Medication Scheme 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/ig-ee-medication-scheme/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: EETISPrescriptionDispense

Ravimi väljastamine. When the medication prescribed is dispensed in pharmacy.

Usage:

• Refer to this Resource Profile: EETISComposition
• Examples for this Resource Profile: MedicationDispense/dispensation-alprazolam and MedicationDispense/dispensation-metformin

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
MedicationDispense	C	0..*	MedicationDispense	Dispensation of prescribed medication to the patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISBuyerEPC		0..*	(Complex)	Identity code of the buyer of medicine when the buyer is someone else than the subject of prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		Personal identification code of the buyer ele-1: All FHIR elements must have a @value or children
valueString			string
valueIdentifier			Identifier
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	When dispensation occurres it is always completed. Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. ele-1: All FHIR elements must have a @value or children Fixed Value: completed
medication	Σ	1..1	CodeableReference(EETISMedicationDispensedToPatient | EETISMedicationExtemporal)	Dispensed medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Patient recieving the medication ele-1: All FHIR elements must have a @value or children
performer		1..1	BackboneElement	Indicates who or what performed the event. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor		1..1	Reference(EETISPractitionerRole)	Pharmacist or assistant pharmacist who has the rights to dispense meditcation. ele-1: All FHIR elements must have a @value or children
location		0..1	Reference(EETISPharmacyLocation)	The principal physical location where the dispense was performed. ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
authorizingPrescription		1..*	Reference(EETISPrescription)	Retsept, mille alusel ravim väljastati patsiendile. ele-1: All FHIR elements must have a @value or children
quantity		1..1	SimpleQuantity	The amount of medication that has been dispensed. Includes unit of measure. ele-1: All FHIR elements must have a @value or children
daysSupply		0..1	SimpleQuantity	Dispensed medication calculated in days. How many days is covered with this amount of medication. ele-1: All FHIR elements must have a @value or children
whenHandedOver	C	1..1	dateTime	The time the dispensed product was provided to the patient or their representative. ele-1: All FHIR elements must have a @value or children
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
note		0..1	Annotation	Extra information about the dispense that could not be conveyed in the other attributes. ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.status	required	Fixed Value: completed 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

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

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensation of prescribed medication to the patient
contained		0..0
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extensionEETISBuyerEPC		0..*	(Complex)	Identity code of the buyer of medicine when the buyer is someone else than the subject of prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
value[x]		1..1	string, Identifier	Personal identification code of the buyer
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
identifier		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	When dispensation occurres it is always completed. Fixed Value: completed
notPerformedReason		0..0
statusChanged		0..0
category		0..0
medication		1..1	CodeableReference(EETISMedicationDispensedToPatient | EETISMedicationExtemporal)	Dispensed medication
subject		1..1	Reference(EE MPI Patient Verified)	Patient recieving the medication
encounter		0..0
supportingInformation		0..0
performer		1..1	BackboneElement	Indicates who or what performed the event.
function		0..0
actor		1..1	Reference(EETISPractitionerRole)	Pharmacist or assistant pharmacist who has the rights to dispense meditcation.
location		0..1	Reference(EETISPharmacyLocation)	The principal physical location where the dispense was performed.
identifier		0..1	Identifier	Logical reference, when literal reference is not known
authorizingPrescription		1..*	Reference(EETISPrescription)	Retsept, mille alusel ravim väljastati patsiendile.
type		0..0
quantity		1..1	SimpleQuantity	The amount of medication that has been dispensed. Includes unit of measure.
unit		0..0
system		0..0
code		0..0
daysSupply		0..1	SimpleQuantity	Dispensed medication calculated in days. How many days is covered with this amount of medication.
recorded		0..0
whenPrepared		0..0
whenHandedOver		1..1	dateTime	The time the dispensed product was provided to the patient or their representative.
destination		0..0
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
identifier
value		1..1	string	Buyers personal identification code. Logical reference, when literal reference is not known
note		0..1	Annotation	Extra information about the dispense that could not be conveyed in the other attributes.
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	Dispensation of prescribed medication to the 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 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
extensionEETISBuyerEPC		0..*	(Complex)	Identity code of the buyer of medicine when the buyer is someone else than the subject of prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		Personal identification code of the buyer
valueString			string
valueIdentifier			Identifier
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	When dispensation occurres it is always completed. Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. Fixed Value: completed
medication	Σ	1..1	CodeableReference(EETISMedicationDispensedToPatient | EETISMedicationExtemporal)	Dispensed medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Patient recieving the medication
performer		1..1	BackboneElement	Indicates who or what performed the 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
actor		1..1	Reference(EETISPractitionerRole)	Pharmacist or assistant pharmacist who has the rights to dispense meditcation.
location		0..1	Reference(EETISPharmacyLocation)	The principal physical location where the dispense was performed.
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	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
authorizingPrescription		1..*	Reference(EETISPrescription)	Retsept, mille alusel ravim väljastati patsiendile.
quantity		1..1	SimpleQuantity	The amount of medication that has been dispensed. Includes unit of measure.
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)
daysSupply		0..1	SimpleQuantity	Dispensed medication calculated in days. How many days is covered with this amount of medication.
whenHandedOver	C	1..1	dateTime	The time the dispensed product was provided to the patient or their representative.
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	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	0..1	Identifier	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	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	Buyers personal identification code. Logical reference, when literal reference is not known 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	Extra information about the dispense that could not be conveyed in the other attributes.
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 / Code	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.status	required	Fixed Value: completed 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(1 nested mandatory element)
Fixed: 1 element
Prohibited: 35 elements

Structures

This structure refers to these other structures:

• EETISMedicationDispensedToPatient (https://fhir.ee/StructureDefinition/ee-tis-medication-dispensed-to-patient)
• EETISMedicationExtemporal (https://fhir.ee/StructureDefinition/ee-tis-medication-extemporal)
• EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISPharmacyLocation (https://fhir.ee/StructureDefinition/ee-tis-pharmacy-location)
• EETISPrescription (https://fhir.ee/StructureDefinition/ee-tis-prescription)

Extensions

This structure refers to these extensions:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensation of prescribed medication to the patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISBuyerEPC		0..*	(Complex)	Identity code of the buyer of medicine when the buyer is someone else than the subject of prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		Personal identification code of the buyer ele-1: All FHIR elements must have a @value or children
valueString			string
valueIdentifier			Identifier
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	When dispensation occurres it is always completed. Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. ele-1: All FHIR elements must have a @value or children Fixed Value: completed
medication	Σ	1..1	CodeableReference(EETISMedicationDispensedToPatient | EETISMedicationExtemporal)	Dispensed medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Patient recieving the medication ele-1: All FHIR elements must have a @value or children
performer		1..1	BackboneElement	Indicates who or what performed the event. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor		1..1	Reference(EETISPractitionerRole)	Pharmacist or assistant pharmacist who has the rights to dispense meditcation. ele-1: All FHIR elements must have a @value or children
location		0..1	Reference(EETISPharmacyLocation)	The principal physical location where the dispense was performed. ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
authorizingPrescription		1..*	Reference(EETISPrescription)	Retsept, mille alusel ravim väljastati patsiendile. ele-1: All FHIR elements must have a @value or children
quantity		1..1	SimpleQuantity	The amount of medication that has been dispensed. Includes unit of measure. ele-1: All FHIR elements must have a @value or children
daysSupply		0..1	SimpleQuantity	Dispensed medication calculated in days. How many days is covered with this amount of medication. ele-1: All FHIR elements must have a @value or children
whenHandedOver	C	1..1	dateTime	The time the dispensed product was provided to the patient or their representative. ele-1: All FHIR elements must have a @value or children
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
note		0..1	Annotation	Extra information about the dispense that could not be conveyed in the other attributes. ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.status	required	Fixed Value: completed 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

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

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensation of prescribed medication to the patient
contained		0..0
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extensionEETISBuyerEPC		0..*	(Complex)	Identity code of the buyer of medicine when the buyer is someone else than the subject of prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
value[x]		1..1	string, Identifier	Personal identification code of the buyer
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
identifier		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	When dispensation occurres it is always completed. Fixed Value: completed
notPerformedReason		0..0
statusChanged		0..0
category		0..0
medication		1..1	CodeableReference(EETISMedicationDispensedToPatient | EETISMedicationExtemporal)	Dispensed medication
subject		1..1	Reference(EE MPI Patient Verified)	Patient recieving the medication
encounter		0..0
supportingInformation		0..0
performer		1..1	BackboneElement	Indicates who or what performed the event.
function		0..0
actor		1..1	Reference(EETISPractitionerRole)	Pharmacist or assistant pharmacist who has the rights to dispense meditcation.
location		0..1	Reference(EETISPharmacyLocation)	The principal physical location where the dispense was performed.
identifier		0..1	Identifier	Logical reference, when literal reference is not known
authorizingPrescription		1..*	Reference(EETISPrescription)	Retsept, mille alusel ravim väljastati patsiendile.
type		0..0
quantity		1..1	SimpleQuantity	The amount of medication that has been dispensed. Includes unit of measure.
unit		0..0
system		0..0
code		0..0
daysSupply		0..1	SimpleQuantity	Dispensed medication calculated in days. How many days is covered with this amount of medication.
recorded		0..0
whenPrepared		0..0
whenHandedOver		1..1	dateTime	The time the dispensed product was provided to the patient or their representative.
destination		0..0
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
identifier
value		1..1	string	Buyers personal identification code. Logical reference, when literal reference is not known
note		0..1	Annotation	Extra information about the dispense that could not be conveyed in the other attributes.
author[x]		0..0
renderedDosageInstruction		0..0
dosageInstruction		0..0
substitution		0..0
eventHistory		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensation of prescribed medication to the 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 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
extensionEETISBuyerEPC		0..*	(Complex)	Identity code of the buyer of medicine when the buyer is someone else than the subject of prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-buyer-epc
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.ee/StructureDefinition/ee-tis-buyer-epc"
value[x]		1..1		Personal identification code of the buyer
valueString			string
valueIdentifier			Identifier
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	When dispensation occurres it is always completed. Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. Fixed Value: completed
medication	Σ	1..1	CodeableReference(EETISMedicationDispensedToPatient | EETISMedicationExtemporal)	Dispensed medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Patient recieving the medication
performer		1..1	BackboneElement	Indicates who or what performed the 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
actor		1..1	Reference(EETISPractitionerRole)	Pharmacist or assistant pharmacist who has the rights to dispense meditcation.
location		0..1	Reference(EETISPharmacyLocation)	The principal physical location where the dispense was performed.
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	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
authorizingPrescription		1..*	Reference(EETISPrescription)	Retsept, mille alusel ravim väljastati patsiendile.
quantity		1..1	SimpleQuantity	The amount of medication that has been dispensed. Includes unit of measure.
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)
daysSupply		0..1	SimpleQuantity	Dispensed medication calculated in days. How many days is covered with this amount of medication.
whenHandedOver	C	1..1	dateTime	The time the dispensed product was provided to the patient or their representative.
receiver		0..1	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	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	0..1	Identifier	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	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	Buyers personal identification code. Logical reference, when literal reference is not known 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	Extra information about the dispense that could not be conveyed in the other attributes.
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 / Code	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.status	required	Fixed Value: completed 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(1 nested mandatory element)
Fixed: 1 element
Prohibited: 35 elements

Structures

This structure refers to these other structures:

• EETISMedicationDispensedToPatient (https://fhir.ee/StructureDefinition/ee-tis-medication-dispensed-to-patient)
• EETISMedicationExtemporal (https://fhir.ee/StructureDefinition/ee-tis-medication-extemporal)
• EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISPharmacyLocation (https://fhir.ee/StructureDefinition/ee-tis-pharmacy-location)
• EETISPrescription (https://fhir.ee/StructureDefinition/ee-tis-prescription)

Extensions

This structure refers to these extensions:

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

Other representations of profile: CSV, Excel, Schematron