MedicationDispense

Property	Value
Publisher
Name	MedicationDispense
URL	http://hl7.org/fhir/StructureDefinition/MedicationDispense
Status	draft
Description
Abstract	false

Structure

Path	Cardinality	Type	Description
MedicationDispense	0..*	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.
MedicationDispense.id	0..1	http://hl7.org/fhirpath/System.String	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
MedicationDispense.meta	0..1	Meta	The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
MedicationDispense.implicitRules	0..1	uri	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
MedicationDispense.language	0..1	code	The base language in which the resource is written.
MedicationDispense.text	0..1	Narrative	A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
MedicationDispense.contained	0..*	Resource	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
MedicationDispense.extension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationDispense.modifierExtension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationDispense.identifier	0..*	Identifier	Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
MedicationDispense.partOf	0..*	Reference	The procedure that trigger the dispense.
MedicationDispense.status	1..1	code	A code specifying the state of the set of dispense events.
MedicationDispense.statusReason[x]	0..1	CodeableConcept	Indicates the reason why a dispense was not performed.
MedicationDispense.category	0..1	CodeableConcept	Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
MedicationDispense.medication[x]	1..1	CodeableConcept	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.
MedicationDispense.subject	0..1	Reference	A link to a resource representing the person or the group to whom the medication will be given.
MedicationDispense.context	0..1	Reference	The encounter or episode of care that establishes the context for this event.
MedicationDispense.supportingInformation	0..*	Reference	Additional information that supports the medication being dispensed.
MedicationDispense.performer	0..*	BackboneElement	Indicates who or what performed the event.
MedicationDispense.performer.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
MedicationDispense.performer.extension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationDispense.performer.modifierExtension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationDispense.performer.function	0..1	CodeableConcept	Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.
MedicationDispense.performer.actor	1..1	Reference	The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.
MedicationDispense.location	0..1	Reference	The principal physical location where the dispense was performed.
MedicationDispense.authorizingPrescription	0..*	Reference	Indicates the medication order that is being dispensed against.
MedicationDispense.type	0..1	CodeableConcept	Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
MedicationDispense.quantity	0..1	Quantity	The amount of medication that has been dispensed. Includes unit of measure.
MedicationDispense.daysSupply	0..1	Quantity	The amount of medication expressed as a timing amount.
MedicationDispense.whenPrepared	0..1	dateTime	The time when the dispensed product was packaged and reviewed.
MedicationDispense.whenHandedOver	0..1	dateTime	The time the dispensed product was provided to the patient or their representative.
MedicationDispense.destination	0..1	Reference	Identification of the facility/location where the medication was shipped to, as part of the dispense event.
MedicationDispense.receiver	0..*	Reference	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.
MedicationDispense.note	0..*	Annotation	Extra information about the dispense that could not be conveyed in the other attributes.
MedicationDispense.dosageInstruction	0..*	Dosage	Indicates how the medication is to be used by the patient.
MedicationDispense.substitution	0..1	BackboneElement	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.
MedicationDispense.substitution.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
MedicationDispense.substitution.extension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationDispense.substitution.modifierExtension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationDispense.substitution.wasSubstituted	1..1	boolean	True if the dispenser dispensed a different drug or product from what was prescribed.
MedicationDispense.substitution.type	0..1	CodeableConcept	A code signifying whether a different drug was dispensed from what was prescribed.
MedicationDispense.substitution.reason	0..*	CodeableConcept	Indicates the reason for the substitution (or lack of substitution) from what was prescribed.
MedicationDispense.substitution.responsibleParty	0..*	Reference	The person or organization that has primary responsibility for the substitution.
MedicationDispense.detectedIssue	0..*	Reference	Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.
MedicationDispense.eventHistory	0..*	Reference	A summary of the events of interest that have occurred, such as when the dispense was verified.

Search Parameters

Name	Type	Description	Expression
_text	string	Search on the narrative of the resource
_content	string	Search on the entire content of the resource
_id	token	Logical id of this artifact	Resource.id
_lastUpdated	date	When the resource version last changed	Resource.meta.lastUpdated
_profile	uri	Profiles this resource claims to conform to	Resource.meta.profile
_query	token	A custom search profile that describes a specific defined query operation
_security	token	Security Labels applied to this resource	Resource.meta.security
_source	uri	Identifies where the resource comes from	Resource.meta.source
_tag	token	Tags applied to this resource	Resource.meta.tag
code	token	Multiple Resources: * AllergyIntolerance: Code that identifies the allergy or intolerance* Condition: Code for the condition* DeviceRequest: Code for what is being requested/ordered* DiagnosticReport: The code for the report, as opposed to codes for the atomic results, which are the names on the observation resource referred to from the result* FamilyMemberHistory: A search by a condition code* List: What the purpose of this list is* Medication: Returns medications for a specific code* MedicationAdministration: Return administrations of this medication code* MedicationDispense: Returns dispenses of this medicine code* MedicationRequest: Return prescriptions of this medication code* MedicationStatement: Return statements of this medication code* Observation: The code of the observation type* Procedure: A code to identify a procedure* ServiceRequest: What is being requested/ordered	AllergyIntolerance.code / AllergyIntolerance.reaction.substance / Condition.code / (DeviceRequest.code.ofType(CodeableConcept)) / DiagnosticReport.code / FamilyMemberHistory.condition.code / List.code / Medication.code / (MedicationAdministration.medication.ofType(CodeableConcept)) / (MedicationDispense.medication.ofType(CodeableConcept)) / (MedicationRequest.medication.ofType(CodeableConcept)) / (MedicationStatement.medication.ofType(CodeableConcept)) / Observation.code / Procedure.code / ServiceRequest.code
identifier	token	Multiple Resources: * AllergyIntolerance: External ids for this item* CarePlan: External Ids for this plan* CareTeam: External Ids for this team* Composition: Version-independent identifier for the Composition* Condition: A unique identifier of the condition record* Consent: Identifier for this record (external references)* DetectedIssue: Unique id for the detected issue* DeviceRequest: Business identifier for request/order* DiagnosticReport: An identifier for the report* DocumentManifest: Unique Identifier for the set of documents* DocumentReference: Master Version Specific Identifier* Encounter: Identifier(s) by which this encounter is known* EpisodeOfCare: Business Identifier(s) relevant for this EpisodeOfCare* FamilyMemberHistory: A search by a record identifier* Goal: External Ids for this goal* ImagingStudy: Identifiers for the Study, such as DICOM Study Instance UID and Accession number* Immunization: Business identifier* List: Business identifier* MedicationAdministration: Return administrations with this external identifier* MedicationDispense: Returns dispenses with this external identifier* MedicationRequest: Return prescriptions with this external identifier* MedicationStatement: Return statements with this external identifier* NutritionOrder: Return nutrition orders with this external identifier* Observation: The unique id for a particular observation* Procedure: A unique identifier for a procedure* RiskAssessment: Unique identifier for the assessment* ServiceRequest: Identifiers assigned to this order* SupplyDelivery: External identifier* SupplyRequest: Business Identifier for SupplyRequest* VisionPrescription: Return prescriptions with this external identifier	AllergyIntolerance.identifier / CarePlan.identifier / CareTeam.identifier / Composition.identifier / Condition.identifier / Consent.identifier / DetectedIssue.identifier / DeviceRequest.identifier / DiagnosticReport.identifier / DocumentManifest.masterIdentifier / DocumentManifest.identifier / DocumentReference.masterIdentifier / DocumentReference.identifier / Encounter.identifier / EpisodeOfCare.identifier / FamilyMemberHistory.identifier / Goal.identifier / ImagingStudy.identifier / Immunization.identifier / List.identifier / MedicationAdministration.identifier / MedicationDispense.identifier / MedicationRequest.identifier / MedicationStatement.identifier / NutritionOrder.identifier / Observation.identifier / Procedure.identifier / RiskAssessment.identifier / ServiceRequest.identifier / SupplyDelivery.identifier / SupplyRequest.identifier / VisionPrescription.identifier
patient	reference	Multiple Resources: * AllergyIntolerance: Who the sensitivity is for* CarePlan: Who the care plan is for* CareTeam: Who care team is for* ClinicalImpression: Patient or group assessed* Composition: Who and/or what the composition is about* Condition: Who has the condition?* Consent: Who the consent applies to* DetectedIssue: Associated patient* DeviceRequest: Individual the service is ordered for* DeviceUseStatement: Search by subject - a patient* DiagnosticReport: The subject of the report if a patient* DocumentManifest: The subject of the set of documents* DocumentReference: Who/what is the subject of the document* Encounter: The patient or group present at the encounter* EpisodeOfCare: The patient who is the focus of this episode of care* FamilyMemberHistory: The identity of a subject to list family member history items for* Flag: The identity of a subject to list flags for* Goal: Who this goal is intended for* ImagingStudy: Who the study is about* Immunization: The patient for the vaccination record* List: If all resources have the same subject* MedicationAdministration: The identity of a patient to list administrations for* MedicationDispense: The identity of a patient to list dispenses for* MedicationRequest: Returns prescriptions for a specific patient* MedicationStatement: Returns statements for a specific patient.* NutritionOrder: The identity of the person who requires the diet, formula or nutritional supplement* Observation: The subject that the observation is about (if patient)* Procedure: Search by subject - a patient* RiskAssessment: Who/what does assessment apply to?* ServiceRequest: Search by subject - a patient* SupplyDelivery: Patient for whom the item is supplied* VisionPrescription: The identity of a patient to list dispenses for	AllergyIntolerance.patient / CarePlan.subject.where(resolve() is Patient) / CareTeam.subject.where(resolve() is Patient) / ClinicalImpression.subject.where(resolve() is Patient) / Composition.subject.where(resolve() is Patient) / Condition.subject.where(resolve() is Patient) / Consent.patient / DetectedIssue.patient / DeviceRequest.subject.where(resolve() is Patient) / DeviceUseStatement.subject / DiagnosticReport.subject.where(resolve() is Patient) / DocumentManifest.subject.where(resolve() is Patient) / DocumentReference.subject.where(resolve() is Patient) / Encounter.subject.where(resolve() is Patient) / EpisodeOfCare.patient / FamilyMemberHistory.patient / Flag.subject.where(resolve() is Patient) / Goal.subject.where(resolve() is Patient) / ImagingStudy.subject.where(resolve() is Patient) / Immunization.patient / List.subject.where(resolve() is Patient) / MedicationAdministration.subject.where(resolve() is Patient) / MedicationDispense.subject.where(resolve() is Patient) / MedicationRequest.subject.where(resolve() is Patient) / MedicationStatement.subject.where(resolve() is Patient) / NutritionOrder.patient / Observation.subject.where(resolve() is Patient) / Procedure.subject.where(resolve() is Patient) / RiskAssessment.subject.where(resolve() is Patient) / ServiceRequest.subject.where(resolve() is Patient) / SupplyDelivery.patient / VisionPrescription.patient
medication	reference	Multiple Resources: * MedicationAdministration: Return administrations of this medication resource* MedicationDispense: Returns dispenses of this medicine resource* MedicationRequest: Return prescriptions for this medication reference* MedicationStatement: Return statements of this medication reference	(MedicationAdministration.medication.ofType(Reference)) / (MedicationDispense.medication.ofType(Reference)) / (MedicationRequest.medication.ofType(Reference)) / (MedicationStatement.medication.ofType(Reference))
status	token	Multiple Resources: * MedicationAdministration: MedicationAdministration event status (for example one of active/paused/completed/nullified)* MedicationDispense: Returns dispenses with a specified dispense status* MedicationRequest: Status of the prescription* MedicationStatement: Return statements that match the given status	MedicationAdministration.status / MedicationDispense.status / MedicationRequest.status / MedicationStatement.status
context	reference	Returns dispenses with a specific context (episode or episode of care)	MedicationDispense.context
destination	reference	Returns dispenses that should be sent to a specific destination	MedicationDispense.destination
performer	reference	Returns dispenses performed by a specific individual	MedicationDispense.performer.actor
prescription	reference	Multiple Resources: * MedicationDispense: The identity of a prescription to list dispenses from	MedicationDispense.authorizingPrescription
receiver	reference	The identity of a receiver to list dispenses for	MedicationDispense.receiver
responsibleparty	reference	Returns dispenses with the specified responsible party	MedicationDispense.substitution.responsibleParty
subject	reference	The identity of a patient for whom to list dispenses	MedicationDispense.subject
type	token	Returns dispenses of a specific type	MedicationDispense.type
whenhandedover	date	Returns dispenses handed over on this date	MedicationDispense.whenHandedOver
whenprepared	date	Returns dispenses prepared on this date	MedicationDispense.whenPrepared
_iguhealth-version-seq	number	The version sequence of the resource	Resource.meta.extension.where(url='https://iguhealth.app/version-sequence').value
_iguhealth-author	reference	The author of the resource	Resource.meta.extension.where(url='https://iguhealth.app/author').value