Profile Comparison between http://hl7.eu/fhir/mpd/StructureDefinition/MedicationDispense-eu-mpd vs http://hl7.eu/fhir/mpd/StructureDefinition/MedicationDispense-eu-mpd

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationDispense
copyright	Used by permission of HL7 Europe, all rights reserved Creative Commons License
date	2025-06-04T09:09:29+02:00	2026-02-25T23:30:21+00:00	Values Differ
description	This profile defines how to represent the supply and the associated administration instructions in HL7 FHIR for the purpose of this guide.	MedicationDispense profile for capturing dispensation information based on a medication prescription.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#150
kind	resource
name	MedicationDispenseEuMpd
publisher	HL7 Europe
purpose
status	draft
title	MedicationDispense: MPD
type	MedicationDispense
url	http://hl7.eu/fhir/mpd/StructureDefinition/MedicationDispense-eu-mpd
version	0.1.0-ballot	0.1.0-ci-build	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient	C	0..*	MedicationDispense	Dispensing a medication to a named patient
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at MedicationDispense.language using binding from MedicationDispenseEuMpd
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		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		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		1..*	Extension	Extension Slice: Unordered, Open by value:url	Element minimum cardinalities differ: '0' vs '1'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of		0..*	Reference(Procedure)	Event that dispense is part of
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required): A coded concept specifying the state of the dispense event.	?!OΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: ?? (required): A coded concept specifying the state of the dispense event. Obligations Actor SHALL:able-to-populate Producer
statusReason[x]		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.
category		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.	Example/preferred bindings differ at MedicationDispense.category using binding from MedicationDispenseEuMpd
Slices for medication[x]	Σ	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this Binding: ?? (example): A coded concept identifying which substance or product can be dispensed.	OΣ	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Open by type:$this Binding: ?? (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor SHALL:able-to-populate Producer
subject	Σ	0..1	Reference(Patient | Group)	Who the dispense is for	OΣ	0..1	Reference(Patient | Group)	Who the dispense is for Obligations Actor SHALL:able-to-populate Producer
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	BackboneElement	Who performed event		0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!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.		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)	Individual who was performing	O	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing Obligations Actor SHALL:able-to-populate Producer
location		0..1	Reference(Location)	Where the dispense occurred		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(MedicationRequest: MPD)	Medication order that authorizes the dispense	O	0..*	Reference(MedicationRequest: MPD)	Medication order that authorizes the dispense Obligations Actor SHALL:able-to-populate Producer
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity		1..1	??	Amount dispensed	O	1..1	??	Amount dispensed Obligations Actor SHALL:able-to-populate Producer
daysSupply		0..1	??	Amount of medication expressed as a timing amount		0..1	??	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver		1..1	dateTime	When product was given out		0..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.	Element minimum cardinalities differ: '1' vs '0'
destination		0..1	Reference(Location)	Where the medication was sent		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense		0..*	Annotation	Information about the dispense
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver	O	0..*	??	How the medication is to be used by the patient or administered by the caregiver Obligations Actor SHOULD:able-to-populate Producer
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!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		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): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (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: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..*	CodeableConcept	Why was substitution made Binding: ?? (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		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format