MyHealth@Eu Electronic Prescription and Dispense
1.0.0-poc - qa-preview 150

MyHealth@Eu Electronic Prescription and Dispense - Downloaded Version 1.0.0-poc See the Directory of published versions

## Resource Profile: MedicationDispense (EPD)

Official URL: http://fhir.ehdsi.eu/epd/StructureDefinition/MedicationDispense-myhealtheu-epd | Version: 1.0.0-poc
Draft as of 2026-07-16 | Computable Name: MedicationDispenseMyHealthEuEpd
Copyright/Legal: Copyright European Union, represented by the European Commission - DG SANTE. Licenced under CC-BY-4.0.

This profile defines how to represent the supply and the associated administration instructions in HL7 FHIR for the purpose of this guide.

Usages:

- Examples for this Profile: MedicationDispense/300D-dispense-for-2-requests, MedicationDispense/400D-dispense-1, MedicationDispense/400D-dispense-2 and MedicationDispense/400E-refused-dispense

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispenseEuMpd | 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
language |  | 0..1 | code | Language of the resource content Binding: eHDSI Language (required)
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction | O | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
extension:recorded | O | 1..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O | 0..* | Identifier | External identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | ?!O 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.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
Slices for medication[x] | O Σ | 1..1 | Reference(Medication) | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
medication[x]:medicationReference | O Σ | 1..1 | Reference(Medication (EPD)) | What medication was supplied
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
subject | O Σ | 0..1 | Reference(Patient (Core)) | Who the dispense is for
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
location | O | 0..1 | Reference(Location) | Where the dispense occurred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
authorizingPrescription | O | 0..* | Reference(MedicationRequest (EPD)) | Medication order that authorizes the dispense
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
quantity | O | 1..1 | SimpleQuantityMyHealth | Amount dispensed
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
daysSupply |  | 0..1 | SimpleQuantityMyHealth | Amount of medication expressed as a timing amount
whenHandedOver | O | 1..1 | dateTime | Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
receiver |  | 0..* | Reference(Patient (Core)) | Who collected the medication
dosageInstruction | O | 0..* | DosageEuMpd | How the medication is to be used by the patient
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1
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 MedicationDispenseEuMpd

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispenseEuMpd | Dispensing a medication to a named patient
language |  | 0..1 | code | Language of the resource content Binding: eHDSI Language (required)
Slices for extension |  |  |  | Content/Rules for all slices
extension:recorded | O | 1..1 | R5 MedicationDispense.recorded | R5: When the recording of the dispense started (new)
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
identifier | O | 0..* | Identifier | External identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationReference | O | 1..1 | Reference(Medication (EPD)) | What medication was supplied
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
subject | O | 0..1 | Reference(Patient (Core)) | Who the dispense is for
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
performer |  |  |  |
actor | O | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core) | Organization (Core)) | Individual who was performing
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
location | O | 0..1 | Reference(Location) | Where the dispense occurred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
authorizingPrescription | O | 0..* | Reference(MedicationRequest (EPD)) | Medication order that authorizes the dispense
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
quantity | O | 1..1 | SimpleQuantityMyHealth | Amount dispensed
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
daysSupply |  | 0..1 | SimpleQuantityMyHealth | Amount of medication expressed as a timing amount
whenHandedOver | O | 1..1 | dateTime | Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
receiver |  | 0..* | Reference(Patient (Core)) | Who collected the medication
dosageInstruction |  | 0..* | DosageEuMpd | How the medication is to be used by the patient
substitution |  |  |  |
wasSubstituted | O | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: eHDSI Substitution Code (extensible)
responsibleParty |  | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who is responsible for the substitution
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1
MedicationDispense.substitution.​type | Base | extensible | eHDSI Substitution Code | 📦9.1.0 | MyHealthEu MVC package v9.1

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispenseEuMpd | 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: eHDSI Language (required)
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction | O | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
extension:recorded | O | 1..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O | 0..* | Identifier | External identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!O 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.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
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.
Slices for medication[x] | O Σ | 1..1 | Reference(Medication) | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
medication[x]:medicationReference | O Σ | 1..1 | Reference(Medication (EPD)) | What medication was supplied
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
subject | O Σ | 0..1 | Reference(Patient (Core)) | Who the dispense is for
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode 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: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor | O | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core) | Organization (Core)) | Individual who was performing
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
location | O | 0..1 | Reference(Location) | Where the dispense occurred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
authorizingPrescription | O | 0..* | Reference(MedicationRequest (EPD)) | Medication order that authorizes the dispense
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
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 | O | 1..1 | SimpleQuantityMyHealth | Amount dispensed
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
daysSupply |  | 0..1 | SimpleQuantityMyHealth | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver | O | 1..1 | dateTime | Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient (Core)) | Who collected the medication
note |  | 0..* | Annotation | Information about the dispense
dosageInstruction | O | 0..* | DosageEuMpd | How the medication is to be used by the patient
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
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 | O | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: eHDSI Substitution Code (extensible)
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 |  | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who is responsible for the substitution
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of relevant lifecycle events
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1
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 v7.2
MedicationDispense.substitution.​type | Base | extensible | eHDSI Substitution Code | 📦9.1.0 | MyHealthEu MVC package v9.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.2

#### 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 MedicationDispenseEuMpd

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Medication (EPD) (http://fhir.ehdsi.eu/epd/StructureDefinition/medication-myhealtheu-epd)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
- PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
- Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)
- Organization (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core)
- MedicationRequest (EPD) (http://fhir.ehdsi.eu/epd/StructureDefinition/MedicationRequest-myhealtheu-epd)
- Simple Quantity (MyHealth@EU) (http://fhir.ehdsi.eu/core/StructureDefinition/SimpleQuantity-myhealth)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispenseEuMpd | 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
language |  | 0..1 | code | Language of the resource content Binding: eHDSI Language (required)
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction | O | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
extension:recorded | O | 1..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O | 0..* | Identifier | External identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | ?!O 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.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
Slices for medication[x] | O Σ | 1..1 | Reference(Medication) | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
medication[x]:medicationReference | O Σ | 1..1 | Reference(Medication (EPD)) | What medication was supplied
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
subject | O Σ | 0..1 | Reference(Patient (Core)) | Who the dispense is for
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
location | O | 0..1 | Reference(Location) | Where the dispense occurred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
authorizingPrescription | O | 0..* | Reference(MedicationRequest (EPD)) | Medication order that authorizes the dispense
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
quantity | O | 1..1 | SimpleQuantityMyHealth | Amount dispensed
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
daysSupply |  | 0..1 | SimpleQuantityMyHealth | Amount of medication expressed as a timing amount
whenHandedOver | O | 1..1 | dateTime | Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
receiver |  | 0..* | Reference(Patient (Core)) | Who collected the medication
dosageInstruction | O | 0..* | DosageEuMpd | How the medication is to be used by the patient
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1
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 MedicationDispenseEuMpd

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispenseEuMpd | Dispensing a medication to a named patient
language |  | 0..1 | code | Language of the resource content Binding: eHDSI Language (required)
Slices for extension |  |  |  | Content/Rules for all slices
extension:recorded | O | 1..1 | R5 MedicationDispense.recorded | R5: When the recording of the dispense started (new)
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
identifier | O | 0..* | Identifier | External identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for medication[x] |  |  |  | Content/Rules for all slices
medication[x]:medicationReference | O | 1..1 | Reference(Medication (EPD)) | What medication was supplied
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
subject | O | 0..1 | Reference(Patient (Core)) | Who the dispense is for
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
performer |  |  |  |
actor | O | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core) | Organization (Core)) | Individual who was performing
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
location | O | 0..1 | Reference(Location) | Where the dispense occurred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
authorizingPrescription | O | 0..* | Reference(MedicationRequest (EPD)) | Medication order that authorizes the dispense
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
quantity | O | 1..1 | SimpleQuantityMyHealth | Amount dispensed
Obligations | Actor | Source
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
daysSupply |  | 0..1 | SimpleQuantityMyHealth | Amount of medication expressed as a timing amount
whenHandedOver | O | 1..1 | dateTime | Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
receiver |  | 0..* | Reference(Patient (Core)) | Who collected the medication
dosageInstruction |  | 0..* | DosageEuMpd | How the medication is to be used by the patient
substitution |  |  |  |
wasSubstituted | O | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: eHDSI Substitution Code (extensible)
responsibleParty |  | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who is responsible for the substitution
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1
MedicationDispense.substitution.​type | Base | extensible | eHDSI Substitution Code | 📦9.1.0 | MyHealthEu MVC package v9.1

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispenseEuMpd | 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: eHDSI Language (required)
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:renderedDosageInstruction | O | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
extension:recorded | O | 1..1 | dateTime | R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O | 0..* | Identifier | External identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!O 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.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
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.
Slices for medication[x] | O Σ | 1..1 | Reference(Medication) | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
medication[x]:medicationReference | O Σ | 1..1 | Reference(Medication (EPD)) | What medication was supplied
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
subject | O Σ | 0..1 | Reference(Patient (Core)) | Who the dispense is for
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode 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: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor | O | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core) | Organization (Core)) | Individual who was performing
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
location | O | 0..1 | Reference(Location) | Where the dispense occurred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
authorizingPrescription | O | 0..* | Reference(MedicationRequest (EPD)) | Medication order that authorizes the dispense
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
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 | O | 1..1 | SimpleQuantityMyHealth | Amount dispensed
Obligations | Actor | Source
SHALL:able-to-populate | Producer | from MedicationDispense: MPD
SHALL:able-to-populate & SHALL:handle | Producer MyHealth@EU Handler | from MedicationDispense: MPD
daysSupply |  | 0..1 | SimpleQuantityMyHealth | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver | O | 1..1 | dateTime | Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient (Core)) | Who collected the medication
note |  | 0..* | Annotation | Information about the dispense
dosageInstruction | O | 0..* | DosageEuMpd | How the medication is to be used by the patient
Obligations | Actor | Source
SHOULD:able-to-populate | Producer | from MedicationDispense: MPD
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 | O | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: eHDSI Substitution Code (extensible)
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 |  | 0..* | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who is responsible for the substitution
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of relevant lifecycle events
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1
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 v7.2
MedicationDispense.substitution.​type | Base | extensible | eHDSI Substitution Code | 📦9.1.0 | MyHealthEu MVC package v9.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.2

#### 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 MedicationDispenseEuMpd

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Medication (EPD) (http://fhir.ehdsi.eu/epd/StructureDefinition/medication-myhealtheu-epd)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
- PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
- Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)
- Organization (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core)
- MedicationRequest (EPD) (http://fhir.ehdsi.eu/epd/StructureDefinition/MedicationRequest-myhealtheu-epd)
- Simple Quantity (MyHealth@EU) (http://fhir.ehdsi.eu/core/StructureDefinition/SimpleQuantity-myhealth)

Other representations of profile: CSV, Excel, Schematron