Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions

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Resource Profile: Profile_R2_MedicationDispense_R5

This cross-version profile allows DSTU2 MedicationDispense content to be represented via FHIR R5 MedicationDispense resources.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense(5.0.0)	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 Constraints: ext-1
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.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codes URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status Binding: MedicationDispenseStatusCodes (required): A code specifying the state of the dispense event. Constraints: ext-1
medication	Σ	1..1	CodeableReference(Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:medication		1..1	Reference(Cross-version Profile for DSTU2.Medication for use in FHIR R5(0.1.0) | Medication)	DSTU2: medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication Constraints: ext-1
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:patient		0..1	Reference(Resource)	DSTU2: patient additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.status	Base	required	MedicationDispense Status Codes	📍5.0.0	FHIR Std.
MedicationDispense.medication	Base	example	SNOMED CT Medication Codes	📍5.0.0	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().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	MedicationDispense.implicitRules, MedicationDispense.modifierExtension, MedicationDispense.status, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.medication, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.subject, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient, MedicationDispense.subject.reference	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.modifierExtension, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense(5.0.0)	Dispensing a medication to a named patient
meta
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:meta		0..1	Meta	DSTU2: meta additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.meta
text
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:text		0..1	(Complex)	DSTU2: text additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.text
identifier
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:identifier		0..1	Identifier	DSTU2: identifier additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.identifier
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		0..1	code	DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codes URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status Binding: MedicationDispenseStatusCodes (required): A code specifying the state of the dispense event.
medication
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medication		0..1	Reference(Cross-version Profile for DSTU2.Medication for use in FHIR R5(0.1.0) | Medication)	DSTU2: medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:patient		0..1	Reference(Resource)	DSTU2: patient additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
performer
actor
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dispenser		0..1	Reference(Resource)	DSTU2: Practitioner responsible for dispensing medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
authorizingPrescription
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:authorizingPrescription		0..*	Reference(Resource)	DSTU2: authorizingPrescription additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
destination
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:destination		0..1	Reference(Resource)	DSTU2: Where the medication was sent additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
receiver
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:receiver		0..*	Reference(Resource)	DSTU2: Who collected the medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
note
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	string	DSTU2: note additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.note
dosageInstruction
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:text		0..1	string	DSTU2: Dosage Instructions additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.text
extension:additionalInstructions		0..1	CodeableConcept	DSTU2: E.g. "Take with food" additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.additionalInstructions
extension:timing		0..1	Timing	DSTU2: When medication should be administered additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.timing
extension:asNeeded		0..1	boolean, CodeableConcept	DSTU2: Take "as needed" f(or x) additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.asNeeded
extension:site		0..1	CodeableConcept, Reference(Cross-version Profile for DSTU2.BodySite for use in FHIR R5(0.1.0) | BodyStructure)	DSTU2: Body site to administer to additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.site
extension:route		0..1	CodeableConcept	DSTU2: How drug should enter body additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.route
extension:method		0..1	CodeableConcept	DSTU2: Technique for administering medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.method
extension:dose		0..1	Range, SimpleQuantity(5.0.0)	DSTU2: Amount of medication per dose additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.dose
extension:rate		0..1	Ratio, Range	DSTU2: Amount of medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.rate
extension:maxDosePerPeriod		0..1	Ratio	DSTU2: Upper limit on medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.maxDosePerPeriod
substitution
responsibleParty
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:responsibleParty		0..*	Reference(Resource)	DSTU2: responsibleParty additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense(5.0.0)	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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:meta		0..1	Meta	DSTU2: meta additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.meta Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 Bindings Purpose 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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:text		0..1	(Complex)	DSTU2: text additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.text Constraints: ext-1
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	External identifier
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:identifier		0..1	Identifier	DSTU2: identifier additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.identifier Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..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	0..1	Reference(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.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codes URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status Binding: MedicationDispenseStatusCodes (required): A code specifying the state of the dispense event. Constraints: ext-1
value		0..1	code	Primitive value for code
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	CodeableReference(Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:medication		1..1	Reference(Cross-version Profile for DSTU2.Medication for use in FHIR R5(0.1.0) | Medication)	DSTU2: medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication Constraints: ext-1
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:patient		0..1	Reference(Resource)	DSTU2: patient additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:dispenser		0..1	Reference(Resource)	DSTU2: Practitioner responsible for dispensing medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:authorizingPrescription		0..1	Reference(Resource)	DSTU2: authorizingPrescription additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc Binding: ActPharmacySupplyType (3.0.0) (example): ActPharmacySupplyType
quantity		0..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	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	C	0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was/will be sent
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:destination		0..1	Reference(Resource)	DSTU2: Where the medication was sent additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
receiver		0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:receiver		0..1	Reference(Resource)	DSTU2: Who collected the medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
note		0..*	Annotation	Information about the dispense
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:note		0..1	string	DSTU2: note additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.note Constraints: ext-1
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:text		0..1	string	DSTU2: Dosage Instructions additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.text Constraints: ext-1
extension:additionalInstructions		0..1	CodeableConcept	DSTU2: E.g. "Take with food" additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.additionalInstructions Constraints: ext-1
extension:timing		0..1	Timing	DSTU2: When medication should be administered additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.timing Constraints: ext-1
extension:asNeeded		0..1	boolean, CodeableConcept	DSTU2: Take "as needed" f(or x) additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.asNeeded Constraints: ext-1
extension:site		0..1	CodeableConcept, Reference(Cross-version Profile for DSTU2.BodySite for use in FHIR R5(0.1.0) | BodyStructure)	DSTU2: Body site to administer to additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.site Constraints: ext-1
extension:route		0..1	CodeableConcept	DSTU2: How drug should enter body additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.route Constraints: ext-1
extension:method		0..1	CodeableConcept	DSTU2: Technique for administering medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.method Constraints: ext-1
extension:dose		0..1	Range, SimpleQuantity(5.0.0)	DSTU2: Amount of medication per dose additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.dose Constraints: ext-1
extension:rate		0..1	Ratio, Range	DSTU2: Amount of medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.rate Constraints: ext-1
extension:maxDosePerPeriod		0..1	Ratio	DSTU2: Upper limit on medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.maxDosePerPeriod Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..*	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered, to be administered or typical amount to be 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 Constraints: ext-1
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (2.0.0) (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..*	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity(5.0.0)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(5.0.0)	Upper limit on medication per lifetime of the patient
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): ActSubstanceAdminSubstitutionCode
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): SubstanceAdminSubstitutionReason
responsibleParty		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who is responsible for the substitution
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:responsibleParty		0..1	Reference(Resource)	DSTU2: responsibleParty additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.meta.​security	Base	extensible	All Security Labels	📍5.0.0	tx.fhir.org
MedicationDispense.meta.​tag	Base	example	Common Tags	📍5.0.0	FHIR Std.
MedicationDispense.language	Base	required	All Languages	📍5.0.0	FHIR Std.
MedicationDispense.text.​status	Base	required	NarrativeStatus	📍5.0.0	FHIR Std.
MedicationDispense.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
MedicationDispense.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
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	example	SNOMED CT Medication Codes	📍5.0.0	FHIR Std.
MedicationDispense.subject.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.performer.​function	Base	example	MedicationDispense Performer Function Codes	📍5.0.0	FHIR Std.
MedicationDispense.performer.​actor.type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.authorizingPrescription.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.type	Base	example	ActPharmacySupplyType	📍3.0.0	THO v7.1
MedicationDispense.destination.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.receiver.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​asNeededFor	Base	example	SNOMED CT Medication As Needed Reason Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍2.0.0	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
MedicationDispense.substitution.​responsibleParty.type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org

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	MedicationDispense.meta, MedicationDispense.meta.extension, MedicationDispense.meta.extension:meta, MedicationDispense.meta.versionId, MedicationDispense.meta.lastUpdated, MedicationDispense.meta.source, MedicationDispense.meta.profile, MedicationDispense.meta.security, MedicationDispense.meta.tag, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.text.extension, MedicationDispense.text.extension:text, MedicationDispense.text.status, MedicationDispense.text.div, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.identifier.extension, MedicationDispense.identifier.extension:identifier, MedicationDispense.identifier.use, MedicationDispense.identifier.type, MedicationDispense.identifier.system, MedicationDispense.identifier.value, MedicationDispense.identifier.period, MedicationDispense.identifier.assigner, MedicationDispense.basedOn, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.notPerformedReason, MedicationDispense.statusChanged, MedicationDispense.category, MedicationDispense.medication, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.medication.concept, MedicationDispense.medication.reference, MedicationDispense.subject, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient, MedicationDispense.subject.reference, MedicationDispense.subject.type, MedicationDispense.subject.identifier, MedicationDispense.subject.display, MedicationDispense.encounter, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.performer.actor.extension, MedicationDispense.performer.actor.extension:dispenser, MedicationDispense.performer.actor.reference, MedicationDispense.performer.actor.type, MedicationDispense.performer.actor.identifier, MedicationDispense.performer.actor.display, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.authorizingPrescription.extension, MedicationDispense.authorizingPrescription.extension:authorizingPrescription, MedicationDispense.authorizingPrescription.reference, MedicationDispense.authorizingPrescription.type, MedicationDispense.authorizingPrescription.identifier, MedicationDispense.authorizingPrescription.display, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.recorded, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.destination.extension, MedicationDispense.destination.extension:destination, MedicationDispense.destination.reference, MedicationDispense.destination.type, MedicationDispense.destination.identifier, MedicationDispense.destination.display, MedicationDispense.receiver, MedicationDispense.receiver.extension, MedicationDispense.receiver.extension:receiver, MedicationDispense.receiver.reference, MedicationDispense.receiver.type, MedicationDispense.receiver.identifier, MedicationDispense.receiver.display, MedicationDispense.note, MedicationDispense.note.extension, MedicationDispense.note.extension:note, MedicationDispense.note.author[x], MedicationDispense.note.time, MedicationDispense.note.text, MedicationDispense.renderedDosageInstruction, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.extension:text, MedicationDispense.dosageInstruction.extension:additionalInstructions, MedicationDispense.dosageInstruction.extension:timing, MedicationDispense.dosageInstruction.extension:asNeeded, MedicationDispense.dosageInstruction.extension:site, MedicationDispense.dosageInstruction.extension:route, MedicationDispense.dosageInstruction.extension:method, MedicationDispense.dosageInstruction.extension:dose, MedicationDispense.dosageInstruction.extension:rate, MedicationDispense.dosageInstruction.extension:maxDosePerPeriod, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.asNeeded, MedicationDispense.dosageInstruction.asNeededFor, MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.substitution.responsibleParty.extension, MedicationDispense.substitution.responsibleParty.extension:responsibleParty, MedicationDispense.substitution.responsibleParty.reference, MedicationDispense.substitution.responsibleParty.type, MedicationDispense.substitution.responsibleParty.identifier, MedicationDispense.substitution.responsibleParty.display, MedicationDispense.eventHistory	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.meta.extension, MedicationDispense.meta.extension:meta, MedicationDispense.text.extension, MedicationDispense.text.extension:text, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier.extension, MedicationDispense.identifier.extension:identifier, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.actor.extension, MedicationDispense.performer.actor.extension:dispenser, MedicationDispense.authorizingPrescription.extension, MedicationDispense.authorizingPrescription.extension:authorizingPrescription, MedicationDispense.destination.extension, MedicationDispense.destination.extension:destination, MedicationDispense.receiver.extension, MedicationDispense.receiver.extension:receiver, MedicationDispense.note.extension, MedicationDispense.note.extension:note, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.extension:text, MedicationDispense.dosageInstruction.extension:additionalInstructions, MedicationDispense.dosageInstruction.extension:timing, MedicationDispense.dosageInstruction.extension:asNeeded, MedicationDispense.dosageInstruction.extension:site, MedicationDispense.dosageInstruction.extension:route, MedicationDispense.dosageInstruction.extension:method, MedicationDispense.dosageInstruction.extension:dose, MedicationDispense.dosageInstruction.extension:rate, MedicationDispense.dosageInstruction.extension:maxDosePerPeriod, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.responsibleParty.extension, MedicationDispense.substitution.responsibleParty.extension:responsibleParty	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
txt-1	error	MedicationDispense.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	MedicationDispense.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from MedicationDispense

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.meta|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.text|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.identifier|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.note|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.text|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.additionalInstructions|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.timing|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.asNeeded|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.site|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.route|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.method|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.dose|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.rate|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.maxDosePerPeriod|0.1.0

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense(5.0.0)	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 Constraints: ext-1
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.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codes URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status Binding: MedicationDispenseStatusCodes (required): A code specifying the state of the dispense event. Constraints: ext-1
medication	Σ	1..1	CodeableReference(Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:medication		1..1	Reference(Cross-version Profile for DSTU2.Medication for use in FHIR R5(0.1.0) | Medication)	DSTU2: medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication Constraints: ext-1
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:patient		0..1	Reference(Resource)	DSTU2: patient additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.status	Base	required	MedicationDispense Status Codes	📍5.0.0	FHIR Std.
MedicationDispense.medication	Base	example	SNOMED CT Medication Codes	📍5.0.0	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().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	MedicationDispense.implicitRules, MedicationDispense.modifierExtension, MedicationDispense.status, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.medication, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.subject, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient, MedicationDispense.subject.reference	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.modifierExtension, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense(5.0.0)	Dispensing a medication to a named patient
meta
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:meta		0..1	Meta	DSTU2: meta additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.meta
text
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:text		0..1	(Complex)	DSTU2: text additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.text
identifier
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:identifier		0..1	Identifier	DSTU2: identifier additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.identifier
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		0..1	code	DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codes URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status Binding: MedicationDispenseStatusCodes (required): A code specifying the state of the dispense event.
medication
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medication		0..1	Reference(Cross-version Profile for DSTU2.Medication for use in FHIR R5(0.1.0) | Medication)	DSTU2: medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:patient		0..1	Reference(Resource)	DSTU2: patient additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
performer
actor
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dispenser		0..1	Reference(Resource)	DSTU2: Practitioner responsible for dispensing medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
authorizingPrescription
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:authorizingPrescription		0..*	Reference(Resource)	DSTU2: authorizingPrescription additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
destination
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:destination		0..1	Reference(Resource)	DSTU2: Where the medication was sent additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
receiver
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:receiver		0..*	Reference(Resource)	DSTU2: Who collected the medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
note
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:note		0..1	string	DSTU2: note additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.note
dosageInstruction
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:text		0..1	string	DSTU2: Dosage Instructions additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.text
extension:additionalInstructions		0..1	CodeableConcept	DSTU2: E.g. "Take with food" additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.additionalInstructions
extension:timing		0..1	Timing	DSTU2: When medication should be administered additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.timing
extension:asNeeded		0..1	boolean, CodeableConcept	DSTU2: Take "as needed" f(or x) additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.asNeeded
extension:site		0..1	CodeableConcept, Reference(Cross-version Profile for DSTU2.BodySite for use in FHIR R5(0.1.0) | BodyStructure)	DSTU2: Body site to administer to additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.site
extension:route		0..1	CodeableConcept	DSTU2: How drug should enter body additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.route
extension:method		0..1	CodeableConcept	DSTU2: Technique for administering medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.method
extension:dose		0..1	Range, SimpleQuantity(5.0.0)	DSTU2: Amount of medication per dose additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.dose
extension:rate		0..1	Ratio, Range	DSTU2: Amount of medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.rate
extension:maxDosePerPeriod		0..1	Ratio	DSTU2: Upper limit on medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.maxDosePerPeriod
substitution
responsibleParty
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:responsibleParty		0..*	Reference(Resource)	DSTU2: responsibleParty additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense(5.0.0)	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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:meta		0..1	Meta	DSTU2: meta additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.meta Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 Bindings Purpose 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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:text		0..1	(Complex)	DSTU2: text additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.text Constraints: ext-1
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	External identifier
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:identifier		0..1	Identifier	DSTU2: identifier additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.identifier Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..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	0..1	Reference(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.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codes URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status Binding: MedicationDispenseStatusCodes (required): A code specifying the state of the dispense event. Constraints: ext-1
value		0..1	code	Primitive value for code
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	CodeableReference(Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:medication		1..1	Reference(Cross-version Profile for DSTU2.Medication for use in FHIR R5(0.1.0) | Medication)	DSTU2: medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication Constraints: ext-1
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
subject	Σ	1..1	Reference(Patient | Group)	Who the dispense is for
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:patient		0..1	Reference(Resource)	DSTU2: patient additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:dispenser		0..1	Reference(Resource)	DSTU2: Practitioner responsible for dispensing medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:authorizingPrescription		0..1	Reference(Resource)	DSTU2: authorizingPrescription additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc Binding: ActPharmacySupplyType (3.0.0) (example): ActPharmacySupplyType
quantity		0..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	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	C	0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was/will be sent
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:destination		0..1	Reference(Resource)	DSTU2: Where the medication was sent additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
receiver		0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:receiver		0..1	Reference(Resource)	DSTU2: Who collected the medication additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
note		0..*	Annotation	Information about the dispense
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:note		0..1	string	DSTU2: note additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.note Constraints: ext-1
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:text		0..1	string	DSTU2: Dosage Instructions additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.text Constraints: ext-1
extension:additionalInstructions		0..1	CodeableConcept	DSTU2: E.g. "Take with food" additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.additionalInstructions Constraints: ext-1
extension:timing		0..1	Timing	DSTU2: When medication should be administered additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.timing Constraints: ext-1
extension:asNeeded		0..1	boolean, CodeableConcept	DSTU2: Take "as needed" f(or x) additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.asNeeded Constraints: ext-1
extension:site		0..1	CodeableConcept, Reference(Cross-version Profile for DSTU2.BodySite for use in FHIR R5(0.1.0) | BodyStructure)	DSTU2: Body site to administer to additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.site Constraints: ext-1
extension:route		0..1	CodeableConcept	DSTU2: How drug should enter body additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.route Constraints: ext-1
extension:method		0..1	CodeableConcept	DSTU2: Technique for administering medication additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.method Constraints: ext-1
extension:dose		0..1	Range, SimpleQuantity(5.0.0)	DSTU2: Amount of medication per dose additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.dose Constraints: ext-1
extension:rate		0..1	Ratio, Range	DSTU2: Amount of medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.rate Constraints: ext-1
extension:maxDosePerPeriod		0..1	Ratio	DSTU2: Upper limit on medication per unit of time additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.maxDosePerPeriod Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..*	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered, to be administered or typical amount to be 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 Constraints: ext-1
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (2.0.0) (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..*	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity(5.0.0)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(5.0.0)	Upper limit on medication per lifetime of the patient
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): ActSubstanceAdminSubstitutionCode
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): SubstanceAdminSubstitutionReason
responsibleParty		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who is responsible for the substitution
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:responsibleParty		0..1	Reference(Resource)	DSTU2: responsibleParty additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.meta.​security	Base	extensible	All Security Labels	📍5.0.0	tx.fhir.org
MedicationDispense.meta.​tag	Base	example	Common Tags	📍5.0.0	FHIR Std.
MedicationDispense.language	Base	required	All Languages	📍5.0.0	FHIR Std.
MedicationDispense.text.​status	Base	required	NarrativeStatus	📍5.0.0	FHIR Std.
MedicationDispense.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
MedicationDispense.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
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	example	SNOMED CT Medication Codes	📍5.0.0	FHIR Std.
MedicationDispense.subject.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.performer.​function	Base	example	MedicationDispense Performer Function Codes	📍5.0.0	FHIR Std.
MedicationDispense.performer.​actor.type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.authorizingPrescription.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.type	Base	example	ActPharmacySupplyType	📍3.0.0	THO v7.1
MedicationDispense.destination.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.receiver.​type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org
MedicationDispense.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​asNeededFor	Base	example	SNOMED CT Medication As Needed Reason Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍5.0.0	FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍2.0.0	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
MedicationDispense.substitution.​responsibleParty.type	Base	extensible	Resource Types	📍5.0.0	tx.fhir.org

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	MedicationDispense.meta, MedicationDispense.meta.extension, MedicationDispense.meta.extension:meta, MedicationDispense.meta.versionId, MedicationDispense.meta.lastUpdated, MedicationDispense.meta.source, MedicationDispense.meta.profile, MedicationDispense.meta.security, MedicationDispense.meta.tag, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.text.extension, MedicationDispense.text.extension:text, MedicationDispense.text.status, MedicationDispense.text.div, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.identifier.extension, MedicationDispense.identifier.extension:identifier, MedicationDispense.identifier.use, MedicationDispense.identifier.type, MedicationDispense.identifier.system, MedicationDispense.identifier.value, MedicationDispense.identifier.period, MedicationDispense.identifier.assigner, MedicationDispense.basedOn, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.notPerformedReason, MedicationDispense.statusChanged, MedicationDispense.category, MedicationDispense.medication, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.medication.concept, MedicationDispense.medication.reference, MedicationDispense.subject, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient, MedicationDispense.subject.reference, MedicationDispense.subject.type, MedicationDispense.subject.identifier, MedicationDispense.subject.display, MedicationDispense.encounter, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.performer.actor.extension, MedicationDispense.performer.actor.extension:dispenser, MedicationDispense.performer.actor.reference, MedicationDispense.performer.actor.type, MedicationDispense.performer.actor.identifier, MedicationDispense.performer.actor.display, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.authorizingPrescription.extension, MedicationDispense.authorizingPrescription.extension:authorizingPrescription, MedicationDispense.authorizingPrescription.reference, MedicationDispense.authorizingPrescription.type, MedicationDispense.authorizingPrescription.identifier, MedicationDispense.authorizingPrescription.display, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.recorded, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.destination.extension, MedicationDispense.destination.extension:destination, MedicationDispense.destination.reference, MedicationDispense.destination.type, MedicationDispense.destination.identifier, MedicationDispense.destination.display, MedicationDispense.receiver, MedicationDispense.receiver.extension, MedicationDispense.receiver.extension:receiver, MedicationDispense.receiver.reference, MedicationDispense.receiver.type, MedicationDispense.receiver.identifier, MedicationDispense.receiver.display, MedicationDispense.note, MedicationDispense.note.extension, MedicationDispense.note.extension:note, MedicationDispense.note.author[x], MedicationDispense.note.time, MedicationDispense.note.text, MedicationDispense.renderedDosageInstruction, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.extension:text, MedicationDispense.dosageInstruction.extension:additionalInstructions, MedicationDispense.dosageInstruction.extension:timing, MedicationDispense.dosageInstruction.extension:asNeeded, MedicationDispense.dosageInstruction.extension:site, MedicationDispense.dosageInstruction.extension:route, MedicationDispense.dosageInstruction.extension:method, MedicationDispense.dosageInstruction.extension:dose, MedicationDispense.dosageInstruction.extension:rate, MedicationDispense.dosageInstruction.extension:maxDosePerPeriod, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.asNeeded, MedicationDispense.dosageInstruction.asNeededFor, MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.substitution.responsibleParty.extension, MedicationDispense.substitution.responsibleParty.extension:responsibleParty, MedicationDispense.substitution.responsibleParty.reference, MedicationDispense.substitution.responsibleParty.type, MedicationDispense.substitution.responsibleParty.identifier, MedicationDispense.substitution.responsibleParty.display, MedicationDispense.eventHistory	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.meta.extension, MedicationDispense.meta.extension:meta, MedicationDispense.text.extension, MedicationDispense.text.extension:text, MedicationDispense.extension, MedicationDispense.modifierExtension, MedicationDispense.identifier.extension, MedicationDispense.identifier.extension:identifier, MedicationDispense.status.extension, MedicationDispense.status.extension:status, MedicationDispense.medication.extension, MedicationDispense.medication.extension:medication, MedicationDispense.subject.extension, MedicationDispense.subject.extension:patient, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.actor.extension, MedicationDispense.performer.actor.extension:dispenser, MedicationDispense.authorizingPrescription.extension, MedicationDispense.authorizingPrescription.extension:authorizingPrescription, MedicationDispense.destination.extension, MedicationDispense.destination.extension:destination, MedicationDispense.receiver.extension, MedicationDispense.receiver.extension:receiver, MedicationDispense.note.extension, MedicationDispense.note.extension:note, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.extension:text, MedicationDispense.dosageInstruction.extension:additionalInstructions, MedicationDispense.dosageInstruction.extension:timing, MedicationDispense.dosageInstruction.extension:asNeeded, MedicationDispense.dosageInstruction.extension:site, MedicationDispense.dosageInstruction.extension:route, MedicationDispense.dosageInstruction.extension:method, MedicationDispense.dosageInstruction.extension:dose, MedicationDispense.dosageInstruction.extension:rate, MedicationDispense.dosageInstruction.extension:maxDosePerPeriod, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.responsibleParty.extension, MedicationDispense.substitution.responsibleParty.extension:responsibleParty	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
txt-1	error	MedicationDispense.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	MedicationDispense.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from MedicationDispense

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.meta|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.text|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.identifier|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.medication|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.note|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.text|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.additionalInstructions|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.timing|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.asNeeded|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.site|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.route|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.method|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.dose|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.rate|0.1.0
• http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.maxDosePerPeriod|0.1.0

Maturity: 0