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 | |
| _filter | token | Filter search parameter which supports a more sophisticated grammar for searching. See documentation for further details | |
| _has | string | Provides limited support for reverse chaining - that is, selecting resources based on the properties of resources that refer to them (instead of chaining where resources can be selected based on the properties of resources that they refer to). See the FHIR search page for further documentation | |
| _id | token | Logical id of this artifact | Resource.id |
| _lastUpdated | date | When the resource version last changed | Resource.meta.lastUpdated |
| _list | string | All resources in nominated list (by id, Type/id, url or one of the magic List types) | |
| _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 |
| _text | string | Search on the narrative text (html) of the resource | |
| _type | token | Used when a search is performed in a context which doesn't limit the search to indicate which types are being searched. See the FHIR search page for further discussion | |
| 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.where(resolve() is Patient) / 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 |