Medication
1.1.0 - STU

Medication, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/medication/ and changes regularly. See the Directory of published versions

## Resource Profile: BeMedicationDispense

Official URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeMedicationDispense | Version: 1.1.0
Active as of 2026-03-25 | Maturity Level: 1 | Computable Name: BeMedicationDispense

Defines constraints and extensions on the Medication Dispense resource for a record of a dispensation in Belgium.

Usages:

- Examples for this Profile: MedicationDispense/example-dispense-communitypharmacy-1med, MedicationDispense/example-dispense-hospital, MedicationDispense/example-minimal-dispense, MedicationDispense/medicationdispense-example-1 and MedicationDispense/medicationdispense-example-2

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | The medication dispense entry Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:recorded | S | 0..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:beExtOffLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for medication[x] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S Σ | 0..1 | Reference(Medication) | What medication was supplied
subject | S Σ | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
performer | S | 1..* | BackboneElement | Who performed event
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor |  | 1..1 | Reference(BeOrganization | BePractitioner | BePractitionerRole) | Individual who was performing
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S Σ | 0..1 | string | Text alternative for the resource
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver | S | 1..1 | dateTime | When product was given out
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | BeDosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.identifier:DGUID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationDispense.context.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | The medication dispense entry
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:recorded | S | 0..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:beExtOffLabel | S | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
type |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: dguid
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept | S | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S | 0..1 | Reference(Medication) | What medication was supplied
subject | S | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
type |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
system |  | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
performer | S | 1..* | BackboneElement | Who performed event
function |  |  |  |
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner | BePractitionerRole) | Individual who was performing
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S | 0..1 | string | Text alternative for the resource
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver | S | 1..1 | dateTime | When product was given out
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | BeDosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | The medication dispense entry 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:recorded | S | 0..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:beExtOffLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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 Required Pattern: dguid
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 | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
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.
Slices for medication[x] | Σ | 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.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S Σ | 0..1 | Reference(Medication) | What medication was supplied
subject | S Σ | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
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 | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation |  | 0..* | Reference(Resource) | Information that supports the dispensing of the medication
performer | S | 1..* | BackboneElement | Who performed event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner | BePractitionerRole) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S Σ | 0..1 | string | Text alternative for the resource
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 | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
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 | S | 1..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 | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | BeDosage | How the medication is to be used by the patient or administered by the caregiver
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..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationDispense.identifier:DGUID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationDispense.identifier:DGUID.​type | Base | extensible | IdentifierType | 📍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.context.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationDispense.context.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationDispense.context.​identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std.
MedicationDispense.authorizingPrescription.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationDispense.type | Base | example | ActPharmacySupplyType | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

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

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 18 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BeOrganization (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
- BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
- Medication Dosage (https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeDosage)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | The medication dispense entry Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:recorded | S | 0..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:beExtOffLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for medication[x] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S Σ | 0..1 | Reference(Medication) | What medication was supplied
subject | S Σ | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
performer | S | 1..* | BackboneElement | Who performed event
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor |  | 1..1 | Reference(BeOrganization | BePractitioner | BePractitionerRole) | Individual who was performing
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S Σ | 0..1 | string | Text alternative for the resource
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver | S | 1..1 | dateTime | When product was given out
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | BeDosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.identifier:DGUID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.
MedicationDispense.context.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.

#### Constraints

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

Differential View

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | The medication dispense entry
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:recorded | S | 0..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:beExtOffLabel | S | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
type |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: dguid
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept | S | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S | 0..1 | Reference(Medication) | What medication was supplied
subject | S | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
type |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
system |  | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
performer | S | 1..* | BackboneElement | Who performed event
function |  |  |  |
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner | BePractitionerRole) | Individual who was performing
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S | 0..1 | string | Text alternative for the resource
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
whenHandedOver | S | 1..1 | dateTime | When product was given out
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | BeDosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | The medication dispense entry 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:recorded | S | 0..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Extension URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:beExtOffLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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 Required Pattern: dguid
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 | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
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.
Slices for medication[x] | Σ | 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.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S Σ | 0..1 | Reference(Medication) | What medication was supplied
subject | S Σ | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
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 | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation |  | 0..* | Reference(Resource) | Information that supports the dispensing of the medication
performer | S | 1..* | BackboneElement | Who performed event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner | BePractitionerRole) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S Σ | 0..1 | string | Text alternative for the resource
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 | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
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 | S | 1..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 | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | BeDosage | How the medication is to be used by the patient or administered by the caregiver
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..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationDispense.identifier:DGUID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationDispense.identifier:DGUID.​type | Base | extensible | IdentifierType | 📍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.context.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationDispense.context.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationDispense.context.​identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std.
MedicationDispense.authorizingPrescription.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationDispense.type | Base | example | ActPharmacySupplyType | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

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

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 18 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BeOrganization (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
- BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
- Medication Dosage (https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeDosage)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron