Medication IG DE, published by HL7 Deutschland e.V.. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7germany/medication-ig-de-r4/ and changes regularly. See the Directory of published versions

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Resource Profile: Medication Dispense DE ( Abstract )

Dieses Profil dient ausschließlich der Validierung des Implementation Guides auf DosageDE-Ebene (u. a. der Warnungs-Beispiele, die im dgMP-Profil als Fehler modelliert sind) und ist nicht für den produktiven Einsatz gedacht. Stattdessen sollte das jeweils passende Dosage-Profil direkt in das eigene Profil eingebunden werden.

Usages:

• Examples for this Profile: MedicationDispense/INV-C-dos-1-Dispense-02-of-03, MedicationDispense/W-AsNeededForRequiresAsNeededWarning-MD-02-of-03, MedicationDispense/W-DosageDoseUnitSameCodeWarning-02-of-03, MedicationDispense/W-DosageDoseValuePositiveWarning-02-of-05... Show 19 more, MedicationDispense/W-DosageDoseValuePositiveWarning-05-of-05, MedicationDispense/W-DosageLimitsPositiveWarning-MD-02-of-09, MedicationDispense/W-DosageLimitsPositiveWarning-MD-05-of-09, MedicationDispense/W-DosageLimitsPositiveWarning-MD-08-of-09, MedicationDispense/W-DosageStructuredOrFreeTextWarning-02-of-03, MedicationDispense/W-DosageStructuredRequiresBothWarning-02-of-03, MedicationDispense/W-FreeTextSingleDosageOnlyWarning-MD, MedicationDispense/W-TimingBoundsUnitMatchesCodeWarning-Dispense-02-of-03, MedicationDispense/W-TimingFreqOrPeriodGtOneWarning-MD-02-of-06, MedicationDispense/W-TimingFreqOrPeriodGtOneWarning-MD-05-of-06, MedicationDispense/W-TimingSingleDosageForTimeOfDayWarning-MD-02-of-03, MedicationDispense/W-TimingSingleDosageForTimeOfDayWarning-MD-05-of-06, MedicationDispense/W-TimingSingleDosageForWhenWarning-MD-02-of-03, MedicationDispense/W-TimingSingleDosageForWhenWarning-MD-05-of-06, MedicationDispense/W-TimingValuesPositiveWarning-MD-02-of-15, MedicationDispense/W-TimingValuesPositiveWarning-MD-05-of-15, MedicationDispense/W-TimingValuesPositiveWarning-MD-08-of-15, MedicationDispense/W-TimingValuesPositiveWarning-MD-11-of-15 and MedicationDispense/W-TimingValuesPositiveWarning-MD-14-of-15

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	This is an abstract profile. Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationDispense.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationDispense.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
MedicationDispense.medication[x]	Σ 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.
MedicationDispense.medication[x].medicationCodeableConcept			CodeableConcept
MedicationDispense.medication[x].medicationReference			Reference(Medication)
MedicationDispense.dosageInstruction	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
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
AsNeededForRequiresAsNeededWarning	warning	MedicationDispense.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationDispense.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationDispense.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationDispense.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationDispense.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationDispense.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationDispense.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationDispense.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationDispense.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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 MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	This is an abstract profile. Dispensing a medication to a named patient
MedicationDispense.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationDispense.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationDispense.dosageInstruction		0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	This is an abstract profile. Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationDispense.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationDispense.implicitRules	?! This element is a modifier element. Σ 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 Bindings Purpose 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.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationDispense.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.identifier		0..*	Identifier	External identifier
MedicationDispense.partOf		0..*	Reference(Procedure)	Event that dispense is part of
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
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]	Σ 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.
MedicationDispense.medication[x].medicationCodeableConcept			CodeableConcept
MedicationDispense.medication[x].medicationReference			Reference(Medication)
MedicationDispense.subject	Σ This element is included in summaries.	0..1	Reference(Patient | Group)	Who the dispense is for
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. Σ 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		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
MedicationDispense.location		0..1	Reference(Location)	Where the dispense occurred
MedicationDispense.authorizingPrescription		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense
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	C	0..1	SimpleQuantity(4.0.1)	Amount dispensed Constraints: sqty-1
MedicationDispense.daysSupply	C	0..1	SimpleQuantity(4.0.1)	Amount of medication expressed as a timing amount Constraints: sqty-1
MedicationDispense.whenPrepared	Σ This element is included in summaries.	0..1	dateTime	When product was packaged and reviewed
MedicationDispense.whenHandedOver		0..1	dateTime	When product was given out
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	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
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. Σ 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
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 v7.3
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.3
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.3

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForRequiresAsNeededWarning	warning	MedicationDispense.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationDispense.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationDispense.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationDispense.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationDispense.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationDispense.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationDispense.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationDispense.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationDispense.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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()

This structure is derived from MedicationDispense

Summary

Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Dosage DE (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	This is an abstract profile. Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationDispense.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationDispense.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
MedicationDispense.medication[x]	Σ 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.
MedicationDispense.medication[x].medicationCodeableConcept			CodeableConcept
MedicationDispense.medication[x].medicationReference			Reference(Medication)
MedicationDispense.dosageInstruction	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
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
AsNeededForRequiresAsNeededWarning	warning	MedicationDispense.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationDispense.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationDispense.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationDispense.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationDispense.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationDispense.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationDispense.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationDispense.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationDispense.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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 MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	This is an abstract profile. Dispensing a medication to a named patient
MedicationDispense.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationDispense.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationDispense.dosageInstruction		0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	This is an abstract profile. Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationDispense.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationDispense.implicitRules	?! This element is a modifier element. Σ 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 Bindings Purpose 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.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
MedicationDispense.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationDispense.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.identifier		0..*	Identifier	External identifier
MedicationDispense.partOf		0..*	Reference(Procedure)	Event that dispense is part of
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
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]	Σ 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.
MedicationDispense.medication[x].medicationCodeableConcept			CodeableConcept
MedicationDispense.medication[x].medicationReference			Reference(Medication)
MedicationDispense.subject	Σ This element is included in summaries.	0..1	Reference(Patient | Group)	Who the dispense is for
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. Σ 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		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
MedicationDispense.location		0..1	Reference(Location)	Where the dispense occurred
MedicationDispense.authorizingPrescription		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense
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	C	0..1	SimpleQuantity(4.0.1)	Amount dispensed Constraints: sqty-1
MedicationDispense.daysSupply	C	0..1	SimpleQuantity(4.0.1)	Amount of medication expressed as a timing amount Constraints: sqty-1
MedicationDispense.whenPrepared	Σ This element is included in summaries.	0..1	dateTime	When product was packaged and reviewed
MedicationDispense.whenHandedOver		0..1	dateTime	When product was given out
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	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
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. Σ 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
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 v7.3
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.3
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.3

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForRequiresAsNeededWarning	warning	MedicationDispense.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationDispense.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationDispense.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationDispense.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationDispense.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationDispense.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationDispense.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationDispense.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationDispense.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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()

This structure is derived from MedicationDispense

Summary

Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Dosage DE (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

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