Medication Prescription and Delivery (MPD)
0.1.0 - ci-build
Medication Prescription and Delivery (MPD), published by Integrating the Healthcare Enterprise (IHE). 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/IHE/pharm-mpd/ and changes regularly. See the Directory of published versions
Official URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/IHEMedicationDispensation | Version: 0.1.0 | |||
Active as of 2024-10-26 | Computable Name: IHEMedicationDispensation | |||
Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property |
MedicationDispense profile for capturing dispensation information based on a medication prescription.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationDispense
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | 0..* | MedicationDispense | Dispensing a medication to a named patient | |
identifier | S | 0..* | Identifier | External identifier |
status | S | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown |
notPerformedReason | S | 0..1 | CodeableReference(DetectedIssue) | Why a dispense was not performed |
medication | S | 1..1 | CodeableReference(IHE Medication) | What medication was supplied |
subject | S | 1..1 | Reference(Patient | Group) | Who the dispense is for |
performer | ||||
actor | S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Individual who was performing |
authorizingPrescription | S | 0..* | Reference(IHE Medication Prescription) | Medication order that authorizes the dispense |
quantity | S | 1..1 | SimpleQuantity | Amount dispensed |
whenHandedOver | S | 1..1 | dateTime | When product was given out |
receiver | S | 0..* | Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) | Who collected the medication or where the medication was delivered |
substitution | ||||
wasSubstituted | S | 1..1 | boolean | Whether a substitution was or was not performed on the dispense |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
contained | 0..* | Resource | Contained, inline Resources | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | External identifier |
status | ?!SΣ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. |
notPerformedReason | S | 0..1 | CodeableReference(DetectedIssue) | Why a dispense was not performed Binding: MedicationDispenseStatusReasonCodes (example) |
medication | SΣ | 1..1 | CodeableReference(IHE Medication) | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. |
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the dispense is for |
performer | 0..* | BackboneElement | Who performed event | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
actor | S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Individual who was performing |
authorizingPrescription | S | 0..* | Reference(IHE Medication Prescription) | Medication order that authorizes the dispense |
quantity | S | 1..1 | SimpleQuantity | Amount dispensed |
whenHandedOver | SC | 1..1 | dateTime | When product was given out |
receiver | S | 0..* | Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) | Who collected the medication or where the medication was delivered |
substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
wasSubstituted | S | 1..1 | boolean | Whether a substitution was or was not performed on the dispense |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.status | required | MedicationDispenseStatusCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard | |
MedicationDispense.notPerformedReason | example | MedicationDispenseStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | |
MedicationDispense.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | External identifier | ||||
basedOn | 0..* | Reference(CarePlan) | Plan that is fulfilled by this dispense | |||||
partOf | 0..* | Reference(Procedure | MedicationAdministration) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. | ||||
notPerformedReason | S | 0..1 | CodeableReference(DetectedIssue) | Why a dispense was not performed Binding: MedicationDispenseStatusReasonCodes (example) | ||||
statusChanged | 0..1 | dateTime | When the status changed | |||||
category | 0..* | CodeableConcept | Type of medication dispense Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered. | |||||
medication | SΣ | 1..1 | CodeableReference(IHE Medication) | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the dispense is for | ||||
encounter | 0..1 | Reference(Encounter) | Encounter 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: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication. | |||||
actor | S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Individual who was performing | ||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(IHE Medication Prescription) | Medication order that authorizes the dispense | ||||
type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc Binding: ActPharmacySupplyType (example): ActPharmacySupplyType | |||||
quantity | S | 1..1 | SimpleQuantity | Amount dispensed | ||||
daysSupply | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
recorded | 0..1 | dateTime | When the recording of the dispense started | |||||
whenPrepared | ΣC | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | SC | 1..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(Location) | Where the medication was/will be sent | |||||
receiver | S | 0..* | Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) | Who collected the medication or where the medication was delivered | ||||
note | 0..* | Annotation | Information about the dispense | |||||
renderedDosageInstruction | 0..1 | markdown | Full representation of the dosage instructions | |||||
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 | S | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | ||||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): ActSubstanceAdminSubstitutionCode | |||||
reason | 0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason | |||||
responsibleParty | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Who is responsible for the substitution | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
MedicationDispense.status | required | MedicationDispenseStatusCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard | |
MedicationDispense.notPerformedReason | example | MedicationDispenseStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | |
MedicationDispense.category | example | MedicationDispenseAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-admin-location from the FHIR Standard | |
MedicationDispense.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationDispense.performer.function | example | MedicationDispensePerformerFunctionCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | |
MedicationDispense.type | example | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | |
MedicationDispense.substitution.type | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
MedicationDispense.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationDispense
Differential View
This structure is derived from MedicationDispense
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | 0..* | MedicationDispense | Dispensing a medication to a named patient | |
identifier | S | 0..* | Identifier | External identifier |
status | S | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown |
notPerformedReason | S | 0..1 | CodeableReference(DetectedIssue) | Why a dispense was not performed |
medication | S | 1..1 | CodeableReference(IHE Medication) | What medication was supplied |
subject | S | 1..1 | Reference(Patient | Group) | Who the dispense is for |
performer | ||||
actor | S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Individual who was performing |
authorizingPrescription | S | 0..* | Reference(IHE Medication Prescription) | Medication order that authorizes the dispense |
quantity | S | 1..1 | SimpleQuantity | Amount dispensed |
whenHandedOver | S | 1..1 | dateTime | When product was given out |
receiver | S | 0..* | Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) | Who collected the medication or where the medication was delivered |
substitution | ||||
wasSubstituted | S | 1..1 | boolean | Whether a substitution was or was not performed on the dispense |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
contained | 0..* | Resource | Contained, inline Resources | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | External identifier |
status | ?!SΣ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. |
notPerformedReason | S | 0..1 | CodeableReference(DetectedIssue) | Why a dispense was not performed Binding: MedicationDispenseStatusReasonCodes (example) |
medication | SΣ | 1..1 | CodeableReference(IHE Medication) | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. |
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the dispense is for |
performer | 0..* | BackboneElement | Who performed event | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
actor | S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Individual who was performing |
authorizingPrescription | S | 0..* | Reference(IHE Medication Prescription) | Medication order that authorizes the dispense |
quantity | S | 1..1 | SimpleQuantity | Amount dispensed |
whenHandedOver | SC | 1..1 | dateTime | When product was given out |
receiver | S | 0..* | Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) | Who collected the medication or where the medication was delivered |
substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
wasSubstituted | S | 1..1 | boolean | Whether a substitution was or was not performed on the dispense |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.status | required | MedicationDispenseStatusCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard | |
MedicationDispense.notPerformedReason | example | MedicationDispenseStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | |
MedicationDispense.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | External identifier | ||||
basedOn | 0..* | Reference(CarePlan) | Plan that is fulfilled by this dispense | |||||
partOf | 0..* | Reference(Procedure | MedicationAdministration) | Event that dispense is part of | |||||
status | ?!SΣ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. | ||||
notPerformedReason | S | 0..1 | CodeableReference(DetectedIssue) | Why a dispense was not performed Binding: MedicationDispenseStatusReasonCodes (example) | ||||
statusChanged | 0..1 | dateTime | When the status changed | |||||
category | 0..* | CodeableConcept | Type of medication dispense Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered. | |||||
medication | SΣ | 1..1 | CodeableReference(IHE Medication) | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. | ||||
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the dispense is for | ||||
encounter | 0..1 | Reference(Encounter) | Encounter 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: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication. | |||||
actor | S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Individual who was performing | ||||
location | 0..1 | Reference(Location) | Where the dispense occurred | |||||
authorizingPrescription | S | 0..* | Reference(IHE Medication Prescription) | Medication order that authorizes the dispense | ||||
type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc Binding: ActPharmacySupplyType (example): ActPharmacySupplyType | |||||
quantity | S | 1..1 | SimpleQuantity | Amount dispensed | ||||
daysSupply | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount | |||||
recorded | 0..1 | dateTime | When the recording of the dispense started | |||||
whenPrepared | ΣC | 0..1 | dateTime | When product was packaged and reviewed | ||||
whenHandedOver | SC | 1..1 | dateTime | When product was given out | ||||
destination | 0..1 | Reference(Location) | Where the medication was/will be sent | |||||
receiver | S | 0..* | Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) | Who collected the medication or where the medication was delivered | ||||
note | 0..* | Annotation | Information about the dispense | |||||
renderedDosageInstruction | 0..1 | markdown | Full representation of the dosage instructions | |||||
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 | S | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | ||||
type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): ActSubstanceAdminSubstitutionCode | |||||
reason | 0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason | |||||
responsibleParty | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Who is responsible for the substitution | |||||
eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationDispense.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
MedicationDispense.status | required | MedicationDispenseStatusCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard | |
MedicationDispense.notPerformedReason | example | MedicationDispenseStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard | |
MedicationDispense.category | example | MedicationDispenseAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-admin-location from the FHIR Standard | |
MedicationDispense.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationDispense.performer.function | example | MedicationDispensePerformerFunctionCodeshttp://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard | |
MedicationDispense.type | example | ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType | |
MedicationDispense.substitution.type | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
MedicationDispense.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationDispense
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