MyHealth@Eu Electronic Prescription and Dispense - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: MedicationDispense (EPD)

This profile defines how to represent the supply and the associated administration instructions in HL7 FHIR for the purpose of this guide.

Usages:

• Examples for this Profile: MedicationDispense/300D-dispense-for-2-requests, MedicationDispense/400D-dispense-1, MedicationDispense/400D-dispense-2 and MedicationDispense/400E-refused-dispense

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
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd	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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	O	1..1	dateTime	Date and time when the dispense was recorded/issued. This is not necessarily the same as when the medication was handed over to the patient. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	O	0..*	Identifier	External identifier Obligations Actor SHALL:handle EHDSI Handler
status	?!OΣ	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. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
Slices for medication[x]	OΣ	1..1	Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medication[x]:medicationReference	OΣ	1..1	Reference(Medication (epd))	What medication was supplied Obligations Actor SHALL:handle EHDSI Handler
subject	OΣ	0..1	Reference(Patient (Core))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
authorizingPrescription	O	0..*	Reference(MedicationRequest (EPD))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
quantity	O	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
whenHandedOver	O	1..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record. Obligations Actor SHALL:handle EHDSI Handler SHALL:handle EHDSI Handler
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
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 MedicationDispenseEuMpd

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispenseEuMpd	Dispensing a medication to a named patient
identifier	O	0..*	Identifier	External identifier Obligations Actor SHALL:handle EHDSI Handler
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference	O	1..1	Reference(Medication (epd))	What medication was supplied Obligations Actor SHALL:handle EHDSI Handler
subject		0..1	Reference(Patient (Core))	Who the dispense is for
performer
actor		1..1	Reference(PractitionerRole (Core))	Individual who was performing
authorizingPrescription	O	0..*	Reference(MedicationRequest (EPD))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
quantity	O	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
whenHandedOver	O	1..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record. Obligations Actor SHALL:handle EHDSI Handler SHALL:handle EHDSI Handler
substitution
wasSubstituted	O	1..1	boolean	Whether a substitution was or was not performed on the dispense Obligations Actor SHALL:handle EHDSI Handler
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd	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 Bindings Purpose 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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	O	1..1	dateTime	Date and time when the dispense was recorded/issued. This is not necessarily the same as when the medication was handed over to the patient. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	O	0..*	Identifier	External identifier Obligations Actor SHALL:handle EHDSI Handler
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!OΣ	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. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
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.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
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.
Slices for medication[x]	OΣ	1..1	Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medication[x]:medicationReference	OΣ	1..1	Reference(Medication (epd))	What medication was supplied Obligations Actor SHALL:handle EHDSI Handler
subject	OΣ	0..1	Reference(Patient (Core))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
context		0..1	Reference(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		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.
actor	O	1..1	Reference(PractitionerRole (Core))	Individual who was performing Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	O	0..*	Reference(MedicationRequest (EPD))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
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.
quantity	O	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
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	O	1..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record. Obligations Actor SHALL:handle EHDSI Handler SHALL:handle EHDSI Handler
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	O	0..*	DosageEuMpd	How the medication is to be used by the patient or administered by the caregiver Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
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	O	1..1	boolean	Whether a substitution was or was not performed on the dispense Obligations Actor SHALL:handle EHDSI Handler
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.
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.
responsibleParty		0..*	Reference(Practitioner | 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
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 v7.1
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 MedicationDispenseEuMpd

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Medication (epd) (http://fhir.ehdsi.eu/epd/StructureDefinition/medication-myhealtheu-epd)
• Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
• PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
• MedicationRequest (EPD) (http://fhir.ehdsi.eu/epd/StructureDefinition/MedicationRequest-myhealtheu-epd)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd	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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	O	1..1	dateTime	Date and time when the dispense was recorded/issued. This is not necessarily the same as when the medication was handed over to the patient. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	O	0..*	Identifier	External identifier Obligations Actor SHALL:handle EHDSI Handler
status	?!OΣ	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. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
Slices for medication[x]	OΣ	1..1	Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medication[x]:medicationReference	OΣ	1..1	Reference(Medication (epd))	What medication was supplied Obligations Actor SHALL:handle EHDSI Handler
subject	OΣ	0..1	Reference(Patient (Core))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
authorizingPrescription	O	0..*	Reference(MedicationRequest (EPD))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
quantity	O	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
whenHandedOver	O	1..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record. Obligations Actor SHALL:handle EHDSI Handler SHALL:handle EHDSI Handler
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
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 MedicationDispenseEuMpd

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispenseEuMpd	Dispensing a medication to a named patient
identifier	O	0..*	Identifier	External identifier Obligations Actor SHALL:handle EHDSI Handler
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference	O	1..1	Reference(Medication (epd))	What medication was supplied Obligations Actor SHALL:handle EHDSI Handler
subject		0..1	Reference(Patient (Core))	Who the dispense is for
performer
actor		1..1	Reference(PractitionerRole (Core))	Individual who was performing
authorizingPrescription	O	0..*	Reference(MedicationRequest (EPD))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
quantity	O	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
whenHandedOver	O	1..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record. Obligations Actor SHALL:handle EHDSI Handler SHALL:handle EHDSI Handler
substitution
wasSubstituted	O	1..1	boolean	Whether a substitution was or was not performed on the dispense Obligations Actor SHALL:handle EHDSI Handler
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd	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 Bindings Purpose 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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	O	1..1	dateTime	Date and time when the dispense was recorded/issued. This is not necessarily the same as when the medication was handed over to the patient. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	O	0..*	Identifier	External identifier Obligations Actor SHALL:handle EHDSI Handler
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!OΣ	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. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
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.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
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.
Slices for medication[x]	OΣ	1..1	Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medication[x]:medicationReference	OΣ	1..1	Reference(Medication (epd))	What medication was supplied Obligations Actor SHALL:handle EHDSI Handler
subject	OΣ	0..1	Reference(Patient (Core))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
context		0..1	Reference(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		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.
actor	O	1..1	Reference(PractitionerRole (Core))	Individual who was performing Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	O	0..*	Reference(MedicationRequest (EPD))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
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.
quantity	O	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD SHALL:able-to-populate & SHALL:handle ProducerEHDSI Handler from MedicationDispense: MPD
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	O	1..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record. Obligations Actor SHALL:handle EHDSI Handler SHALL:handle EHDSI Handler
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	O	0..*	DosageEuMpd	How the medication is to be used by the patient or administered by the caregiver Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
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	O	1..1	boolean	Whether a substitution was or was not performed on the dispense Obligations Actor SHALL:handle EHDSI Handler
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.
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.
responsibleParty		0..*	Reference(Practitioner | 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
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 v7.1
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 MedicationDispenseEuMpd

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Medication (epd) (http://fhir.ehdsi.eu/epd/StructureDefinition/medication-myhealtheu-epd)
• Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
• PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
• MedicationRequest (EPD) (http://fhir.ehdsi.eu/epd/StructureDefinition/MedicationRequest-myhealtheu-epd)

Other representations of profile: CSV, Excel, Schematron