HL7 Europe Medication Prescription and Dispense
0.1.0-ci-build - ci-build 150

HL7 Europe Medication Prescription and Dispense, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-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/mpd-r5/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationDispense: MPD

Official URL: http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd Version: 0.1.0-ci-build
Draft as of 2025-11-11 Computable Name: MedicationDispenseEuMpd

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

MedicationDispense profile for capturing dispensation information based on a medication prescription.

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: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
This profile also imposes the profile IHE Medication Dispense
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... medication Σ 1..1 CodeableReference(Medication: MPD) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... Slices for extension Content/Rules for all slices
..... extension:medication-absent-reason 0..1 code Reason for not providing the medication.
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... subject Σ 1..1 Reference(Patient | Group) Who the dispense is for
... authorizingPrescription 0..* Reference(MedicationRequest: MPD) Medication order that authorizes the dispense
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... whenHandedOver C 1..1 dateTime When product was given out

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
This profile also imposes the profile IHE Medication Dispense
... medication 1..1 CodeableReference(Medication: MPD) What medication was supplied
.... Slices for extension Content/Rules for all slices
..... extension:medication-absent-reason 0..1 code Reason for not providing the medication.
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... authorizingPrescription 0..* Reference(MedicationRequest: MPD) Medication order that authorizes the dispense
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
This profile also imposes the profile IHE Medication Dispense
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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... basedOn 0..* Reference(CarePlan) Plan that is fulfilled by this dispense
... partOf 0..* Reference(Procedure | MedicationAdministration) 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: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... notPerformedReason 0..1 CodeableReference(DetectedIssue) Why a dispense was not performed
Binding: MedicationDispenseStatusReasonCodes (example)
... statusChanged 0..1 dateTime When the status changed
... category 0..* CodeableConcept Type of medication dispense
Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered.
... medication Σ 1..1 CodeableReference(Medication: MPD) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:medication-absent-reason 0..1 code Reason for not providing the medication.
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... subject Σ 1..1 Reference(Patient | Group) Who the dispense is for
... encounter 0..1 Reference(Encounter) Encounter 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: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Individual who was performing
... location 0..1 Reference(Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest: MPD) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded 0..1 dateTime When the recording of the dispense started
... whenPrepared ΣC 0..1 dateTime When product was packaged and reviewed
... whenHandedOver C 1..1 dateTime When product was given out
... destination 0..1 Reference(Location) Where the medication was/will be sent
... receiver 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... note 0..* Annotation Information about the dispense
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... 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): ActSubstanceAdminSubstitutionCode
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
.... responsibleParty 0..1 Reference(Practitioner | PractitionerRole | Organization) Who is responsible for the substitution
... 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 required All Languages 📍5.0.0 FHIR Std.
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.notPerformedReason Base example MedicationDispense Status Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.category Base example MedicationDispense Administration Location Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v6.5
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationDispense

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
This profile also imposes the profile IHE Medication Dispense
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... medication Σ 1..1 CodeableReference(Medication: MPD) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... Slices for extension Content/Rules for all slices
..... extension:medication-absent-reason 0..1 code Reason for not providing the medication.
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... subject Σ 1..1 Reference(Patient | Group) Who the dispense is for
... authorizingPrescription 0..* Reference(MedicationRequest: MPD) Medication order that authorizes the dispense
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... whenHandedOver C 1..1 dateTime When product was given out

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
This profile also imposes the profile IHE Medication Dispense
... medication 1..1 CodeableReference(Medication: MPD) What medication was supplied
.... Slices for extension Content/Rules for all slices
..... extension:medication-absent-reason 0..1 code Reason for not providing the medication.
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... authorizingPrescription 0..* Reference(MedicationRequest: MPD) Medication order that authorizes the dispense
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
This profile also imposes the profile IHE Medication Dispense
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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... basedOn 0..* Reference(CarePlan) Plan that is fulfilled by this dispense
... partOf 0..* Reference(Procedure | MedicationAdministration) 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: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... notPerformedReason 0..1 CodeableReference(DetectedIssue) Why a dispense was not performed
Binding: MedicationDispenseStatusReasonCodes (example)
... statusChanged 0..1 dateTime When the status changed
... category 0..* CodeableConcept Type of medication dispense
Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered.
... medication Σ 1..1 CodeableReference(Medication: MPD) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:medication-absent-reason 0..1 code Reason for not providing the medication.
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... subject Σ 1..1 Reference(Patient | Group) Who the dispense is for
... encounter 0..1 Reference(Encounter) Encounter 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: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Individual who was performing
... location 0..1 Reference(Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(MedicationRequest: MPD) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded 0..1 dateTime When the recording of the dispense started
... whenPrepared ΣC 0..1 dateTime When product was packaged and reviewed
... whenHandedOver C 1..1 dateTime When product was given out
... destination 0..1 Reference(Location) Where the medication was/will be sent
... receiver 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... note 0..* Annotation Information about the dispense
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... 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): ActSubstanceAdminSubstitutionCode
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
.... responsibleParty 0..1 Reference(Practitioner | PractitionerRole | Organization) Who is responsible for the substitution
... 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 required All Languages 📍5.0.0 FHIR Std.
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.notPerformedReason Base example MedicationDispense Status Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.category Base example MedicationDispense Administration Location Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v6.5
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationDispense

 

Other representations of profile: CSV, Excel, Schematron