HL7 Europe Discharge Report
1.0.0-ci-build - ci-build 150

HL7 Europe Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/discharge-report/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationDispense: obligations

Official URL: http://hl7.eu/fhir/discharge-report/StructureDefinition/medicationDispense-obl-eu-dr Version: 1.0.0-ci-build
Standards status: Informative Maturity Level: 0 Computable Name: MedicationDispenseEuDrObligation

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile defines obligations for the MedicationDispense resource for the purpose of this guide, adapted from the MPD work.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationDispense C 0..* MedicationDispenseEuDr Dispensing a medication to a named patient
Constraints: mdd-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
MedicationDispense.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
MedicationDispense.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code Current state of the dispensation
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x] This element has obligations. This element is included in summaries. 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x].medicationCodeableConcept CodeableConcept
MedicationDispense.medication[x].medicationReference Reference(Medication: obligations)
MedicationDispense.subject This element has obligations. This element is included in summaries. 0..1 Reference(Patient: obligations) Who the dispense is for
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.authorizingPrescription This element has obligations. 0..* Reference(MedicationRequest: obligations) Medication order that authorizes the dispense
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.quantity This element has obligations. C 1..1 SimpleQuantity(4.0.1) Amount dispensed
Constraints: sqty-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.whenHandedOver This element has obligations. 1..1 dateTime When product was given out
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

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
sqty-1 error MedicationDispense.quantity The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from MedicationDispenseEuDr

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationDispense MedicationDispenseEuDr
ObligationsActor
SHALL:able-to-populateProducer
SHALL:processConsumer
MedicationDispense.status This element has obligations. 1..1 code Current state of the dispensation
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x] This element has obligations. 1..1 What medication was supplied
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x].medicationCodeableConcept CodeableConcept
MedicationDispense.medication[x].medicationReference Reference(Medication: obligations)
MedicationDispense.subject This element has obligations. 0..1 Reference(Patient: obligations) Who the dispense is for
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.performer.actor This element has obligations. 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.authorizingPrescription This element has obligations. 0..* Reference(MedicationRequest: obligations) Medication order that authorizes the dispense
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.quantity This element has obligations. 1..1 SimpleQuantity(4.0.1) Amount dispensed
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.whenHandedOver This element has obligations. 1..1 dateTime When product was given out
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationDispense C 0..* MedicationDispenseEuDr Dispensing a medication to a named patient
Constraints: mdd-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.id This element is included in summaries. 0..1 id Logical id of this artifact
MedicationDispense.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationDispense.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
MedicationDispense.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
MedicationDispense.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
MedicationDispense.contained 0..* Resource Contained, inline Resources
MedicationDispense.extension 0..* Extension Additional content defined by implementations
MedicationDispense.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
MedicationDispense.identifier 0..* Identifier Dispensation/dispensed item ID
MedicationDispense.partOf 0..* Reference(Procedure) Event that dispense is part of
MedicationDispense.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code Current state of the dispensation
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.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.
MedicationDispense.statusReason[x].statusReasonCodeableConcept CodeableConcept
MedicationDispense.statusReason[x].statusReasonReference Reference(DetectedIssue)
MedicationDispense.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.
MedicationDispense.medication[x] This element has obligations. This element is included in summaries. 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x].medicationCodeableConcept CodeableConcept
MedicationDispense.medication[x].medicationReference Reference(Medication: obligations)
MedicationDispense.subject This element has obligations. This element is included in summaries. 0..1 Reference(Patient: obligations) Who the dispense is for
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
MedicationDispense.supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
MedicationDispense.performer 0..* BackboneElement Who performed event
MedicationDispense.performer.id 0..1 string Unique id for inter-element referencing
MedicationDispense.performer.extension 0..* Extension Additional content defined by implementations
MedicationDispense.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
MedicationDispense.performer.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.
MedicationDispense.performer.actor This element has obligations. 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.location 0..1 Reference(Location) Where the dispense occurred
MedicationDispense.authorizingPrescription This element has obligations. 0..* Reference(MedicationRequest: obligations) Medication order that authorizes the dispense
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.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.
MedicationDispense.quantity This element has obligations. C 1..1 SimpleQuantity(4.0.1) Amount dispensed
Constraints: sqty-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.daysSupply C 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
Constraints: sqty-1
MedicationDispense.whenPrepared This element is included in summaries. 0..1 dateTime When product was packaged and reviewed
MedicationDispense.whenHandedOver This element has obligations. 1..1 dateTime When product was given out
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.destination 0..1 Reference(Location) Where the medication was sent
MedicationDispense.receiver 0..* Reference(Patient | Practitioner) Who collected the medication
MedicationDispense.note 0..* Annotation Information about the dispense
MedicationDispense.dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
MedicationDispense.substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
MedicationDispense.substitution.id 0..1 string Unique id for inter-element referencing
MedicationDispense.substitution.extension 0..* Extension Additional content defined by implementations
MedicationDispense.substitution.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
MedicationDispense.substitution.wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
MedicationDispense.substitution.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.
MedicationDispense.substitution.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.
MedicationDispense.substitution.responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
MedicationDispense.detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
MedicationDispense.eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.4
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.4

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
sqty-1 error MedicationDispense.quantity, MedicationDispense.daysSupply The comparator is not used on a SimpleQuantity comparator.empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationDispense C 0..* MedicationDispenseEuDr Dispensing a medication to a named patient
Constraints: mdd-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
MedicationDispense.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
MedicationDispense.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code Current state of the dispensation
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x] This element has obligations. This element is included in summaries. 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x].medicationCodeableConcept CodeableConcept
MedicationDispense.medication[x].medicationReference Reference(Medication: obligations)
MedicationDispense.subject This element has obligations. This element is included in summaries. 0..1 Reference(Patient: obligations) Who the dispense is for
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.authorizingPrescription This element has obligations. 0..* Reference(MedicationRequest: obligations) Medication order that authorizes the dispense
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.quantity This element has obligations. C 1..1 SimpleQuantity(4.0.1) Amount dispensed
Constraints: sqty-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.whenHandedOver This element has obligations. 1..1 dateTime When product was given out
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

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
sqty-1 error MedicationDispense.quantity The comparator is not used on a SimpleQuantity comparator.empty()

Differential View

This structure is derived from MedicationDispenseEuDr

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationDispense MedicationDispenseEuDr
ObligationsActor
SHALL:able-to-populateProducer
SHALL:processConsumer
MedicationDispense.status This element has obligations. 1..1 code Current state of the dispensation
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x] This element has obligations. 1..1 What medication was supplied
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x].medicationCodeableConcept CodeableConcept
MedicationDispense.medication[x].medicationReference Reference(Medication: obligations)
MedicationDispense.subject This element has obligations. 0..1 Reference(Patient: obligations) Who the dispense is for
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.performer
MedicationDispense.performer.actor This element has obligations. 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.authorizingPrescription This element has obligations. 0..* Reference(MedicationRequest: obligations) Medication order that authorizes the dispense
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.quantity This element has obligations. 1..1 SimpleQuantity(4.0.1) Amount dispensed
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.whenHandedOver This element has obligations. 1..1 dateTime When product was given out
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationDispense C 0..* MedicationDispenseEuDr Dispensing a medication to a named patient
Constraints: mdd-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.id This element is included in summaries. 0..1 id Logical id of this artifact
MedicationDispense.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationDispense.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
MedicationDispense.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
MedicationDispense.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
MedicationDispense.contained 0..* Resource Contained, inline Resources
MedicationDispense.extension 0..* Extension Additional content defined by implementations
MedicationDispense.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
MedicationDispense.identifier 0..* Identifier Dispensation/dispensed item ID
MedicationDispense.partOf 0..* Reference(Procedure) Event that dispense is part of
MedicationDispense.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code Current state of the dispensation
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.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.
MedicationDispense.statusReason[x].statusReasonCodeableConcept CodeableConcept
MedicationDispense.statusReason[x].statusReasonReference Reference(DetectedIssue)
MedicationDispense.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.
MedicationDispense.medication[x] This element has obligations. This element is included in summaries. 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.medication[x].medicationCodeableConcept CodeableConcept
MedicationDispense.medication[x].medicationReference Reference(Medication: obligations)
MedicationDispense.subject This element has obligations. This element is included in summaries. 0..1 Reference(Patient: obligations) Who the dispense is for
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.context 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
MedicationDispense.supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
MedicationDispense.performer 0..* BackboneElement Who performed event
MedicationDispense.performer.id 0..1 string Unique id for inter-element referencing
MedicationDispense.performer.extension 0..* Extension Additional content defined by implementations
MedicationDispense.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
MedicationDispense.performer.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.
MedicationDispense.performer.actor This element has obligations. 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.location 0..1 Reference(Location) Where the dispense occurred
MedicationDispense.authorizingPrescription This element has obligations. 0..* Reference(MedicationRequest: obligations) Medication order that authorizes the dispense
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.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.
MedicationDispense.quantity This element has obligations. C 1..1 SimpleQuantity(4.0.1) Amount dispensed
Constraints: sqty-1
ObligationsActor
SHALL:able-to-populate Producer
SHALL:process Consumer
MedicationDispense.daysSupply C 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
Constraints: sqty-1
MedicationDispense.whenPrepared This element is included in summaries. 0..1 dateTime When product was packaged and reviewed
MedicationDispense.whenHandedOver This element has obligations. 1..1 dateTime When product was given out
ObligationsActor
SHALL:able-to-populate Producer
SHALL:display Consumer
SHALL:process Consumer
MedicationDispense.destination 0..1 Reference(Location) Where the medication was sent
MedicationDispense.receiver 0..* Reference(Patient | Practitioner) Who collected the medication
MedicationDispense.note 0..* Annotation Information about the dispense
MedicationDispense.dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
MedicationDispense.substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
MedicationDispense.substitution.id 0..1 string Unique id for inter-element referencing
MedicationDispense.substitution.extension 0..* Extension Additional content defined by implementations
MedicationDispense.substitution.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
MedicationDispense.substitution.wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
MedicationDispense.substitution.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.
MedicationDispense.substitution.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.
MedicationDispense.substitution.responsibleParty 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
MedicationDispense.detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
MedicationDispense.eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.category Base preferred Medication dispense category codes 📍4.0.1 FHIR Std.
MedicationDispense.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.4
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.4

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
sqty-1 error MedicationDispense.quantity, MedicationDispense.daysSupply The comparator is not used on a SimpleQuantity comparator.empty()

 

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