NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. 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/PROJ-PHILHEALTH-EA-NHDR/nhdr-fhir-ig-review-project-2/ and changes regularly. See the Directory of published versions

## Resource Profile: PH MedicationDispense

Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-MedicationDispense | Version: 0.1.0
Standards status: Draft | Computable Name: PH_MedicationDispense
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Indicates that a medication product is to be or has been dispensed for a named person or patient.

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..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
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.
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) |
medication[x]:medicationReference | Σ | 0..1 | Reference(PH Medication) | What medication was supplied
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.medication[x] | 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 MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | Dispensing a medication to a named patient
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
lastUpdated |  | 0..1 | instant | When the resource was uploaded to the NHDR.
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..0 |  | Language of the resource content
text |  | 0..0 |  | Text summary of the resource, for human interpretation
contained |  | 0..0 |  | Contained, inline Resources
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
identifier |  | 0..0 |  | External identifier
partOf |  | 0..0 |  | Event that dispense is part of
statusReason[x] |  | 0..0 |  | Why a dispense was not performed
category |  | 0..0 |  | Type of medication dispense
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationReference |  | 0..1 | Reference(PH Medication) | What medication was supplied
subject |  | 0..0 |  | Who the dispense is for
context |  | 0..0 |  | Encounter / Episode associated with event
supportingInformation |  | 0..0 |  | Information that supports the dispensing of the medication
performer |  | 0..0 |  | Who performed event
location |  | 0..0 |  | Where the dispense occurred
authorizingPrescription |  | 0..0 |  | Medication order that authorizes the dispense
type |  | 0..0 |  | Trial fill, partial fill, emergency fill, etc.
daysSupply |  | 0..0 |  | Amount of medication expressed as a timing amount
whenPrepared |  | 0..0 |  | When product was packaged and reviewed
destination |  | 0..0 |  | Where the medication was sent
receiver |  | 0..0 |  | Who collected the medication
dosageInstruction |  |  |  |
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
sequence |  | 0..0 |  | The order of the dosage instructions
text |  | 0..0 |  | Free text dosage instructions e.g. SIG
additionalInstruction |  | 0..0 |  | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
patientInstruction |  | 0..0 |  | Patient or consumer oriented instructions
timing |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
event |  | 0..0 |  | When the event occurs
repeat |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
bounds[x] |  | 0..0 |  | Length/Range of lengths, or (Start and/or end) limits
count |  | 0..0 |  | Number of times to repeat
countMax |  | 0..0 |  | Maximum number of times to repeat
duration |  | 0..0 |  | How long when it happens
durationMax |  | 0..0 |  | How long when it happens (Max)
durationUnit |  | 0..0 |  | s | min | h | d | wk | mo | a - unit of time (UCUM)
frequencyMax |  | 0..0 |  | Event occurs up to frequencyMax times per period
period |  | 0..0 |  | Event occurs frequency times per period
periodMax |  | 0..0 |  | Upper limit of period (3-4 hours)
periodUnit |  | 0..0 |  | s | min | h | d | wk | mo | a - unit of time (UCUM)
dayOfWeek |  | 0..0 |  | mon | tue | wed | thu | fri | sat | sun
timeOfDay |  | 0..0 |  | Time of day for action
when |  | 0..0 |  | Code for time period of occurrence
offset |  | 0..0 |  | Minutes from event (before or after)
code |  | 0..0 |  | BID | TID | QID | AM | PM | QD | QOD | +
asNeeded[x] |  | 0..0 |  | Take "as needed" (for x)
site |  | 0..0 |  | Body site to administer to
method |  | 0..0 |  | Technique for administering medication
doseAndRate |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
type |  | 0..0 |  | The kind of dose or rate specified
rate[x] |  | 0..0 |  | Amount of medication per unit of time
maxDosePerPeriod |  | 0..0 |  | Upper limit on medication per unit of time
maxDosePerAdministration |  | 0..0 |  | Upper limit on medication per administration
maxDosePerLifetime |  | 0..0 |  | Upper limit on medication per lifetime of the patient
substitution |  | 0..0 |  | Whether a substitution was performed on the dispense
detectedIssue |  | 0..0 |  | Clinical issue with action
eventHistory |  | 0..0 |  | A list of relevant lifecycle events
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | 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
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource was uploaded to the NHDR.
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.
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) |
medication[x]:medicationReference | Σ | 0..1 | Reference(PH Medication) | What medication was supplied
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver |  | 0..1 | dateTime | When product was given out
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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
timing | Σ | 0..1 | Timing | When medication should be administered
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.meta.​security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
MedicationDispense.meta.​tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | 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.dosageInstruction.​route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### 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`
tim-1 | error | MedicationDispense.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationDispense.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationDispense.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationDispense.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from MedicationDispense

Summary

Prohibited: 61 elements

Structures

This structure refers to these other structures:

- PH Medication (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Medication)

Extensions

This structure refers to these extensions:

- https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
- https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated

Slices

This structure defines the following Slices:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
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.
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) |
medication[x]:medicationReference | Σ | 0..1 | Reference(PH Medication) | What medication was supplied
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.medication[x] | 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 MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | Dispensing a medication to a named patient
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
lastUpdated |  | 0..1 | instant | When the resource was uploaded to the NHDR.
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..0 |  | Language of the resource content
text |  | 0..0 |  | Text summary of the resource, for human interpretation
contained |  | 0..0 |  | Contained, inline Resources
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
identifier |  | 0..0 |  | External identifier
partOf |  | 0..0 |  | Event that dispense is part of
statusReason[x] |  | 0..0 |  | Why a dispense was not performed
category |  | 0..0 |  | Type of medication dispense
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationReference |  | 0..1 | Reference(PH Medication) | What medication was supplied
subject |  | 0..0 |  | Who the dispense is for
context |  | 0..0 |  | Encounter / Episode associated with event
supportingInformation |  | 0..0 |  | Information that supports the dispensing of the medication
performer |  | 0..0 |  | Who performed event
location |  | 0..0 |  | Where the dispense occurred
authorizingPrescription |  | 0..0 |  | Medication order that authorizes the dispense
type |  | 0..0 |  | Trial fill, partial fill, emergency fill, etc.
daysSupply |  | 0..0 |  | Amount of medication expressed as a timing amount
whenPrepared |  | 0..0 |  | When product was packaged and reviewed
destination |  | 0..0 |  | Where the medication was sent
receiver |  | 0..0 |  | Who collected the medication
dosageInstruction |  |  |  |
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
sequence |  | 0..0 |  | The order of the dosage instructions
text |  | 0..0 |  | Free text dosage instructions e.g. SIG
additionalInstruction |  | 0..0 |  | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
patientInstruction |  | 0..0 |  | Patient or consumer oriented instructions
timing |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
event |  | 0..0 |  | When the event occurs
repeat |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
bounds[x] |  | 0..0 |  | Length/Range of lengths, or (Start and/or end) limits
count |  | 0..0 |  | Number of times to repeat
countMax |  | 0..0 |  | Maximum number of times to repeat
duration |  | 0..0 |  | How long when it happens
durationMax |  | 0..0 |  | How long when it happens (Max)
durationUnit |  | 0..0 |  | s | min | h | d | wk | mo | a - unit of time (UCUM)
frequencyMax |  | 0..0 |  | Event occurs up to frequencyMax times per period
period |  | 0..0 |  | Event occurs frequency times per period
periodMax |  | 0..0 |  | Upper limit of period (3-4 hours)
periodUnit |  | 0..0 |  | s | min | h | d | wk | mo | a - unit of time (UCUM)
dayOfWeek |  | 0..0 |  | mon | tue | wed | thu | fri | sat | sun
timeOfDay |  | 0..0 |  | Time of day for action
when |  | 0..0 |  | Code for time period of occurrence
offset |  | 0..0 |  | Minutes from event (before or after)
code |  | 0..0 |  | BID | TID | QID | AM | PM | QD | QOD | +
asNeeded[x] |  | 0..0 |  | Take "as needed" (for x)
site |  | 0..0 |  | Body site to administer to
method |  | 0..0 |  | Technique for administering medication
doseAndRate |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
type |  | 0..0 |  | The kind of dose or rate specified
rate[x] |  | 0..0 |  | Amount of medication per unit of time
maxDosePerPeriod |  | 0..0 |  | Upper limit on medication per unit of time
maxDosePerAdministration |  | 0..0 |  | Upper limit on medication per administration
maxDosePerLifetime |  | 0..0 |  | Upper limit on medication per lifetime of the patient
substitution |  | 0..0 |  | Whether a substitution was performed on the dispense
detectedIssue |  | 0..0 |  | Clinical issue with action
eventHistory |  | 0..0 |  | A list of relevant lifecycle events
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | 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
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource was uploaded to the NHDR.
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.
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) |
medication[x]:medicationReference | Σ | 0..1 | Reference(PH Medication) | What medication was supplied
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver |  | 0..1 | dateTime | When product was given out
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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
timing | Σ | 0..1 | Timing | When medication should be administered
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.meta.​security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
MedicationDispense.meta.​tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | 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.dosageInstruction.​route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### 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`
tim-1 | error | MedicationDispense.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationDispense.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationDispense.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationDispense.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationDispense.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from MedicationDispense

Summary

Prohibited: 61 elements

Structures

This structure refers to these other structures:

- PH Medication (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Medication)

Extensions

This structure refers to these extensions:

- https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
- https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron