UPTIS FHIR PoC Test Implementation Guide, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/FHIR-PoC/ and changes regularly. See the Directory of published versions

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Resource Profile: EETISMedicationDispense

Väljamüük. When the medication prescribed is dispensed in pharmacy.

Usage:

• Refer to this Resource Profile: EETISComposition

Formal Views of Profile Content

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

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

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Ravimi väljamüük patsiendile.
contained		0..0
Slices for extension				Content/Rules for all slices
extensionTISDiscountRate		0..*	(Complex)	0 | 50 | 75 | 90 | 100 URL: https://fhir.ee/StructureDefinition/ee-tis-discount-rate
value[x]		0..1	CodeableConcept	SOODUSMÄÄR. LOEND. Value of extension
extensionEETISBuyerEPC		0..*	(Complex)	Ostja. Keegi teine kui see, kellele ravim välja kirjutati. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
value[x]		1..1	string, Identifier	OSTJA ISIKUKOOD
identifier		0..0
basedOn		0..0
partOf		0..0
notPerformedReason		0..0
statusChanged		0..0
category		0..0
medication		1..1	CodeableReference(EETISMedicationEPC) {r}	Väljastatud ravim
concept		0..0
reference		0..1	Reference(EETISMedicationEPC) {r}	Reference to a resource (by instance)
subject		1..1	Reference(EEBasePatient) {r}	Patsient, kellele ravim väljastatakse
encounter		0..0
supportingInformation		0..0
performer		1..1	BackboneElement	Väljastuse teostaja
function		0..0
actor		1..1	Reference(EETISPractitionerRole)	Proviisor või farmatseut, kellel on õigus väljastada ravimit
location		0..1	Reference(EETISPharmacyLocation)	Apteegi tegevuskoha kood
identifier		0..1	Identifier	APTEEGI TEGEVUSKOHA KOOD. Logical reference, when literal reference is not known
authorizingPrescription		1..*	Reference(EETISMedicationRequest)	Retsept, mille alusel ravim väljastati patsiendile.
type		0..0
quantity		1..1	SimpleQuantity	Väljastatud ravimi kogus
unit		0..0
system		0..0
code		0..0
daysSupply		0..0
recorded		0..0
whenPrepared		0..0
whenHandedOver		1..1	dateTime	Väljastamise aeg
destination		0..0
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	KUI RAVIMI OSTAB VÄLJA KEEGI TEINE KUI SEE, KELLELE RAVIM ON VÄLJAKIRJUTATUD EI KASUTATA SEDA VAID ExtensionEETISBuyerEPC. Who collected the medication or where the medication was delivered
identifier		1..1	Identifier	OSTJA ISIKUKOOD. Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.ee/ValueSet/ee-patient-identity
note		0..1	Annotation	Kommentaar väljastuse kohta.
author[x]		0..0
renderedDosageInstruction		0..0
dosageInstruction		0..0
substitution		0..0
eventHistory		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Ravimi väljamüük patsiendile. mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extensionTISDiscountRate		0..*	(Complex)	0 | 50 | 75 | 90 | 100 URL: https://fhir.ee/StructureDefinition/ee-tis-discount-rate
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-discount-rate"
value[x]		0..1	CodeableConcept	​SOODUSMÄÄR. LOEND. Value of extension Binding: https://fhir.ee/CodeSystem/retsepti-soodustuse-maar (preferred): Discount rate
extensionEETISBuyerEPC		0..*	(Complex)	Ostja. Keegi teine kui see, kellele ravim välja kirjutati. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		​OSTJA ISIKUKOOD Binding: https://fhir.ee/ValueSet/ee-identity-system (preferred): Identity System
valueString			string
valueIdentifier			Identifier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	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.
medication	Σ	1..1	CodeableReference(EETISMedicationEPC) {r}	Väljastatud ravim Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
reference	Σ	0..1	Reference(EETISMedicationEPC) {r}	Reference to a resource (by instance)
subject	Σ	1..1	Reference(EEBasePatient) {r}	Patsient, kellele ravim väljastatakse
performer		1..1	BackboneElement	Väljastuse teostaja
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(EETISPractitionerRole)	Proviisor või farmatseut, kellel on õigus väljastada ravimit
location		0..1	Reference(EETISPharmacyLocation)	Apteegi tegevuskoha kood
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	APTEEGI TEGEVUSKOHA KOOD. Logical reference, when literal reference is not known
authorizingPrescription		1..*	Reference(EETISMedicationRequest)	Retsept, mille alusel ravim väljastati patsiendile.
quantity		1..1	SimpleQuantity	Väljastatud ravimi kogus
whenHandedOver	C	1..1	dateTime	Väljastamise aeg
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	KUI RAVIMI OSTAB VÄLJA KEEGI TEINE KUI SEE, KELLELE RAVIM ON VÄLJAKIRJUTATUD EI KASUTATA SEDA VAID ExtensionEETISBuyerEPC. Who collected the medication or where the medication was delivered
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	1..1	Identifier	OSTJA ISIKUKOOD. Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.ee/ValueSet/ee-patient-identity
note		0..1	Annotation	Kommentaar väljastuse kohta.
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.extension:extensionTISDiscountRate.value[x]	preferred	​https://fhir.ee/CodeSystem/retsepti-soodustuse-maar https://fhir.ee/CodeSystem/retsepti-soodustuse-maar
MedicationDispense.extension:extensionEETISBuyerEPC.value[x]	preferred	​https://fhir.ee/ValueSet/ee-identity-system https://fhir.ee/ValueSet/ee-identity-system
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.receiver.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard

Constraints

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	Ravimi väljamüük patsiendile. 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 Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extensionTISDiscountRate		0..*	(Complex)	0 | 50 | 75 | 90 | 100 URL: https://fhir.ee/StructureDefinition/ee-tis-discount-rate
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-discount-rate"
value[x]		0..1	CodeableConcept	​SOODUSMÄÄR. LOEND. Value of extension Binding: https://fhir.ee/CodeSystem/retsepti-soodustuse-maar (preferred): Discount rate
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	​LOEND. Code defined by a terminology system Binding: https://fhir.ee/CodeSystem/retsepti-soodustuse-maar (preferred): Soodustuse määr retseptikeskusest
text	Σ	0..1	string	Plain text representation of the concept
extensionEETISBuyerEPC		0..*	(Complex)	Ostja. Keegi teine kui see, kellele ravim välja kirjutati. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		​OSTJA ISIKUKOOD Binding: https://fhir.ee/ValueSet/ee-identity-system (preferred): Identity System
valueString			string
valueIdentifier			Identifier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	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.
medication	Σ	1..1	CodeableReference(EETISMedicationEPC) {r}	Väljastatud ravim Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	Σ	0..1	Reference(EETISMedicationEPC) {r}	Reference to a resource (by instance)
subject	Σ	1..1	Reference(EEBasePatient) {r}	Patsient, kellele ravim väljastatakse
performer		1..1	BackboneElement	Väljastuse teostaja
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
actor		1..1	Reference(EETISPractitionerRole)	Proviisor või farmatseut, kellel on õigus väljastada ravimit
location		0..1	Reference(EETISPharmacyLocation)	Apteegi tegevuskoha kood
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	APTEEGI TEGEVUSKOHA KOOD. Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
authorizingPrescription		1..*	Reference(EETISMedicationRequest)	Retsept, mille alusel ravim väljastati patsiendile.
quantity		1..1	SimpleQuantity	Väljastatud ravimi kogus
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
whenHandedOver	C	1..1	dateTime	Väljastamise aeg
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	KUI RAVIMI OSTAB VÄLJA KEEGI TEINE KUI SEE, KELLELE RAVIM ON VÄLJAKIRJUTATUD EI KASUTATA SEDA VAID ExtensionEETISBuyerEPC. Who collected the medication or where the medication was delivered
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	OSTJA ISIKUKOOD. Logical reference, when literal reference is not known
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.ee/ValueSet/ee-patient-identity
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
note		0..1	Annotation	Kommentaar väljastuse kohta.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.extension:extensionTISDiscountRate.value[x]	preferred	​https://fhir.ee/CodeSystem/retsepti-soodustuse-maar https://fhir.ee/CodeSystem/retsepti-soodustuse-maar
MedicationDispense.extension:extensionTISDiscountRate.value[x].coding	preferred	​https://fhir.ee/CodeSystem/retsepti-soodustuse-maar https://fhir.ee/CodeSystem/retsepti-soodustuse-maar
MedicationDispense.extension:extensionEETISBuyerEPC.value[x]	preferred	​https://fhir.ee/ValueSet/ee-identity-system https://fhir.ee/ValueSet/ee-identity-system
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.receiver.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.receiver.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 1 element
Prohibited: 37 elements

Structures

This structure refers to these other structures:

• EETISMedicationEPC (https://fhir.ee/StructureDefinition/ee-tis-medication-epc)
• EEBasePatient (https://fhir.ee/StructureDefinition/EEBasePatient)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISPharmacyLocation (https://fhir.ee/StructureDefinition/ee-tis-pharmacy-location)
• EETISMedicationRequest (https://fhir.ee/StructureDefinition/ee-tis-medication-request)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-discount-rate
• https://fhir.ee/StructureDefinition/ee-tis-buyer-epc

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Ravimi väljamüük patsiendile.
contained		0..0
Slices for extension				Content/Rules for all slices
extensionTISDiscountRate		0..*	(Complex)	0 | 50 | 75 | 90 | 100 URL: https://fhir.ee/StructureDefinition/ee-tis-discount-rate
value[x]		0..1	CodeableConcept	SOODUSMÄÄR. LOEND. Value of extension
extensionEETISBuyerEPC		0..*	(Complex)	Ostja. Keegi teine kui see, kellele ravim välja kirjutati. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
value[x]		1..1	string, Identifier	OSTJA ISIKUKOOD
identifier		0..0
basedOn		0..0
partOf		0..0
notPerformedReason		0..0
statusChanged		0..0
category		0..0
medication		1..1	CodeableReference(EETISMedicationEPC) {r}	Väljastatud ravim
concept		0..0
reference		0..1	Reference(EETISMedicationEPC) {r}	Reference to a resource (by instance)
subject		1..1	Reference(EEBasePatient) {r}	Patsient, kellele ravim väljastatakse
encounter		0..0
supportingInformation		0..0
performer		1..1	BackboneElement	Väljastuse teostaja
function		0..0
actor		1..1	Reference(EETISPractitionerRole)	Proviisor või farmatseut, kellel on õigus väljastada ravimit
location		0..1	Reference(EETISPharmacyLocation)	Apteegi tegevuskoha kood
identifier		0..1	Identifier	APTEEGI TEGEVUSKOHA KOOD. Logical reference, when literal reference is not known
authorizingPrescription		1..*	Reference(EETISMedicationRequest)	Retsept, mille alusel ravim väljastati patsiendile.
type		0..0
quantity		1..1	SimpleQuantity	Väljastatud ravimi kogus
unit		0..0
system		0..0
code		0..0
daysSupply		0..0
recorded		0..0
whenPrepared		0..0
whenHandedOver		1..1	dateTime	Väljastamise aeg
destination		0..0
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	KUI RAVIMI OSTAB VÄLJA KEEGI TEINE KUI SEE, KELLELE RAVIM ON VÄLJAKIRJUTATUD EI KASUTATA SEDA VAID ExtensionEETISBuyerEPC. Who collected the medication or where the medication was delivered
identifier		1..1	Identifier	OSTJA ISIKUKOOD. Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.ee/ValueSet/ee-patient-identity
note		0..1	Annotation	Kommentaar väljastuse kohta.
author[x]		0..0
renderedDosageInstruction		0..0
dosageInstruction		0..0
substitution		0..0
eventHistory		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Ravimi väljamüük patsiendile. mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extensionTISDiscountRate		0..*	(Complex)	0 | 50 | 75 | 90 | 100 URL: https://fhir.ee/StructureDefinition/ee-tis-discount-rate
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-discount-rate"
value[x]		0..1	CodeableConcept	​SOODUSMÄÄR. LOEND. Value of extension Binding: https://fhir.ee/CodeSystem/retsepti-soodustuse-maar (preferred): Discount rate
extensionEETISBuyerEPC		0..*	(Complex)	Ostja. Keegi teine kui see, kellele ravim välja kirjutati. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		​OSTJA ISIKUKOOD Binding: https://fhir.ee/ValueSet/ee-identity-system (preferred): Identity System
valueString			string
valueIdentifier			Identifier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	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.
medication	Σ	1..1	CodeableReference(EETISMedicationEPC) {r}	Väljastatud ravim Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
reference	Σ	0..1	Reference(EETISMedicationEPC) {r}	Reference to a resource (by instance)
subject	Σ	1..1	Reference(EEBasePatient) {r}	Patsient, kellele ravim väljastatakse
performer		1..1	BackboneElement	Väljastuse teostaja
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(EETISPractitionerRole)	Proviisor või farmatseut, kellel on õigus väljastada ravimit
location		0..1	Reference(EETISPharmacyLocation)	Apteegi tegevuskoha kood
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	APTEEGI TEGEVUSKOHA KOOD. Logical reference, when literal reference is not known
authorizingPrescription		1..*	Reference(EETISMedicationRequest)	Retsept, mille alusel ravim väljastati patsiendile.
quantity		1..1	SimpleQuantity	Väljastatud ravimi kogus
whenHandedOver	C	1..1	dateTime	Väljastamise aeg
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	KUI RAVIMI OSTAB VÄLJA KEEGI TEINE KUI SEE, KELLELE RAVIM ON VÄLJAKIRJUTATUD EI KASUTATA SEDA VAID ExtensionEETISBuyerEPC. Who collected the medication or where the medication was delivered
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	1..1	Identifier	OSTJA ISIKUKOOD. Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.ee/ValueSet/ee-patient-identity
note		0..1	Annotation	Kommentaar väljastuse kohta.
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.extension:extensionTISDiscountRate.value[x]	preferred	​https://fhir.ee/CodeSystem/retsepti-soodustuse-maar https://fhir.ee/CodeSystem/retsepti-soodustuse-maar
MedicationDispense.extension:extensionEETISBuyerEPC.value[x]	preferred	​https://fhir.ee/ValueSet/ee-identity-system https://fhir.ee/ValueSet/ee-identity-system
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.receiver.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard

Constraints

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	Ravimi väljamüük patsiendile. 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 Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extensionTISDiscountRate		0..*	(Complex)	0 | 50 | 75 | 90 | 100 URL: https://fhir.ee/StructureDefinition/ee-tis-discount-rate
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-discount-rate"
value[x]		0..1	CodeableConcept	​SOODUSMÄÄR. LOEND. Value of extension Binding: https://fhir.ee/CodeSystem/retsepti-soodustuse-maar (preferred): Discount rate
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	​LOEND. Code defined by a terminology system Binding: https://fhir.ee/CodeSystem/retsepti-soodustuse-maar (preferred): Soodustuse määr retseptikeskusest
text	Σ	0..1	string	Plain text representation of the concept
extensionEETISBuyerEPC		0..*	(Complex)	Ostja. Keegi teine kui see, kellele ravim välja kirjutati. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		​OSTJA ISIKUKOOD Binding: https://fhir.ee/ValueSet/ee-identity-system (preferred): Identity System
valueString			string
valueIdentifier			Identifier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	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.
medication	Σ	1..1	CodeableReference(EETISMedicationEPC) {r}	Väljastatud ravim Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	Σ	0..1	Reference(EETISMedicationEPC) {r}	Reference to a resource (by instance)
subject	Σ	1..1	Reference(EEBasePatient) {r}	Patsient, kellele ravim väljastatakse
performer		1..1	BackboneElement	Väljastuse teostaja
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
actor		1..1	Reference(EETISPractitionerRole)	Proviisor või farmatseut, kellel on õigus väljastada ravimit
location		0..1	Reference(EETISPharmacyLocation)	Apteegi tegevuskoha kood
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	APTEEGI TEGEVUSKOHA KOOD. Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
authorizingPrescription		1..*	Reference(EETISMedicationRequest)	Retsept, mille alusel ravim väljastati patsiendile.
quantity		1..1	SimpleQuantity	Väljastatud ravimi kogus
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
whenHandedOver	C	1..1	dateTime	Väljastamise aeg
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	KUI RAVIMI OSTAB VÄLJA KEEGI TEINE KUI SEE, KELLELE RAVIM ON VÄLJAKIRJUTATUD EI KASUTATA SEDA VAID ExtensionEETISBuyerEPC. Who collected the medication or where the medication was delivered
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	OSTJA ISIKUKOOD. Logical reference, when literal reference is not known
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.ee/ValueSet/ee-patient-identity
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
note		0..1	Annotation	Kommentaar väljastuse kohta.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.extension:extensionTISDiscountRate.value[x]	preferred	​https://fhir.ee/CodeSystem/retsepti-soodustuse-maar https://fhir.ee/CodeSystem/retsepti-soodustuse-maar
MedicationDispense.extension:extensionTISDiscountRate.value[x].coding	preferred	​https://fhir.ee/CodeSystem/retsepti-soodustuse-maar https://fhir.ee/CodeSystem/retsepti-soodustuse-maar
MedicationDispense.extension:extensionEETISBuyerEPC.value[x]	preferred	​https://fhir.ee/ValueSet/ee-identity-system https://fhir.ee/ValueSet/ee-identity-system
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.receiver.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.receiver.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 1 element
Prohibited: 37 elements

Structures

This structure refers to these other structures:

• EETISMedicationEPC (https://fhir.ee/StructureDefinition/ee-tis-medication-epc)
• EEBasePatient (https://fhir.ee/StructureDefinition/EEBasePatient)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISPharmacyLocation (https://fhir.ee/StructureDefinition/ee-tis-pharmacy-location)
• EETISMedicationRequest (https://fhir.ee/StructureDefinition/ee-tis-medication-request)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-discount-rate
• https://fhir.ee/StructureDefinition/ee-tis-buyer-epc

Other representations of profile: CSV, Excel, Schematron