σ	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. Fixed Value: completed
statusReason[x]	D	0..1		✕ This is only meaningful when the 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	D	0..1	CodeableConcept	✕ This element is not supported Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1	Reference(CH Core Medication)	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication (DIS)) {c}	Reference to the contained medication
subject	Σ	0..1	Reference(CH EMED EPR Patient) {r, b}	Patient
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element is not supported
supportingInformation	D	0..*	Reference(Resource)	✕ This element is not supported
performer		1..1	BackboneElement	Who performed event
actor		1..1	Reference(CH EMED PractitionerRole)	The author of the medical decision, see also 'Guidance - Authorship'
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
location	D	0..1	Reference(Location)	✕ This element is not supported
authorizingPrescription	D	0..*	Reference(MedicationRequest)	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity		1..1	CHEMEDEPRAmountQuantity	Number of packages
daysSupply	D	0..1	CHEMEDEPRTimeQuantity	✕ This element is not supported
whenPrepared	ΣD	0..1	dateTime	✕ This element is not supported
whenHandedOver		1..1	dateTime	When product was given out
destination	D	0..1	Reference(Location)	✕ This element is not supported
receiver	D	0..*	Reference(Patient | Practitioner)	✕ This element is not supported
Slices for dosageInstruction		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosage	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-meddis	error	MedicationDispense	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
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
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationDispense	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

Differential View

This structure is derived from CHEMEDMedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	CHEMEDMedicationDispense	CH EMED MedicationDispense (DIS) Constraints: split-dosage-instruction-unit-must-match-base-dosage-instruction
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:prescription		0..1	CHEMEDExtPrescription	Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed.
extension:pharmaceuticalAdvice	D	0..1	CHEMEDExtPharmaceuticalAdvice	✕ This element is not supported
extension:treatmentPlan		1..1	CHEMEDExtTreatmentPlan	CH EMED Extension
modifierExtension		0..0
partOf	D	0..*	Reference(Procedure)	✕ This element is not supported
statusReason[x]	D	0..1	CodeableConcept, Reference(DetectedIssue)	✕ This is only meaningful when the dispense was not performed
category	D	0..1	CodeableConcept	✕ This element is not supported
medication[x]		1..1	Reference(CH Core Medication)	What medication was supplied
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference		0..1	Reference(CH EMED EPR Medication (DIS)) {c}	Reference to the contained medication
subject		0..1	Reference(CH EMED EPR Patient) {r, b}	Patient
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element is not supported
supportingInformation	D	0..*	Reference(Resource)	✕ This element is not supported
performer
modifierExtension		0..0
location	D	0..1	Reference(Location)	✕ This element is not supported
authorizingPrescription	D	0..*	Reference(MedicationRequest)	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported
quantity		1..1	CHEMEDEPRAmountQuantity	Number of packages
daysSupply	D	0..1	CHEMEDEPRTimeQuantity	✕ This element is not supported
whenPrepared	D	0..1	dateTime	✕ This element is not supported
destination	D	0..1	Reference(Location)	✕ This element is not supported
receiver	D	0..*	Reference(Patient | Practitioner)	✕ This element is not supported
note
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
author[x]	D	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	✕ The note author is ignored, as it cannot be different than the document and/or entry's author
time	D	0..1	dateTime	✕ This element is not supported
text		1..1	markdown	The annotation text content (as raw text, no markdown allowed).
Slices for dosageInstruction				Content/Rules for all slices
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosage	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
substitution
modifierExtension		0..0
type
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
code		1..1	code	Symbol in syntax defined by the system Fixed Value: E
display		1..1	string	Representation defined by the system Fixed Value: equivalent
reason	D	0..*	CodeableConcept	✕ This element is not supported
responsibleParty	D	0..*	Reference(Practitioner | PractitionerRole)	✕ This element is not supported
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationDispense	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	CHEMEDMedicationDispense	CH EMED MedicationDispense (DIS) Constraints: mdd-1, ch-dosage-meddis, split-dosage-instruction-unit-must-match-base-dosage-instruction
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	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:treatmentReason		0..*	string	Treatment reason URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
extension:prescription		0..1	(Complex)	Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
extension:pharmaceuticalAdvice	D	0..1	(Complex)	✕ This element is not supported URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
extension:treatmentPlan		1..1	(Complex)	CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
identifier		1..1	Identifier	MedicationDispense Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..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.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
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)
partOf	D	0..*	Reference(Procedure)	✕ This element is not supported
status	?!Σ	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. Fixed Value: completed
statusReason[x]	D	0..1		✕ This is only meaningful when the 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	D	0..1	CodeableConcept	✕ This element is not supported Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1	Reference(CH Core Medication)	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication (DIS)) {c}	Reference to the contained medication
subject	Σ	0..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute 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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element is not supported
supportingInformation	D	0..*	Reference(Resource)	✕ This element is not supported
performer		1..1	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
function		0..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		1..1	Reference(CH EMED PractitionerRole)	The author of the medical decision, see also 'Guidance - Authorship'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute 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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
location	D	0..1	Reference(Location)	✕ This element is not supported
authorizingPrescription	D	0..*	Reference(MedicationRequest)	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported 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		1..1	CHEMEDEPRAmountQuantity	Number of packages
daysSupply	D	0..1	CHEMEDEPRTimeQuantity	✕ This element is not supported
whenPrepared	ΣD	0..1	dateTime	✕ This element is not supported
whenHandedOver		1..1	dateTime	When product was given out
destination	D	0..1	Reference(Location)	✕ This element is not supported
receiver	D	0..*	Reference(Patient | Practitioner)	✕ This element is not supported
note		0..*	Annotation	Information about the dispense
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
author[x]	ΣD	0..1		✕ The note author is ignored, as it cannot be different than the document and/or entry's author
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	ΣD	0..1	dateTime	✕ This element is not supported
text	Σ	1..1	markdown	The annotation text content (as raw text, no markdown allowed).
Slices for dosageInstruction		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosage	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
substitution	C	0..1	BackboneElement	Whether a substitution was performed on the dispense Constraints: ch-meddis-1, ch-emed-dis-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
wasSubstituted		1..1	boolean	Whether a substitution was (true) or was not (false) performed on the dispense
type		0..1	CodeableConcept	If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected. Binding: ActSubstanceAdminSubstitutionCode (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 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: E
display		1..1	string	Representation defined by the system Fixed Value: equivalent
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reason	D	0..*	CodeableConcept	✕ This element is not supported Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty	D	0..*	Reference(Practitioner | PractitionerRole)	✕ This element is not supported
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported
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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	required	ActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-meddis	error	MedicationDispense	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
ch-emed-dis-1	error	MedicationDispense.substitution	If no substitution was performed, no type is expected. : wasSubstituted = true or (wasSubstituted = false and type.exists().not())
ch-meddis-1	warning	MedicationDispense.substitution	If no substitution was performed, no type is expected. : wasSubstituted = true or (wasSubstituted = false and type.exists().not())
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
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationDispense	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

This structure is derived from CHEMEDMedicationDispense

Summary

Mandatory: 2 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• CH Core Medication (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication)
• CH EMED EPR Medication (DIS) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication-medicationdispense)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• Amount Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity)
• Time Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-time-quantity)
• Dosage (MedicationStatement / MedicationDispense) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage)
• Dosage Split (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split)

Other representations of profile: CSV, Excel, Schematron