MedicationDispense

Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.

= Must Support, = Is Modifier, = QiCore defined extension

Field	Card.	Type	Description
validityPeriod	0..1	Extension	An Extension
refillsRemaining	0..1	Extension	An Extension
status	1..1	String	A code specifying the state of the set of dispense events. Binding: A coded concept specifying the state of the dispense event. (required)
statusReason[x]	0..1	Concept | DetectedIssue	Indicates the reason why a dispense was not performed. Binding: A code describing why a dispense was not performed. (example)
medication[x]	1..1	Concept | Medication	Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. Binding: The set of RxNorm codes to represent medications (preferred)
subject	0..1	Patient	A link to a resource representing the person or the group to whom the medication will be given.
performer	0..*	List<performer>	Indicates who or what performed the event.
authorizingPrescription	0..*	List<MedicationRequest>	Indicates the medication order that is being dispensed against.
quantity	0..1	Quantity	The amount of medication that has been dispensed. Includes unit of measure.
daysSupply	0..1	Quantity	The amount of medication expressed as a timing amount.
whenHandedOver	0..1	DateTime	The time the dispensed product was provided to the patient or their representative.
destination	0..1	Location	Identification of the facility/location where the medication was shipped to, as part of the dispense event.
receiver	0..*	List<Patient | Practitioner>	Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.
dosageInstruction	0..*	List<Dosage>	Indicates how the medication is to be used by the patient.
doseType	0..1	Extension	An Extension Binding: Medication dose types (e.g., loading, maintenance, etc.) (preferred)
infuseOver	0..1	Extension	An Extension
rateIncrement	0..1	Extension	An Extension
rateIncrementInterval	0..1	Extension	An Extension
rateGoal	0..1	Extension	An Extension
minDosePerPeriod	0..1	Extension	An Extension
maxDeliveryRate	0..1	Extension	An Extension
maxDeliveryVolume	0..1	Extension	An Extension
substitution	0..1	substitution	Indicates whether or not substitution was made as part of the dispense. In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done.