HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: MedicationDispense: obligations

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

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispenseEuHdr	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!OΣ	1..1	code	Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
Slices for medication[x]	OΣ	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. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication (HDR))	What medication was supplied ele-1: All FHIR elements must have a @value or children
subject	OΣ	0..1	Reference(Patient (EU core))	Who the dispense is for ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
authorizingPrescription	O	0..*	Reference(MedicationRequest (HDR))	Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
quantity	O	1..1	SimpleQuantity	Amount dispensed ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
whenHandedOver	O	1..1	dateTime	When product was given out ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 MedicationDispenseEuHdr

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispenseEuHdr	Dispensing a medication to a named patient
status	O	1..1	code	Current state of the dispensation Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
medication[x]	O	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
subject	O	0..1	Reference(Patient (EU core))	Who the dispense is for Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
performer
actor	O	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
authorizingPrescription	O	0..*	Reference(MedicationRequest (HDR))	Medication order that authorizes the dispense Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
quantity	O	1..1	SimpleQuantity	Amount dispensed Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
whenHandedOver	O	1..1	dateTime	When product was given out Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispenseEuHdr	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Dispensation/dispensed item ID
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!OΣ	1..1	code	Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
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]	OΣ	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:handle HDRConsumer SHOULD:able-to-populate HDRCreator
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication (HDR))	What medication was supplied
subject	OΣ	0..1	Reference(Patient (EU core))	Who the dispense is for Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	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.
actor	O	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	O	0..*	Reference(MedicationRequest (HDR))	Medication order that authorizes the dispense Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
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	O	1..1	SimpleQuantity	Amount dispensed Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	O	1..1	dateTime	When product was given out Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
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	Conformance	ValueSet	URI
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category from the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 MedicationDispenseEuHdr

Summary

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispenseEuHdr	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!OΣ	1..1	code	Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
Slices for medication[x]	OΣ	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. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication (HDR))	What medication was supplied ele-1: All FHIR elements must have a @value or children
subject	OΣ	0..1	Reference(Patient (EU core))	Who the dispense is for ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
authorizingPrescription	O	0..*	Reference(MedicationRequest (HDR))	Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
quantity	O	1..1	SimpleQuantity	Amount dispensed ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
whenHandedOver	O	1..1	dateTime	When product was given out ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 MedicationDispenseEuHdr

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispenseEuHdr	Dispensing a medication to a named patient
status	O	1..1	code	Current state of the dispensation Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
medication[x]	O	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
subject	O	0..1	Reference(Patient (EU core))	Who the dispense is for Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
performer
actor	O	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
authorizingPrescription	O	0..*	Reference(MedicationRequest (HDR))	Medication order that authorizes the dispense Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
quantity	O	1..1	SimpleQuantity	Amount dispensed Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
whenHandedOver	O	1..1	dateTime	When product was given out Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispenseEuHdr	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Dispensation/dispensed item ID
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!OΣ	1..1	code	Current state of the dispensation Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
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]	OΣ	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:handle HDRConsumer SHOULD:able-to-populate HDRCreator
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication (HDR))	What medication was supplied
subject	OΣ	0..1	Reference(Patient (EU core))	Who the dispense is for Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	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.
actor	O	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	O	0..*	Reference(MedicationRequest (HDR))	Medication order that authorizes the dispense Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
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	O	1..1	SimpleQuantity	Amount dispensed Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	O	1..1	dateTime	When product was given out Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
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	Conformance	ValueSet	URI
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category from the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 MedicationDispenseEuHdr

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron