Medication Prescription and Delivery (MPD), published by Integrating the Healthcare Enterprise (IHE). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-mpd/tree/master and changes regularly. See the Directory of published versions

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

Resource Profile: IHEMedicationDispensation

MedicationDispense profile for capturing dispensation information based on a medication prescription.

Usage:

• Examples for this Resource Profile: MedicationDispense/10-dispense-1, MedicationDispense/10-dispense-2 and MedicationDispense/300-dispense-for-2-requests

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	S	0..*	Identifier	External identifier ele-1: All FHIR elements must have a @value or children
status	?!SΣ	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. ele-1: All FHIR elements must have a @value or children
notPerformedReason	S	0..1	CodeableReference(DetectedIssue)	Why a dispense was not performed Binding: MedicationDispenseStatusReasonCodes (example) ele-1: All FHIR elements must have a @value or children
medication	SΣ	1..1	CodeableReference(IHE Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient | Group)	Who the dispense is for ele-1: All FHIR elements must have a @value or children
performer		0..*	BackboneElement	Who performed event ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing ele-1: All FHIR elements must have a @value or children
authorizingPrescription	S	0..*	Reference(IHE Medication Prescription)	Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children
quantity	S	1..1	SimpleQuantity	Amount dispensed ele-1: All FHIR elements must have a @value or children
whenHandedOver	SC	1..1	dateTime	When product was given out ele-1: All FHIR elements must have a @value or children
receiver	S	0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered ele-1: All FHIR elements must have a @value or children
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.notPerformedReason	example	MedicationDispenseStatusReasonCodes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

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

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
identifier	S	0..*	Identifier	External identifier
status	S	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
notPerformedReason	S	0..1	CodeableReference(DetectedIssue)	Why a dispense was not performed
medication	S	1..1	CodeableReference(IHE Medication)	What medication was supplied
subject	S	1..1	Reference(Patient | Group)	Who the dispense is for
performer
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing
authorizingPrescription	S	0..*	Reference(IHE Medication Prescription)	Medication order that authorizes the dispense
quantity	S	1..1	SimpleQuantity	Amount dispensed
whenHandedOver	S	1..1	dateTime	When product was given out
receiver	S	0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
substitution
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	External identifier
basedOn		0..*	Reference(CarePlan)	Plan that is fulfilled by this dispense
partOf		0..*	Reference(Procedure | MedicationAdministration)	Event that dispense is part of
status	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
notPerformedReason	S	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	SΣ	1..1	CodeableReference(IHE Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
subject	SΣ	1..1	Reference(Patient | Group)	Who the dispense is for
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	S	0..*	Reference(IHE Medication Prescription)	Medication order that authorizes the dispense
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
quantity	S	1..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	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	SC	1..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was/will be sent
receiver	S	0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
note		0..*	Annotation	Information about the dispense
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
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted	S	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): ActSubstanceAdminSubstitutionCode
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
responsibleParty		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who is responsible for the substitution
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.notPerformedReason	example	MedicationDispenseStatusReasonCodes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	example	MedicationDispenseAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationdispense-admin-location from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispensePerformerFunctionCodes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• IHE Medication (http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/IHEMedication)
• IHE Medication Prescription (http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/IHEMedicationPrescription)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	S	0..*	Identifier	External identifier ele-1: All FHIR elements must have a @value or children
status	?!SΣ	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. ele-1: All FHIR elements must have a @value or children
notPerformedReason	S	0..1	CodeableReference(DetectedIssue)	Why a dispense was not performed Binding: MedicationDispenseStatusReasonCodes (example) ele-1: All FHIR elements must have a @value or children
medication	SΣ	1..1	CodeableReference(IHE Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient | Group)	Who the dispense is for ele-1: All FHIR elements must have a @value or children
performer		0..*	BackboneElement	Who performed event ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing ele-1: All FHIR elements must have a @value or children
authorizingPrescription	S	0..*	Reference(IHE Medication Prescription)	Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children
quantity	S	1..1	SimpleQuantity	Amount dispensed ele-1: All FHIR elements must have a @value or children
whenHandedOver	SC	1..1	dateTime	When product was given out ele-1: All FHIR elements must have a @value or children
receiver	S	0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered ele-1: All FHIR elements must have a @value or children
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.notPerformedReason	example	MedicationDispenseStatusReasonCodes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

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

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
identifier	S	0..*	Identifier	External identifier
status	S	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
notPerformedReason	S	0..1	CodeableReference(DetectedIssue)	Why a dispense was not performed
medication	S	1..1	CodeableReference(IHE Medication)	What medication was supplied
subject	S	1..1	Reference(Patient | Group)	Who the dispense is for
performer
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing
authorizingPrescription	S	0..*	Reference(IHE Medication Prescription)	Medication order that authorizes the dispense
quantity	S	1..1	SimpleQuantity	Amount dispensed
whenHandedOver	S	1..1	dateTime	When product was given out
receiver	S	0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
substitution
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	External identifier
basedOn		0..*	Reference(CarePlan)	Plan that is fulfilled by this dispense
partOf		0..*	Reference(Procedure | MedicationAdministration)	Event that dispense is part of
status	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
notPerformedReason	S	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	SΣ	1..1	CodeableReference(IHE Medication)	What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
subject	SΣ	1..1	Reference(Patient | Group)	Who the dispense is for
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	S	0..*	Reference(IHE Medication Prescription)	Medication order that authorizes the dispense
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
quantity	S	1..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	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	SC	1..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was/will be sent
receiver	S	0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
note		0..*	Annotation	Information about the dispense
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
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted	S	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): ActSubstanceAdminSubstitutionCode
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
responsibleParty		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who is responsible for the substitution
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.status	required	MedicationDispenseStatusCodes http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.notPerformedReason	example	MedicationDispenseStatusReasonCodes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	example	MedicationDispenseAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationdispense-admin-location from the FHIR Standard
MedicationDispense.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispensePerformerFunctionCodes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• IHE Medication (http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/IHEMedication)
• IHE Medication Prescription (http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/IHEMedicationPrescription)

Other representations of profile: CSV, Excel, Schematron