Draft PH Core Implementation Guide
0.2.0 - ci-build Philippines (the)

Draft PH Core Implementation Guide, published by UP Manila National TeleHealth Center. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/niccoreyes/ph-core/ and changes regularly. See the Directory of published versions

Resource Profile: PH Core Medication Dispense ( Experimental )

Official URL: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-medicationdispense Version: 0.2.0
Draft as of 2026-04-01 Computable Name: PHCoreMedicationDispense

Captures key FHIR Medication Dispense data for the Philippine context.

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
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 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.
.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
.... statusReason[x]:statusReasonCodeableConcept S 0..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
... category S 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(PH Core Medication) What medication was supplied
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: Drugs (preferred)
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
... subject Σ 0..1 Reference(PH Core Patient | Group) Who the dispense is for
... context 0..1 Reference(PH Core Encounter | EpisodeOfCare) Encounter / Episode associated with event
... performer 0..* BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 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.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
.... actor 1..1 Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | Device | PH Core RelatedPerson) Individual who was performing
... location 0..1 Reference(PH Core Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(PH Core Medication Request) Medication order that authorizes the dispense
... type S 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... destination 0..1 Reference(PH Core Location) Where the medication was sent
... receiver 0..* Reference(PH Core Patient | PH Core Practitioner) Who collected the medication
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... 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 S 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.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
.... reason S 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.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
.... responsibleParty 0..* Reference(PH Core Practitioner | PH Core PractitionerRole) Who is responsible for the substitution

doco 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.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept 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.medication[x]:medicationCodeableConcept Base preferred Drugs 📦0.2.0 This IG
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.1
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

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().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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
... Slices for statusReason[x] 0..1 CodeableConcept, Reference(DetectedIssue) Why a dispense was not performed
Slice: Unordered, Open by type:$this
.... statusReason[x]:statusReasonCodeableConcept S 0..1 CodeableConcept Why a dispense was not performed
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
... category S 0..1 CodeableConcept Type of medication dispense
.... coding S 0..* Coding Code defined by a terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) What medication was supplied
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(PH Core Medication) What medication was supplied
.... medication[x]:medicationCodeableConcept S 0..1 CodeableConcept What medication was supplied
Binding: Drugs (preferred)
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
... context 0..1 Reference(PH Core Encounter | EpisodeOfCare) Encounter / Episode associated with event
... performer
.... function S 0..1 CodeableConcept Who performed the dispense and what they did
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
.... actor 1..1 Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | Device | PH Core RelatedPerson) Individual who was performing
... location 0..1 Reference(PH Core Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(PH Core Medication Request) Medication order that authorizes the dispense
... type S 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
.... coding S 0..* Coding Code defined by a terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... destination 0..1 Reference(PH Core Location) Where the medication was sent
... receiver 0..* Reference(PH Core Patient | PH Core Practitioner) Who collected the medication
... substitution
.... type S 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
.... reason S 0..* CodeableConcept Why was substitution made
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
.... responsibleParty 0..* Reference(PH Core Practitioner | PH Core PractitionerRole) Who is responsible for the substitution

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.medication[x]:medicationCodeableConcept Base preferred Drugs 📦0.2.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... partOf 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: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
... Slices for statusReason[x] 0..1 Why a dispense was not performed
Slice: Unordered, Open by type:$this
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
.... statusReason[x]:statusReasonCodeableConcept S 0..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... category S 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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(PH Core Medication) What medication was supplied
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: Drugs (preferred)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(PH Core Patient | Group) Who the dispense is for
... context 0..1 Reference(PH Core Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... actor 1..1 Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | Device | PH Core RelatedPerson) Individual who was performing
... location 0..1 Reference(PH Core Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(PH Core Medication Request) Medication order that authorizes the dispense
... type S 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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... quantity 0..1 SimpleQuantity(4.0.1) Amount dispensed
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination 0..1 Reference(PH Core Location) Where the medication was sent
... receiver 0..* Reference(PH Core Patient | PH Core Practitioner) Who collected the medication
... note 0..* Annotation Information about the dispense
... dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type S 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... reason S 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... responsibleParty 0..* Reference(PH Core Practitioner | PH Core PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco 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.statusReason[x]:statusReasonCodeableConcept 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.medication[x]:medicationCodeableConcept Base preferred Drugs 📦0.2.0 This IG
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.1
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

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().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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 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.
.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
.... statusReason[x]:statusReasonCodeableConcept S 0..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
... category S 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(PH Core Medication) What medication was supplied
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: Drugs (preferred)
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
... subject Σ 0..1 Reference(PH Core Patient | Group) Who the dispense is for
... context 0..1 Reference(PH Core Encounter | EpisodeOfCare) Encounter / Episode associated with event
... performer 0..* BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 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.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
.... actor 1..1 Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | Device | PH Core RelatedPerson) Individual who was performing
... location 0..1 Reference(PH Core Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(PH Core Medication Request) Medication order that authorizes the dispense
... type S 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... destination 0..1 Reference(PH Core Location) Where the medication was sent
... receiver 0..* Reference(PH Core Patient | PH Core Practitioner) Who collected the medication
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... 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 S 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.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
.... reason S 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.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
.... responsibleParty 0..* Reference(PH Core Practitioner | PH Core PractitionerRole) Who is responsible for the substitution

doco 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.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x]:statusReasonCodeableConcept 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.medication[x]:medicationCodeableConcept Base preferred Drugs 📦0.2.0 This IG
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.1
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

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().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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
... Slices for statusReason[x] 0..1 CodeableConcept, Reference(DetectedIssue) Why a dispense was not performed
Slice: Unordered, Open by type:$this
.... statusReason[x]:statusReasonCodeableConcept S 0..1 CodeableConcept Why a dispense was not performed
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
... category S 0..1 CodeableConcept Type of medication dispense
.... coding S 0..* Coding Code defined by a terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) What medication was supplied
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(PH Core Medication) What medication was supplied
.... medication[x]:medicationCodeableConcept S 0..1 CodeableConcept What medication was supplied
Binding: Drugs (preferred)
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
... context 0..1 Reference(PH Core Encounter | EpisodeOfCare) Encounter / Episode associated with event
... performer
.... function S 0..1 CodeableConcept Who performed the dispense and what they did
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
.... actor 1..1 Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | Device | PH Core RelatedPerson) Individual who was performing
... location 0..1 Reference(PH Core Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(PH Core Medication Request) Medication order that authorizes the dispense
... type S 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc.
.... coding S 0..* Coding Code defined by a terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... destination 0..1 Reference(PH Core Location) Where the medication was sent
... receiver 0..* Reference(PH Core Patient | PH Core Practitioner) Who collected the medication
... substitution
.... type S 0..1 CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
.... reason S 0..* CodeableConcept Why was substitution made
..... coding S 0..* Coding Code defined by a terminology system
...... code S 0..1 code Symbol in syntax defined by the system
.... responsibleParty 0..* Reference(PH Core Practitioner | PH Core PractitionerRole) Who is responsible for the substitution

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.medication[x]:medicationCodeableConcept Base preferred Drugs 📦0.2.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... partOf 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: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
... Slices for statusReason[x] 0..1 Why a dispense was not performed
Slice: Unordered, Open by type:$this
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
.... statusReasonCodeableConcept CodeableConcept
.... statusReasonReference Reference(DetectedIssue)
.... statusReason[x]:statusReasonCodeableConcept S 0..1 CodeableConcept Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... category S 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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for medication[x] Σ 1..1 What medication was supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(PH Core Medication) What medication was supplied
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What medication was supplied
Binding: Drugs (preferred)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(PH Core Patient | Group) Who the dispense is for
... context 0..1 Reference(PH Core Encounter | EpisodeOfCare) Encounter / Episode associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... actor 1..1 Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | Device | PH Core RelatedPerson) Individual who was performing
... location 0..1 Reference(PH Core Location) Where the dispense occurred
... authorizingPrescription 0..* Reference(PH Core Medication Request) Medication order that authorizes the dispense
... type S 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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... quantity 0..1 SimpleQuantity(4.0.1) Amount dispensed
... daysSupply 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination 0..1 Reference(PH Core Location) Where the medication was sent
... receiver 0..* Reference(PH Core Patient | PH Core Practitioner) Who collected the medication
... note 0..* Annotation Information about the dispense
... dosageInstruction 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type S 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... reason S 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... responsibleParty 0..* Reference(PH Core Practitioner | PH Core PractitionerRole) Who is responsible for the substitution
... detectedIssue 0..* Reference(DetectedIssue) Clinical issue with action
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco 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.statusReason[x]:statusReasonCodeableConcept 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.medication[x]:medicationCodeableConcept Base preferred Drugs 📦0.2.0 This IG
MedicationDispense.performer.​function Base example Medication dispense performer function codes 📍4.0.1 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.1
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

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().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

 

Other representations of profile: CSV, Excel, Schematron