SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

Resource Profile: SGHI Medication Dispense

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medicationdispense Version: 0.1.0
Draft as of 2025-11-27 Computable Name: SGHIMedicationDispense

SGHI's profile for Medication Dispense resource

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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) What medication was supplied
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Who the dispense is for
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter associated with event
... performer 1..1 BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor 1..1 SGHIReference(SGHI Organization) Individual who was performing
... location 1..1 SGHIReference(SGHI Location) Where the dispense occurred
... authorizingPrescription 1..* SGHIReference(SGHI MedicationRequest) Medication order that authorizes the dispense
... type 1..1 SGHICodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... whenPrepared ΣC 1..1 dateTime When product was packaged and reviewed
... whenHandedOver C 1..1 dateTime When product was given out
... destination 1..1 SGHIReference(SGHI Location) Where the medication was/will be sent
... receiver 1..1 SGHIReference(SGHI Patient) Who collected the medication or where the medication was delivered
... renderedDosageInstruction 1..1 markdown Full representation of the dosage instructions
... dosageInstruction 1..* SGHIDosage How the medication is to be used by the patient or administered by the caregiver
... substitution 1..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 1..1 SGHICodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): ActSubstanceAdminSubstitutionCode
.... responsibleParty 1..1 SGHIReference(SGHI Organization) Who is responsible for the substitution

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base required SGHI Medication Codes 📦0.1.0 This IG
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.0
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
... identifier 1..* Identifier External identifier
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... medication 1..1 SGHICodeableReference(SGHI Medication) What medication was supplied
Binding: SGHI Medication Codes (required)
... subject 1..1 SGHIReference(SGHI Patient) Who the dispense is for
... performer 1..1 BackboneElement Who performed event
.... actor 1..1 SGHIReference(SGHI Organization) Individual who was performing
... location 1..1 SGHIReference(SGHI Location) Where the dispense occurred
... authorizingPrescription 1..* SGHIReference(SGHI MedicationRequest) Medication order that authorizes the dispense
... type 1..1 SGHICodeableConcept Trial fill, partial fill, emergency fill, etc
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... whenPrepared 1..1 dateTime When product was packaged and reviewed
... whenHandedOver 1..1 dateTime When product was given out
... destination 1..1 SGHIReference(SGHI Location) Where the medication was/will be sent
... receiver 1..1 SGHIReference(SGHI Patient) Who collected the medication or where the medication was delivered
... renderedDosageInstruction 1..1 markdown Full representation of the dosage instructions
... dosageInstruction 1..* SGHIDosage How the medication is to be used by the patient or administered by the caregiver
... substitution 1..1 BackboneElement Whether a substitution was performed on the dispense
.... type 1..1 SGHICodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
.... responsibleParty 1..1 SGHIReference(SGHI Organization) Who is responsible for the substitution

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
MedicationDispense.medication Base required SGHI Medication Codes 📦0.1.0 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..* Identifier External identifier
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* Reference(CarePlan) Plan that is fulfilled by this dispense
... partOf 0..* Reference(Procedure | MedicationAdministration) Event that dispense is part of
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... notPerformedReason 0..1 CodeableReference(DetectedIssue) Why a dispense was not performed
Binding: MedicationDispenseStatusReasonCodes (example)
... statusChanged 0..1 dateTime When the status changed
... category 0..* CodeableConcept Type of medication dispense
Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered.
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) What medication was supplied
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Who the dispense is for
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer 1..1 BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 SGHIReference(SGHI Organization) Individual who was performing
... location 1..1 SGHIReference(SGHI Location) Where the dispense occurred
... authorizingPrescription 1..* SGHIReference(SGHI MedicationRequest) Medication order that authorizes the dispense
... type 1..1 SGHICodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded 0..1 dateTime When the recording of the dispense started
... whenPrepared ΣC 1..1 dateTime When product was packaged and reviewed
... whenHandedOver C 1..1 dateTime When product was given out
... destination 1..1 SGHIReference(SGHI Location) Where the medication was/will be sent
... receiver 1..1 SGHIReference(SGHI Patient) Who collected the medication or where the medication was delivered
... note 0..* Annotation Information about the dispense
... renderedDosageInstruction 1..1 markdown Full representation of the dosage instructions
... dosageInstruction 1..* SGHIDosage How the medication is to be used by the patient or administered by the caregiver
... substitution 1..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 1..1 SGHICodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): ActSubstanceAdminSubstitutionCode
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
.... responsibleParty 1..1 SGHIReference(SGHI Organization) Who is responsible for the substitution
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationDispense.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.notPerformedReason Base example MedicationDispense Status Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.category Base example MedicationDispense Administration Location Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base required SGHI Medication Codes 📦0.1.0 This IG
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.0
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.0
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) What medication was supplied
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Who the dispense is for
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter associated with event
... performer 1..1 BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor 1..1 SGHIReference(SGHI Organization) Individual who was performing
... location 1..1 SGHIReference(SGHI Location) Where the dispense occurred
... authorizingPrescription 1..* SGHIReference(SGHI MedicationRequest) Medication order that authorizes the dispense
... type 1..1 SGHICodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... whenPrepared ΣC 1..1 dateTime When product was packaged and reviewed
... whenHandedOver C 1..1 dateTime When product was given out
... destination 1..1 SGHIReference(SGHI Location) Where the medication was/will be sent
... receiver 1..1 SGHIReference(SGHI Patient) Who collected the medication or where the medication was delivered
... renderedDosageInstruction 1..1 markdown Full representation of the dosage instructions
... dosageInstruction 1..* SGHIDosage How the medication is to be used by the patient or administered by the caregiver
... substitution 1..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 1..1 SGHICodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): ActSubstanceAdminSubstitutionCode
.... responsibleParty 1..1 SGHIReference(SGHI Organization) Who is responsible for the substitution

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base required SGHI Medication Codes 📦0.1.0 This IG
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.0
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
... identifier 1..* Identifier External identifier
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... medication 1..1 SGHICodeableReference(SGHI Medication) What medication was supplied
Binding: SGHI Medication Codes (required)
... subject 1..1 SGHIReference(SGHI Patient) Who the dispense is for
... performer 1..1 BackboneElement Who performed event
.... actor 1..1 SGHIReference(SGHI Organization) Individual who was performing
... location 1..1 SGHIReference(SGHI Location) Where the dispense occurred
... authorizingPrescription 1..* SGHIReference(SGHI MedicationRequest) Medication order that authorizes the dispense
... type 1..1 SGHICodeableConcept Trial fill, partial fill, emergency fill, etc
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... whenPrepared 1..1 dateTime When product was packaged and reviewed
... whenHandedOver 1..1 dateTime When product was given out
... destination 1..1 SGHIReference(SGHI Location) Where the medication was/will be sent
... receiver 1..1 SGHIReference(SGHI Patient) Who collected the medication or where the medication was delivered
... renderedDosageInstruction 1..1 markdown Full representation of the dosage instructions
... dosageInstruction 1..* SGHIDosage How the medication is to be used by the patient or administered by the caregiver
... substitution 1..1 BackboneElement Whether a substitution was performed on the dispense
.... type 1..1 SGHICodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
.... responsibleParty 1..1 SGHIReference(SGHI Organization) Who is responsible for the substitution

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
MedicationDispense.medication Base required SGHI Medication Codes 📦0.1.0 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..* Identifier External identifier
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* Reference(CarePlan) Plan that is fulfilled by this dispense
... partOf 0..* Reference(Procedure | MedicationAdministration) Event that dispense is part of
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... notPerformedReason 0..1 CodeableReference(DetectedIssue) Why a dispense was not performed
Binding: MedicationDispenseStatusReasonCodes (example)
... statusChanged 0..1 dateTime When the status changed
... category 0..* CodeableConcept Type of medication dispense
Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered.
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) What medication was supplied
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Who the dispense is for
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter associated with event
... supportingInformation 0..* Reference(Resource) Information that supports the dispensing of the medication
... performer 1..1 BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Who performed the dispense and what they did
Binding: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 SGHIReference(SGHI Organization) Individual who was performing
... location 1..1 SGHIReference(SGHI Location) Where the dispense occurred
... authorizingPrescription 1..* SGHIReference(SGHI MedicationRequest) Medication order that authorizes the dispense
... type 1..1 SGHICodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded 0..1 dateTime When the recording of the dispense started
... whenPrepared ΣC 1..1 dateTime When product was packaged and reviewed
... whenHandedOver C 1..1 dateTime When product was given out
... destination 1..1 SGHIReference(SGHI Location) Where the medication was/will be sent
... receiver 1..1 SGHIReference(SGHI Patient) Who collected the medication or where the medication was delivered
... note 0..* Annotation Information about the dispense
... renderedDosageInstruction 1..1 markdown Full representation of the dosage instructions
... dosageInstruction 1..* SGHIDosage How the medication is to be used by the patient or administered by the caregiver
... substitution 1..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 1..1 SGHICodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: ActSubstanceAdminSubstitutionCode (example): ActSubstanceAdminSubstitutionCode
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
.... responsibleParty 1..1 SGHIReference(SGHI Organization) Who is responsible for the substitution
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationDispense.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.notPerformedReason Base example MedicationDispense Status Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.category Base example MedicationDispense Administration Location Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base required SGHI Medication Codes 📦0.1.0 This IG
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.0
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.0
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

 

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