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FR Document Core (FHIR)
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FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. 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/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationDispense - FR Medication Dispense Document

Official URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-dispense-document Version: 0.1.0
Draft as of 2026-08-07 Computable Name: FRMedicationDispenseDocument

FRMedicationDispenseDocument permet de décrire un traitement dispensé avec notamment le médicament dispensé, la quantité et la référence de la prescription.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense(4.0.1) Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier Identifiant
... medication[x] SΣ 1..1 Médicament délivré
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication - FR Medication Document(0.1.0))
... supportingInformation S 0..1 Reference(MedicationAdministration - FR Medication Administration Document(0.1.0)) Posologie
... authorizingPrescription S 0..1 Reference(MedicationRequest - FR Medication Request Document(0.1.0)) Référence de la prescription
... type S 1..1 CodeableConcept Complétude de la dispensation
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: JdvCompletudeDispensationCisis (20260619134041) (required)
... quantity S 1..1 SimpleQuantity(4.0.1) Quantité : Unité issue de EDQM Packaging / classe CON (Récipient)
.... unit Σ 0..1 string Unit representation
Binding: FRValueSetEDQMDocument (0.1.0) (required)
... dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... text SΣ 0..1 string Instructions au dispensateur
.... additionalInstruction SΣ 0..* CodeableConcept Instruction au patient sous forme codée
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction SΣ 0..1 string Instructions au patient
... substitution S 0..1 BackboneElement Acte de substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type S 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 0..1 uri Identity of the terminology system
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: G
...... display 1..1 string Representation defined by the system
Fixed Value: Substitution autorisée par un produit générique
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept

doco 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.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.3
MedicationDispense.type.​coding Base required JDV Completude Dispensation CISIS 📍20260619134041 Terminologies de Santé v1.11
MedicationDispense.quantity.​unit Base required ValueSet - FR ValueSet EDQM Document 📍0.1.0 This IG
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3

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 MedicationDispense.implicitRules, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.status, MedicationDispense.medication[x], MedicationDispense.supportingInformation, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.type.coding, MedicationDispense.quantity, MedicationDispense.quantity.unit, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.substitution, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.modifierExtension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.substitution.modifierExtension 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense(4.0.1) Dispensing a medication to a named patient
... identifier 0..* Identifier Identifiant
... medication[x] S 1..1 Médicament délivré
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication - FR Medication Document(0.1.0))
... supportingInformation S 0..1 Reference(MedicationAdministration - FR Medication Administration Document(0.1.0)) Posologie
... type S 1..1 CodeableConcept Complétude de la dispensation
.... coding 0..* Coding Code defined by a terminology system
Binding: JdvCompletudeDispensationCisis (20260619134041) (required)
... quantity S 1..1 SimpleQuantity(4.0.1) Quantité : Unité issue de EDQM Packaging / classe CON (Récipient)
.... unit 0..1 string Unit representation
Binding: FRValueSetEDQMDocument (0.1.0) (required)
... dosageInstruction
.... text S 0..1 string Instructions au dispensateur
.... additionalInstruction S 0..* CodeableConcept Instruction au patient sous forme codée
.... patientInstruction S 0..1 string Instructions au patient
... substitution S 0..1 BackboneElement Acte de substitution
.... type S 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: G
...... display 1..1 string Representation defined by the system
Fixed Value: Substitution autorisée par un produit générique

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.type.​coding Base required JDV Completude Dispensation CISIS 📍20260619134041 Terminologies de Santé v1.11
MedicationDispense.quantity.​unit Base required ValueSet - FR ValueSet EDQM Document 📍0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense(4.0.1) Dispensing a medication to a named patient
Constraints: mdd-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier Identifiant
... partOf 0..* Reference(Procedure) Event that dispense is part of
... 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.
... statusReason[x] 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
... medication[x] SΣ 1..1 Médicament délivré
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication - FR Medication Document(0.1.0))
... subject Σ 0..1 Reference(Patient | Group) Who the dispense is for
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation S 0..1 Reference(MedicationAdministration - FR Medication Administration Document(0.1.0)) Posologie
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
... location 0..1 Reference(Location) Where the dispense occurred
... authorizingPrescription S 0..1 Reference(MedicationRequest - FR Medication Request Document(0.1.0)) Référence de la prescription
... type S 1..1 CodeableConcept Complétude de la dispensation
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: JdvCompletudeDispensationCisis (20260619134041) (required)
.... text Σ 0..1 string Plain text representation of the concept
... quantity S 1..1 SimpleQuantity(4.0.1) Quantité : Unité issue de EDQM Packaging / classe CON (Récipient)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... value Σ 0..1 decimal Numerical value (with implicit precision)
.... unit Σ 0..1 string Unit representation
Binding: FRValueSetEDQMDocument (0.1.0) (required)
.... system ΣC 0..1 uri System that defines coded unit form
.... code Σ 0..1 code Coded form of the unit
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination 0..1 Reference(Location) Where the medication was sent
... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
... note 0..* Annotation Information about the dispense
... dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Instructions au dispensateur
.... additionalInstruction SΣ 0..* CodeableConcept Instruction au patient sous forme codée
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction SΣ 0..1 string Instructions au patient
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... 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.
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... substitution S 0..1 BackboneElement Acte de substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type S 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 0..1 uri Identity of the terminology system
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: G
...... display 1..1 string Representation defined by the system
Fixed Value: Substitution autorisée par un produit générique
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.3
MedicationDispense.type.​coding Base required JDV Completude Dispensation CISIS 📍20260619134041 Terminologies de Santé v1.11
MedicationDispense.quantity.​unit Base required ValueSet - FR ValueSet EDQM Document 📍0.1.0 This IG
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.3

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 MedicationDispense.meta, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.category, MedicationDispense.medication[x], MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.type.extension, MedicationDispense.type.coding, MedicationDispense.type.text, MedicationDispense.quantity, MedicationDispense.quantity.extension, MedicationDispense.quantity.value, MedicationDispense.quantity.unit, MedicationDispense.quantity.system, MedicationDispense.quantity.code, MedicationDispense.daysSupply, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.type.extension, MedicationDispense.quantity.extension, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension 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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense(4.0.1) Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier Identifiant
... medication[x] SΣ 1..1 Médicament délivré
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication - FR Medication Document(0.1.0))
... supportingInformation S 0..1 Reference(MedicationAdministration - FR Medication Administration Document(0.1.0)) Posologie
... authorizingPrescription S 0..1 Reference(MedicationRequest - FR Medication Request Document(0.1.0)) Référence de la prescription
... type S 1..1 CodeableConcept Complétude de la dispensation
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: JdvCompletudeDispensationCisis (20260619134041) (required)
... quantity S 1..1 SimpleQuantity(4.0.1) Quantité : Unité issue de EDQM Packaging / classe CON (Récipient)
.... unit Σ 0..1 string Unit representation
Binding: FRValueSetEDQMDocument (0.1.0) (required)
... dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... text SΣ 0..1 string Instructions au dispensateur
.... additionalInstruction SΣ 0..* CodeableConcept Instruction au patient sous forme codée
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction SΣ 0..1 string Instructions au patient
... substitution S 0..1 BackboneElement Acte de substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type S 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 0..1 uri Identity of the terminology system
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: G
...... display 1..1 string Representation defined by the system
Fixed Value: Substitution autorisée par un produit générique
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept

doco 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.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.3
MedicationDispense.type.​coding Base required JDV Completude Dispensation CISIS 📍20260619134041 Terminologies de Santé v1.11
MedicationDispense.quantity.​unit Base required ValueSet - FR ValueSet EDQM Document 📍0.1.0 This IG
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3

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 MedicationDispense.implicitRules, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.status, MedicationDispense.medication[x], MedicationDispense.supportingInformation, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.type.coding, MedicationDispense.quantity, MedicationDispense.quantity.unit, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.substitution, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.modifierExtension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.substitution.modifierExtension 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense(4.0.1) Dispensing a medication to a named patient
... identifier 0..* Identifier Identifiant
... medication[x] S 1..1 Médicament délivré
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication - FR Medication Document(0.1.0))
... supportingInformation S 0..1 Reference(MedicationAdministration - FR Medication Administration Document(0.1.0)) Posologie
... type S 1..1 CodeableConcept Complétude de la dispensation
.... coding 0..* Coding Code defined by a terminology system
Binding: JdvCompletudeDispensationCisis (20260619134041) (required)
... quantity S 1..1 SimpleQuantity(4.0.1) Quantité : Unité issue de EDQM Packaging / classe CON (Récipient)
.... unit 0..1 string Unit representation
Binding: FRValueSetEDQMDocument (0.1.0) (required)
... dosageInstruction
.... text S 0..1 string Instructions au dispensateur
.... additionalInstruction S 0..* CodeableConcept Instruction au patient sous forme codée
.... patientInstruction S 0..1 string Instructions au patient
... substitution S 0..1 BackboneElement Acte de substitution
.... type S 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: G
...... display 1..1 string Representation defined by the system
Fixed Value: Substitution autorisée par un produit générique

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.type.​coding Base required JDV Completude Dispensation CISIS 📍20260619134041 Terminologies de Santé v1.11
MedicationDispense.quantity.​unit Base required ValueSet - FR ValueSet EDQM Document 📍0.1.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense(4.0.1) Dispensing a medication to a named patient
Constraints: mdd-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier Identifiant
... partOf 0..* Reference(Procedure) Event that dispense is part of
... 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.
... statusReason[x] 0..1 Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
... category 0..1 CodeableConcept Type of medication dispense
Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
... medication[x] SΣ 1..1 Médicament délivré
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication - FR Medication Document(0.1.0))
... subject Σ 0..1 Reference(Patient | Group) Who the dispense is for
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation S 0..1 Reference(MedicationAdministration - FR Medication Administration Document(0.1.0)) Posologie
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
... location 0..1 Reference(Location) Where the dispense occurred
... authorizingPrescription S 0..1 Reference(MedicationRequest - FR Medication Request Document(0.1.0)) Référence de la prescription
... type S 1..1 CodeableConcept Complétude de la dispensation
Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: JdvCompletudeDispensationCisis (20260619134041) (required)
.... text Σ 0..1 string Plain text representation of the concept
... quantity S 1..1 SimpleQuantity(4.0.1) Quantité : Unité issue de EDQM Packaging / classe CON (Récipient)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... value Σ 0..1 decimal Numerical value (with implicit precision)
.... unit Σ 0..1 string Unit representation
Binding: FRValueSetEDQMDocument (0.1.0) (required)
.... system ΣC 0..1 uri System that defines coded unit form
.... code Σ 0..1 code Coded form of the unit
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination 0..1 Reference(Location) Where the medication was sent
... receiver 0..* Reference(Patient | Practitioner) Who collected the medication
... note 0..* Annotation Information about the dispense
... dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Instructions au dispensateur
.... additionalInstruction SΣ 0..* CodeableConcept Instruction au patient sous forme codée
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction SΣ 0..1 string Instructions au patient
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... 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.
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... substitution S 0..1 BackboneElement Acte de substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type S 1..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 0..1 uri Identity of the terminology system
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: G
...... display 1..1 string Representation defined by the system
Fixed Value: Substitution autorisée par un produit générique
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
.... responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📍3.0.0 THO v7.3
MedicationDispense.type.​coding Base required JDV Completude Dispensation CISIS 📍20260619134041 Terminologies de Santé v1.11
MedicationDispense.quantity.​unit Base required ValueSet - FR ValueSet EDQM Document 📍0.1.0 This IG
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.3

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 MedicationDispense.meta, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.category, MedicationDispense.medication[x], MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.type.extension, MedicationDispense.type.coding, MedicationDispense.type.text, MedicationDispense.quantity, MedicationDispense.quantity.extension, MedicationDispense.quantity.value, MedicationDispense.quantity.unit, MedicationDispense.quantity.system, MedicationDispense.quantity.code, MedicationDispense.daysSupply, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.type.extension, MedicationDispense.quantity.extension, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension 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

 

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