Testing IG, published by DBojicic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/dbojicic/test-repo/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON
• TTL

Resource Profile: AU Core MedicationDispense

This profile sets minimum expectations for a MedicationDispense resource to record, search, and fetch information about the dispense of a medication associated with a patient. It is based on the AU Base MedicationDispense profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the MedicationDispense when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.

Usages:

• Derived from this Profile: EXPERIMENTAL AU Core MedicationDispense whenPrepared A, EXPERIMENTAL AU Core MedicationDispense whenPrepared B, EXPERIMENTAL AU Core MedicationDispense whenPrepared C, EXPERIMENTAL AU Core MedicationDispense whenPrepared D and EXPERIMENTAL AU Core MedicationDispense whenPrepared E
• CapabilityStatements using this Profile: AU Core Requester CapabilityStatement and AU Core Responder CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	AUBaseMedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context Constraints: mdd-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required)
extension:dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SOΣ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
Slices for coding				Content/Rules for all slices
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
medication[x]:medicationReference	SOΣ	0..1	Reference(AU Core Medication)	Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
subject	SOΣ	1..1	Reference(AU Core Patient)	Who the dispense is for Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
performer	SO	0..*	BackboneElement	Who performed event Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SO	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | Device | AU Core RelatedPerson)	Individual who was performing Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
authorizingPrescription	SO	0..*	Reference(AU Core MedicationRequest)	Medication order that authorizes the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
quantity	SO	0..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
whenPrepared	SOΣC	0..1	dateTime	When product was packaged and reviewed Constraints: au-core-meddisp-01 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
note	SO	0..*	Annotation	Information about the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
dosageInstruction	SO	0..*	AUBaseDosage	How the medication is to be used by the patient or administered by the caregiver Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au

Constraints

Id	Grade	Path(s)	Description	Expression
au-core-meddisp-01	error	MedicationDispense.whenPrepared	If a date is provided, it shall be precise to at least the day	$this.hasValue() implies $this.toString().length() >= 10
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from AUBaseMedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	AUBaseMedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
status	SO	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for medication[x]	SO	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medication[x]:medicationCodeableConcept	SO	0..1	CodeableConcept	Coded Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
Slices for coding				Content/Rules for all slices
coding:pbs	SO	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
coding:amt	SO	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medication[x]:medicationReference	SO	0..1	Reference(AU Core Medication)	Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
subject	SO	1..1	Reference(AU Core Patient)	Who the dispense is for Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
performer	SO	0..*	BackboneElement	Who performed event Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
actor	SO	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | Device | AU Core RelatedPerson)	Individual who was performing Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
authorizingPrescription	SO	0..*	Reference(AU Core MedicationRequest)	Medication order that authorizes the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
quantity	SO	0..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
whenPrepared	SOC	0..1	dateTime	When product was packaged and reviewed Constraints: au-core-meddisp-01 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
note	SO	0..*	Annotation	Information about the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
dosageInstruction	SO	0..*	AUBaseDosage	How the medication is to be used by the patient or administered by the caregiver Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SO	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au

Constraints

Id	Grade	Path(s)	Description	Expression
au-core-meddisp-01	error	MedicationDispense.whenPrepared	If a date is provided, it shall be precise to at least the day	$this.hasValue() implies $this.toString().length() >= 10

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	AUBaseMedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context 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 Bindings Purpose 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required)
extension:dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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.
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SOΣ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	SOΣ	0..1	Reference(AU Core Medication)	Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
subject	SOΣ	1..1	Reference(AU Core Patient)	Who the dispense is for Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	SO	0..*	BackboneElement	Who performed event Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	SO	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | Device | AU Core RelatedPerson)	Individual who was performing Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	SO	0..*	Reference(AU Core MedicationRequest)	Medication order that authorizes the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	SO	0..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
daysSupply		0..1	SimpleQuantity(4.0.1)	Amount of medication expressed as a timing amount
whenPrepared	SOΣC	0..1	dateTime	When product was packaged and reviewed Constraints: au-core-meddisp-01 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SO	0..*	Annotation	Information about the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
dosageInstruction	SO	0..*	AUBaseDosage	How the medication is to be used by the patient or administered by the caregiver Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: Body Site (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: Route of Administration (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
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
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		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..1	CodeableConcept	Why was substitution made Binding: Medicine Substitution Reason (preferred)
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
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.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au
MedicationDispense.performer.​function	Base	example	Medication dispense performer function codes	📍4.0.1	FHIR Std.
MedicationDispense.type	Base	example	ActPharmacySupplyType	📦3.0.0	THO v7.4
MedicationDispense.dosageInstruction.​additionalInstruction	Base	preferred	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	preferred	Clinical Finding	⏿1.0.2	tx.hl7.org.au
MedicationDispense.dosageInstruction.​site	Base	preferred	Body Site	⏿1.0.2	tx.hl7.org.au
MedicationDispense.dosageInstruction.​route	Base	preferred	Route of Administration	⏿1.0.2	tx.hl7.org.au
MedicationDispense.dosageInstruction.​method	Base	preferred	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 v7.4
MedicationDispense.substitution.​reason	Base	preferred	Medicine Substitution Reason	⏿1.0.1	tx.hl7.org.au

Constraints

Id	Grade	Path(s)	Description	Expression
au-core-meddisp-01	error	MedicationDispense.whenPrepared	If a date is provided, it shall be precise to at least the day	$this.hasValue() implies $this.toString().length() >= 10
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from AUBaseMedicationDispense

Summary

Mandatory: 1 element
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• AU Core Medication (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medication)
• AU Core Patient (http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient)
• AU Core Practitioner (http://hl7.org.au/fhir/core/StructureDefinition/au-core-practitioner)
• AU Core PractitionerRole (http://hl7.org.au/fhir/core/StructureDefinition/au-core-practitionerrole)
• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)
• AU Core RelatedPerson (http://hl7.org.au/fhir/core/StructureDefinition/au-core-relatedperson)
• AU Core MedicationRequest (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.medication[x] (Closed)
• The element 1 is sliced based on the value of MedicationDispense.medication[x].coding

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	AUBaseMedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context Constraints: mdd-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required)
extension:dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SOΣ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
Slices for coding				Content/Rules for all slices
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
medication[x]:medicationReference	SOΣ	0..1	Reference(AU Core Medication)	Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
subject	SOΣ	1..1	Reference(AU Core Patient)	Who the dispense is for Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
performer	SO	0..*	BackboneElement	Who performed event Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SO	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | Device | AU Core RelatedPerson)	Individual who was performing Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
authorizingPrescription	SO	0..*	Reference(AU Core MedicationRequest)	Medication order that authorizes the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
quantity	SO	0..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
whenPrepared	SOΣC	0..1	dateTime	When product was packaged and reviewed Constraints: au-core-meddisp-01 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
note	SO	0..*	Annotation	Information about the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
dosageInstruction	SO	0..*	AUBaseDosage	How the medication is to be used by the patient or administered by the caregiver Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au

Constraints

Id	Grade	Path(s)	Description	Expression
au-core-meddisp-01	error	MedicationDispense.whenPrepared	If a date is provided, it shall be precise to at least the day	$this.hasValue() implies $this.toString().length() >= 10
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

This structure is derived from AUBaseMedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	AUBaseMedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
status	SO	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for medication[x]	SO	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medication[x]:medicationCodeableConcept	SO	0..1	CodeableConcept	Coded Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
Slices for coding				Content/Rules for all slices
coding:pbs	SO	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
coding:amt	SO	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medication[x]:medicationReference	SO	0..1	Reference(AU Core Medication)	Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
subject	SO	1..1	Reference(AU Core Patient)	Who the dispense is for Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
performer	SO	0..*	BackboneElement	Who performed event Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
actor	SO	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | Device | AU Core RelatedPerson)	Individual who was performing Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
authorizingPrescription	SO	0..*	Reference(AU Core MedicationRequest)	Medication order that authorizes the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
quantity	SO	0..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
whenPrepared	SOC	0..1	dateTime	When product was packaged and reviewed Constraints: au-core-meddisp-01 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
note	SO	0..*	Annotation	Information about the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
dosageInstruction	SO	0..*	AUBaseDosage	How the medication is to be used by the patient or administered by the caregiver Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SO	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au

Constraints

Id	Grade	Path(s)	Description	Expression
au-core-meddisp-01	error	MedicationDispense.whenPrepared	If a date is provided, it shall be precise to at least the day	$this.hasValue() implies $this.toString().length() >= 10

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	AUBaseMedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context 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 Bindings Purpose 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: Concurrent Supply Grounds (required)
extension:dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SOΣ	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. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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.
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SOΣ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example) Additional Bindings Purpose Australian Medication Preferred PBS Item Codes Preferred MIMS Preferred GTIN Preferred Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:pbs	SOΣ	0..*	Coding	Code defined by a terminology system Binding: PBS Item Codes (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	SOΣ	0..*	Coding	Code defined by a terminology system Binding: Australian Medication (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	SOΣ	0..1	Reference(AU Core Medication)	Dispensed Medication Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
subject	SOΣ	1..1	Reference(AU Core Patient)	Who the dispense is for Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	SO	0..*	BackboneElement	Who performed event Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	SO	1..1	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | Device | AU Core RelatedPerson)	Individual who was performing Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	SO	0..*	Reference(AU Core MedicationRequest)	Medication order that authorizes the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	SO	0..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
daysSupply		0..1	SimpleQuantity(4.0.1)	Amount of medication expressed as a timing amount
whenPrepared	SOΣC	0..1	dateTime	When product was packaged and reviewed Constraints: au-core-meddisp-01 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SO	0..*	Annotation	Information about the dispense Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
dosageInstruction	SO	0..*	AUBaseDosage	How the medication is to be used by the patient or administered by the caregiver Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (preferred)
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: Clinical Finding (preferred)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: Body Site (preferred)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: Route of Administration (preferred)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred)
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
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		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..1	CodeableConcept	Why was substitution made Binding: Medicine Substitution Reason (preferred)
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
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.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:pbs	Base	required	PBS Item Codes	📦7.0.0-ci-build	AU Base Implementation Guide vnull
MedicationDispense.medication[x]:medicationCodeableConcept.​coding:amt	Base	required	Australian Medication	⏿1.0.2	tx.hl7.org.au
MedicationDispense.performer.​function	Base	example	Medication dispense performer function codes	📍4.0.1	FHIR Std.
MedicationDispense.type	Base	example	ActPharmacySupplyType	📦3.0.0	THO v7.4
MedicationDispense.dosageInstruction.​additionalInstruction	Base	preferred	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	preferred	Clinical Finding	⏿1.0.2	tx.hl7.org.au
MedicationDispense.dosageInstruction.​site	Base	preferred	Body Site	⏿1.0.2	tx.hl7.org.au
MedicationDispense.dosageInstruction.​route	Base	preferred	Route of Administration	⏿1.0.2	tx.hl7.org.au
MedicationDispense.dosageInstruction.​method	Base	preferred	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 v7.4
MedicationDispense.substitution.​reason	Base	preferred	Medicine Substitution Reason	⏿1.0.1	tx.hl7.org.au

Constraints

Id	Grade	Path(s)	Description	Expression
au-core-meddisp-01	error	MedicationDispense.whenPrepared	If a date is provided, it shall be precise to at least the day	$this.hasValue() implies $this.toString().length() >= 10
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from AUBaseMedicationDispense

Summary

Mandatory: 1 element
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• AU Core Medication (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medication)
• AU Core Patient (http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient)
• AU Core Practitioner (http://hl7.org.au/fhir/core/StructureDefinition/au-core-practitioner)
• AU Core PractitionerRole (http://hl7.org.au/fhir/core/StructureDefinition/au-core-practitionerrole)
• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)
• AU Core RelatedPerson (http://hl7.org.au/fhir/core/StructureDefinition/au-core-relatedperson)
• AU Core MedicationRequest (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.medication[x] (Closed)
• The element 1 is sliced based on the value of MedicationDispense.medication[x].coding

Maturity: 1