HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build

HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

## Resource Profile: MedicationDispense: Obligations (HDR CZ) - hospital stay

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationdispens-hospitalstay-obl-hdr | Version: 0.1.0
Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_MedicationDispenseHospitalStayObligationsHdr

Profile for MedicationDispense with obligations (HDR CZ). - hospital stay.

Usages:

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

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | CZ_MedicationDispenseHdr | Dispensing a medication to a named patient Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x] |  | 0..1 |  | Why a dispense was not performed Slice: Unordered, Closed by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonReference |  |  | Reference(DetectedIssue) |
statusReason[x]:statusReasonCodeableConcept | O | 0..1 | CodeableConcept | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
statusReason[x]:statusReasonReference | O | 0..1 | Reference(DetectedIssue) | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
Slices for medication[x] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (CZ)) |
medication[x]:medicationCodeableConcept | O Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver |  | 1..1 | dateTime | When product was given out
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

This structure is derived from CZ_MedicationDispenseHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | CZ_MedicationDispenseHdr | Dispensing a medication to a named patient
Slices for statusReason[x] |  | 0..1 | CodeableConcept, Reference(DetectedIssue) | Why a dispense was not performed Slice: Unordered, Open by type:$this
statusReason[x]:statusReasonCodeableConcept | O | 0..1 | CodeableConcept | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
statusReason[x]:statusReasonReference | O | 0..1 | Reference(DetectedIssue) | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication (CZ)) | What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept | O | 0..1 | CodeableConcept | What medication was supplied
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | CZ_MedicationDispenseHdr | Dispensing a medication to a named patient Constraints: mdd-1
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 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 |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Dispensation/dispensed item ID
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!Σ | 1..1 | code | Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x] |  | 0..1 |  | Why a dispense was not performed Slice: Unordered, Closed by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonReference |  |  | Reference(DetectedIssue) |
statusReason[x]:statusReasonCodeableConcept | O | 0..1 | CodeableConcept | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
statusReason[x]:statusReasonReference | O | 0..1 | Reference(DetectedIssue) | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
category |  | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (CZ)) |
medication[x]:medicationCodeableConcept | O Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
subject | Σ | 0..1 | Reference(Patient (CZ core)) | Who the dispense is for
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event
supportingInformation |  | 0..* | Reference(Resource) | Information that supports the dispensing of the medication
performer |  | 0..* | BackboneElement | Who performed event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription |  | 0..* | Reference(MedicationRequest (HDR CZ)) | Medication order that authorizes the dispense
type |  | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (3.0.0) (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 | SimpleQuantity(4.0.1) | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver |  | 1..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 |  | 0..* | Annotation | Information about the dispense
dosageInstruction |  | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
substitution |  | 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 |  | 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 (3.0.0) (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..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.category | Base | preferred | Medication dispense category codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std.
MedicationDispense.type | Base | example | ActPharmacySupplyType | 📍3.0.0 | THO v7.0
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.0
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

This structure is derived from CZ_MedicationDispenseHdr

Summary

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationDispense.statusReason[x]
- The element 1 is sliced based on the value of MedicationDispense.medication[x]

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | CZ_MedicationDispenseHdr | Dispensing a medication to a named patient Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x] |  | 0..1 |  | Why a dispense was not performed Slice: Unordered, Closed by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonReference |  |  | Reference(DetectedIssue) |
statusReason[x]:statusReasonCodeableConcept | O | 0..1 | CodeableConcept | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
statusReason[x]:statusReasonReference | O | 0..1 | Reference(DetectedIssue) | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
Slices for medication[x] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (CZ)) |
medication[x]:medicationCodeableConcept | O Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver |  | 1..1 | dateTime | When product was given out
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

Differential View

This structure is derived from CZ_MedicationDispenseHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | CZ_MedicationDispenseHdr | Dispensing a medication to a named patient
Slices for statusReason[x] |  | 0..1 | CodeableConcept, Reference(DetectedIssue) | Why a dispense was not performed Slice: Unordered, Open by type:$this
statusReason[x]:statusReasonCodeableConcept | O | 0..1 | CodeableConcept | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
statusReason[x]:statusReasonReference | O | 0..1 | Reference(DetectedIssue) | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication (CZ)) | What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept | O | 0..1 | CodeableConcept | What medication was supplied
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | CZ_MedicationDispenseHdr | Dispensing a medication to a named patient Constraints: mdd-1
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 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 |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Dispensation/dispensed item ID
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!Σ | 1..1 | code | Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x] |  | 0..1 |  | Why a dispense was not performed Slice: Unordered, Closed by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonReference |  |  | Reference(DetectedIssue) |
statusReason[x]:statusReasonCodeableConcept | O | 0..1 | CodeableConcept | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
statusReason[x]:statusReasonReference | O | 0..1 | Reference(DetectedIssue) | Why a dispense was not performed
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
category |  | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (CZ)) |
medication[x]:medicationCodeableConcept | O Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
subject | Σ | 0..1 | Reference(Patient (CZ core)) | Who the dispense is for
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event
supportingInformation |  | 0..* | Reference(Resource) | Information that supports the dispensing of the medication
performer |  | 0..* | BackboneElement | Who performed event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription |  | 0..* | Reference(MedicationRequest (HDR CZ)) | Medication order that authorizes the dispense
type |  | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (3.0.0) (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 | SimpleQuantity(4.0.1) | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver |  | 1..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 |  | 0..* | Annotation | Information about the dispense
dosageInstruction |  | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
substitution |  | 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 |  | 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 (3.0.0) (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..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std.
MedicationDispense.category | Base | preferred | Medication dispense category codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std.
MedicationDispense.type | Base | example | ActPharmacySupplyType | 📍3.0.0 | THO v7.0
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.0
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`

This structure is derived from CZ_MedicationDispenseHdr

Summary

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationDispense.statusReason[x]
- The element 1 is sliced based on the value of MedicationDispense.medication[x]

Maturity: 0

Other representations of profile: CSV, Excel, Schematron