Medication IG DE
1.0.2 - STU1

This page is part of the Medication IG DE (v1.0.2: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Medication Dispense dgMP ( Abstract )

Official URL: http://ig.fhir.de/igs/medication/StructureDefinition/MedicationDispenseDgMP Version: 1.0.2
Active as of 2025-10-29 Computable Name: MedicationDispenseDgMP

Dieses Profil dient ausschließlich der Validierung des Implementation Guides und ist nicht für den produktiven Einsatz gedacht. Stattdessen sollte das jeweils passende Dosage-Profil direkt in das eigene Profil eingebunden werden.

Verwendung

Dieses Profil dient ausschließlich der Validierung des Implementation Guides und ist nicht für den produktiven Einsatz gedacht

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense This is an abstract profile.
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 Content/Rules for all slices
.... extension:renderedDosageInstruction S 0..1 (Complex) Dosierungsanweisung
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
..... value[x] 1..1 markdown Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... dosageInstruction 0..* DosageDgMP Angabe der Dosierinformationen strukturiert oder als Freitext

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.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 MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense This is an abstract profile.
Dispensing a medication to a named patient
... Slices for extension Content/Rules for all slices
.... extension:renderedDosageInstruction S 0..1 (Complex) Dosierungsanweisung
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
..... value[x] 1..1 markdown Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... dosageInstruction 0..* DosageDgMP Angabe der Dosierinformationen strukturiert oder als Freitext

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense This is an abstract profile.
Dispensing a medication to a named patient
Constraints: mdd-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:renderedDosageInstruction S 0..1 (Complex) Dosierungsanweisung
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
..... value[x] 1..1 markdown Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier 0..* Identifier External identifier
... partOf C 0..* Reference(Procedure) Event that dispense is part of
Constraints: ref-1
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
... 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.
... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject ΣC 0..1 Reference(Patient | Group) Who the dispense is for
Constraints: ref-1
... context C 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
Constraints: ref-1
... supportingInformation C 0..* Reference(Resource) Information that supports the dispensing of the medication
Constraints: ref-1
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... 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 C 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
Constraints: ref-1
... location C 0..1 Reference(Location) Where the dispense occurred
Constraints: ref-1
... authorizingPrescription C 0..* Reference(MedicationRequest) Medication order that authorizes the dispense
Constraints: ref-1
... 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 C 0..1 SimpleQuantity(4.0.1) Amount dispensed
Constraints: qty-3, sqty-1
... daysSupply C 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
Constraints: qty-3, sqty-1
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination C 0..1 Reference(Location) Where the medication was sent
Constraints: ref-1
... receiver C 0..* Reference(Patient | Practitioner) Who collected the medication
Constraints: ref-1
... note 0..* Annotation Information about the dispense
... dosageInstruction 0..* DosageDgMP Angabe der Dosierinformationen strukturiert oder als Freitext
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type 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 C 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
Constraints: ref-1
... detectedIssue C 0..* Reference(DetectedIssue) Clinical issue with action
Constraints: ref-1
... eventHistory C 0..* Reference(Provenance) A list of relevant lifecycle events
Constraints: ref-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.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 v6.5
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

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
qty-3 error MedicationDispense.quantity, MedicationDispense.daysSupply If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error MedicationDispense.partOf, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1 error MedicationDispense.quantity, MedicationDispense.daysSupply The comparator is not used on a SimpleQuantity comparator.empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense This is an abstract profile.
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 Content/Rules for all slices
.... extension:renderedDosageInstruction S 0..1 (Complex) Dosierungsanweisung
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
..... value[x] 1..1 markdown Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... dosageInstruction 0..* DosageDgMP Angabe der Dosierinformationen strukturiert oder als Freitext

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.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 MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense This is an abstract profile.
Dispensing a medication to a named patient
... Slices for extension Content/Rules for all slices
.... extension:renderedDosageInstruction S 0..1 (Complex) Dosierungsanweisung
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
..... value[x] 1..1 markdown Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... dosageInstruction 0..* DosageDgMP Angabe der Dosierinformationen strukturiert oder als Freitext

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense This is an abstract profile.
Dispensing a medication to a named patient
Constraints: mdd-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:renderedDosageInstruction S 0..1 (Complex) Dosierungsanweisung
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
..... value[x] 1..1 markdown Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier 0..* Identifier External identifier
... partOf C 0..* Reference(Procedure) Event that dispense is part of
Constraints: ref-1
... status ?!Σ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
... 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.
... medication[x] Σ 1..1 What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject ΣC 0..1 Reference(Patient | Group) Who the dispense is for
Constraints: ref-1
... context C 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
Constraints: ref-1
... supportingInformation C 0..* Reference(Resource) Information that supports the dispensing of the medication
Constraints: ref-1
... performer 0..* BackboneElement Who performed event
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... 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 C 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was performing
Constraints: ref-1
... location C 0..1 Reference(Location) Where the dispense occurred
Constraints: ref-1
... authorizingPrescription C 0..* Reference(MedicationRequest) Medication order that authorizes the dispense
Constraints: ref-1
... 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 C 0..1 SimpleQuantity(4.0.1) Amount dispensed
Constraints: qty-3, sqty-1
... daysSupply C 0..1 SimpleQuantity(4.0.1) Amount of medication expressed as a timing amount
Constraints: qty-3, sqty-1
... whenPrepared Σ 0..1 dateTime When product was packaged and reviewed
... whenHandedOver 0..1 dateTime When product was given out
... destination C 0..1 Reference(Location) Where the medication was sent
Constraints: ref-1
... receiver C 0..* Reference(Patient | Practitioner) Who collected the medication
Constraints: ref-1
... note 0..* Annotation Information about the dispense
... dosageInstruction 0..* DosageDgMP Angabe der Dosierinformationen strukturiert oder als Freitext
... substitution 0..1 BackboneElement Whether a substitution was performed on the dispense
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... wasSubstituted 1..1 boolean Whether a substitution was or was not performed on the dispense
.... type 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 C 0..* Reference(Practitioner | PractitionerRole) Who is responsible for the substitution
Constraints: ref-1
... detectedIssue C 0..* Reference(DetectedIssue) Clinical issue with action
Constraints: ref-1
... eventHistory C 0..* Reference(Provenance) A list of relevant lifecycle events
Constraints: ref-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationDispense.status Base required Medication dispense status codes 📍4.0.1 FHIR Std.
MedicationDispense.statusReason[x] Base example Medication dispense status reason codes 📍4.0.1 FHIR Std.
MedicationDispense.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 v6.5
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

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
qty-3 error MedicationDispense.quantity, MedicationDispense.daysSupply If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error MedicationDispense.partOf, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1 error MedicationDispense.quantity, MedicationDispense.daysSupply The comparator is not used on a SimpleQuantity comparator.empty()

 

Other representations of profile: CSV, Excel, Schematron