## Union of http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd and http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd

This is the set of resources that conform to either of the profiles MedicationDispense: MPD (http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd) and MedicationDispense: MPD (http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationDispense-eu-mpd). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* |  | Dispensing a medication to a named patient Constraints: mdd-1
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: ?? (required): IETF language tag for a human language
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: ?? (required): Describes the lifecycle of the dispense.
notPerformedReason |  | 0..1 | CodeableReference(DetectedIssue) | Why a dispense was not performed Binding: ?? (example)
statusChanged |  | 0..1 | dateTime | When the status changed
category |  | 0..* | CodeableConcept | Type of medication dispense Binding: ?? (example): A code describing where the dispensed medication is expected to be consumed or administered.
medication | Σ | 1..1 | CodeableReference(Medication: MPD | #sd-Medication-eu-mpd-Medication-eu-mpd) | What medication was supplied Binding: ?? (example): A coded concept identifying which substance or product can be dispensed.
extension |  | 0..* | Extension | Additional content defined by implementations
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
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: ?? (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 | #sd-MedicationRequest-eu-mpd-MedicationRequest-eu-mpd) | Medication order that authorizes the dispense
type |  | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc Binding: ?? (example): ActPharmacySupplyType
quantity |  | 1..1 | ?? | Amount dispensed
daysSupply |  | 0..1 | ?? | Amount of medication expressed as a timing amount
recorded |  | 0..1 | dateTime | When the recording of the dispense started
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver |  | 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
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: ?? (example): ActSubstanceAdminSubstitutionCode
reason |  | 0..* | CodeableConcept | Why was substitution made Binding: ?? (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
Documentation for this format