MyHealth@Eu Electronic Prescription and Dispense
1.0.0-poc - qa-preview
150
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
| Draft as of 2026-07-16 |
Definitions for the MedicationDispense-myhealtheu-epd resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationDispense | ||||||||||
| Definition | 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. | |||||||||
| Short | Dispensing a medication to a named patient | |||||||||
| Control | 0..* | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) 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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) mdd-1: whenHandedOver cannot be before whenPrepared ( whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared)mdd-1: whenHandedOver cannot be before whenPrepared (whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared) | |||||||||
| 2. MedicationDispense.implicitRules | ||||||||||
| Definition | 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. | |||||||||
| Short | A set of rules under which this content was created | |||||||||
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | |||||||||
| Control | 0..1 | |||||||||
| Type | uri | |||||||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 4. MedicationDispense.language | ||||||||||
| Definition | The base language in which the resource is written. | |||||||||
| Short | Language of the resource content | |||||||||
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | |||||||||
| Control | 0..1 | |||||||||
| Binding | The codes SHALL be taken from The codes SHOULD be taken from eHDSI Languagehttp://hl7.org/fhir/ValueSet/languages|4.0.1 (required to http://terminology.ehdsi.eu/ValueSet/eHDSILanguage) | |||||||||
| Type | code | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 6. MedicationDispense.extension | ||||||||||
| Definition | An 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. | |||||||||
| Short | ExtensionAdditional content defined by implementations | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 10..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| Slicing | This element introduces a set of slices on MedicationDispense.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 8. MedicationDispense.extension:renderedDosageInstruction | ||||||||||
| Slice Name | renderedDosageInstruction | |||||||||
| Definition | R5: | |||||||||
| Short | Full representation of the dosage instructions | |||||||||
| Comments | Element | |||||||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(R5: Full representation of the dosage instructions (new)) (Extension Type: markdown) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSDosage | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 10. MedicationDispense.extension:recorded | ||||||||||
| Slice Name | recorded | |||||||||
| Definition | R5: | |||||||||
| Short | R5: When the recording of the dispense started (new) | |||||||||
| Comments | Element | |||||||||
| Control | 1..1 This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(R5: When the recording of the dispense started (new)) (Extension Type: dateTime) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 12. MedicationDispense.modifierExtension | ||||||||||
| Definition | 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). | |||||||||
| Short | Extensions that cannot be ignored | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | |||||||||
| Summary | false | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 14. MedicationDispense.identifier | ||||||||||
| Definition | 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. | |||||||||
| Short | External identifier | |||||||||
| Comments | This is a business identifier, not a resource identifier. | |||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | |||||||||
| Control | 0..* | |||||||||
| Type | Identifier | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 16. MedicationDispense.status | ||||||||||
| Definition | A code specifying the state of the set of dispense events. | |||||||||
| Short | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown | |||||||||
| Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | |||||||||
| Control | 1..1 | |||||||||
| Binding | The codes SHALL be taken from MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1)A coded concept specifying the state of the dispense event. | |||||||||
| Type | code | |||||||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 18. MedicationDispense.medication[x] | ||||||||||
| Definition | 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. | |||||||||
| Short | What medication was supplied | |||||||||
| Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | |||||||||
| Control | 1..1 | |||||||||
| Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying which substance or product can be dispensed. | |||||||||
| Type | Reference(Medication), CodeableConcept | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on MedicationDispense.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | |||||||||
| 20. MedicationDispense.medication[x]:medicationReference | ||||||||||
| Slice Name | medicationReference | |||||||||
| Definition | 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. | |||||||||
| Short | What medication was supplied | |||||||||
| Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | |||||||||
| Control | 1..1 | |||||||||
| Type | Reference(Medication (EPD), Medication), CodeableConcept | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 22. MedicationDispense.subject | ||||||||||
| Definition | A link to a resource representing the person or the group to whom the medication will be given. | |||||||||
| Short | Who the dispense is for | |||||||||
| Comments | SubstanceAdministration->subject->Patient. | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Patient (Core), Patient, Group) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 24. MedicationDispense.location | ||||||||||
| Definition | The principal physical location where the dispense was performed. | |||||||||
| Short | Where the dispense occurred | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Location) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 26. MedicationDispense.authorizingPrescription | ||||||||||
| Definition | Indicates the medication order that is being dispensed against. | |||||||||
| Short | Medication order that authorizes the dispense | |||||||||
| Comments | Maps to basedOn in Event logical model. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(MedicationRequest (EPD), MedicationRequest) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 28. MedicationDispense.quantity | ||||||||||
| Definition | The amount of medication that has been dispensed. Includes unit of measure. | |||||||||
| Short | Amount dispensed | |||||||||
| Control | 10..1 | |||||||||
| Type | Quantity(Simple Quantity (MyHealth@EU), SimpleQuantity) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 30. MedicationDispense.daysSupply | ||||||||||
| Definition | The amount of medication expressed as a timing amount. | |||||||||
| Short | Amount of medication expressed as a timing amount | |||||||||
| Control | 0..1 | |||||||||
| Type | Quantity(Simple Quantity (MyHealth@EU), SimpleQuantity) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 32. MedicationDispense.whenHandedOver | ||||||||||
| Definition | The time the dispensed product was provided to the patient or their representative. | |||||||||
| Short | 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.When product was given out | |||||||||
| Control | 10..1 | |||||||||
| Type | dateTime | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 34. MedicationDispense.receiver | ||||||||||
| Definition | 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. | |||||||||
| Short | Who collected the medication | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Patient (Core), Patient, Practitioner) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 36. MedicationDispense.dosageInstruction | ||||||||||
| Definition | Indicates how the medication is to be used by the patient. | |||||||||
| Short | How the medication is to be used by the patientHow the medication is to be used by the patient or administered by the caregiver | |||||||||
| Comments | When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed. | |||||||||
| Control | 0..* | |||||||||
| Type | Dosage(Dosage: MPD) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationDispense | |||||||
| 2. MedicationDispense.language | |||||||
| Binding | The codes SHALL be taken from eHDSI Language (required to http://terminology.ehdsi.eu/ValueSet/eHDSILanguage) | ||||||
| 4. MedicationDispense.extension:recorded | |||||||
| Slice Name | recorded | ||||||
| Obligations |
| ||||||
| 6. MedicationDispense.identifier | |||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||
| Obligations |
| ||||||
| 8. MedicationDispense.medication[x]:medicationReference | |||||||
| Slice Name | medicationReference | ||||||
| Control | 1..? | ||||||
| Type | Reference(Medication (EPD)) | ||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||||
| Obligations |
| ||||||
| 10. MedicationDispense.subject | |||||||
| Type | Reference(Patient (Core)) | ||||||
| Obligations |
| ||||||
| 12. MedicationDispense.performer | |||||||
| 14. MedicationDispense.performer.actor | |||||||
| Type | Reference(PractitionerRole (Core), Practitioner (Core), Organization (Core)) | ||||||
| Obligations |
| ||||||
| 16. MedicationDispense.location | |||||||
| Obligations |
| ||||||
| 18. MedicationDispense.authorizingPrescription | |||||||
| Type | Reference(MedicationRequest (EPD)) | ||||||
| Obligations |
| ||||||
| 20. MedicationDispense.quantity | |||||||
| Type | Quantity(Simple Quantity (MyHealth@EU)) | ||||||
| Obligations |
| ||||||
| 22. MedicationDispense.daysSupply | |||||||
| Type | Quantity(Simple Quantity (MyHealth@EU)) | ||||||
| 24. MedicationDispense.whenHandedOver | |||||||
| Control | 1..? | ||||||
| Obligations |
| ||||||
| 26. MedicationDispense.receiver | |||||||
| Type | Reference(Patient (Core)) | ||||||
| 28. MedicationDispense.dosageInstruction | |||||||
| Short | How the medication is to be used by the patient | ||||||
| 30. MedicationDispense.substitution | |||||||
| 32. MedicationDispense.substitution.wasSubstituted | |||||||
| Obligations |
| ||||||
| 34. MedicationDispense.substitution.type | |||||||
| Binding | Unless not suitable, these codes SHALL be taken from eHDSI Substitution Code (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSISubstitutionCode) | ||||||
| 36. MedicationDispense.substitution.responsibleParty | |||||||
| Type | Reference(Practitioner (Core), PractitionerRole (Core)) | ||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationDispense | ||||||||||
| Definition | 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. | |||||||||
| Short | Dispensing a medication to a named patient | |||||||||
| Control | 0..* | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())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 ( 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())mdd-1: whenHandedOver cannot be before whenPrepared ( whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared) | |||||||||
| 2. MedicationDispense.id | ||||||||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | |||||||||
| Short | Logical id of this artifact | |||||||||
| Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | |||||||||
| Control | 0..1 | |||||||||
| Type | id | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| 4. MedicationDispense.meta | ||||||||||
| Definition | 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. | |||||||||
| Short | Metadata about the resource | |||||||||
| Control | 0..1 | |||||||||
| Type | Meta | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 6. MedicationDispense.implicitRules | ||||||||||
| Definition | 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. | |||||||||
| Short | A set of rules under which this content was created | |||||||||
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | |||||||||
| Control | 0..1 | |||||||||
| Type | uri | |||||||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 8. MedicationDispense.language | ||||||||||
| Definition | The base language in which the resource is written. | |||||||||
| Short | Language of the resource content | |||||||||
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | |||||||||
| Control | 0..1 | |||||||||
| Binding | The codes SHALL be taken from eHDSI Language (required to http://terminology.ehdsi.eu/ValueSet/eHDSILanguage) | |||||||||
| Type | code | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 10. MedicationDispense.text | ||||||||||
| Definition | 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. | |||||||||
| Short | Text summary of the resource, for human interpretation | |||||||||
| Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | |||||||||
| Control | 0..1 | |||||||||
| Type | Narrative | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | narrative, html, xhtml, display | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 12. MedicationDispense.contained | ||||||||||
| Definition | 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. | |||||||||
| Short | Contained, inline Resources | |||||||||
| Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | |||||||||
| Control | 0..* | |||||||||
| Type | Resource | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | inline resources, anonymous resources, contained resources | |||||||||
| 14. MedicationDispense.extension | ||||||||||
| Definition | An Extension | |||||||||
| Short | Extension | |||||||||
| Control | 1..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| Slicing | This element introduces a set of slices on MedicationDispense.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 16. MedicationDispense.extension:renderedDosageInstruction | ||||||||||
| Slice Name | renderedDosageInstruction | |||||||||
| Definition | R5: | |||||||||
| Short | Full representation of the dosage instructions | |||||||||
| Comments | Element | |||||||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(R5: Full representation of the dosage instructions (new)) (Extension Type: markdown) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSDosage | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 18. MedicationDispense.extension:recorded | ||||||||||
| Slice Name | recorded | |||||||||
| Definition | R5: | |||||||||
| Short | R5: When the recording of the dispense started (new) | |||||||||
| Comments | Element | |||||||||
| Control | 1..1 This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(R5: When the recording of the dispense started (new)) (Extension Type: dateTime) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 20. MedicationDispense.modifierExtension | ||||||||||
| Definition | 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). | |||||||||
| Short | Extensions that cannot be ignored | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | |||||||||
| Summary | false | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 22. MedicationDispense.identifier | ||||||||||
| Definition | 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. | |||||||||
| Short | External identifier | |||||||||
| Comments | This is a business identifier, not a resource identifier. | |||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | |||||||||
| Control | 0..* | |||||||||
| Type | Identifier | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 24. MedicationDispense.partOf | ||||||||||
| Definition | The procedure that trigger the dispense. | |||||||||
| Short | Event that dispense is part of | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Procedure) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 26. MedicationDispense.status | ||||||||||
| Definition | A code specifying the state of the set of dispense events. | |||||||||
| Short | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown | |||||||||
| Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | |||||||||
| Control | 1..1 | |||||||||
| Binding | The codes SHALL be taken from MedicationDispense Status Codes (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1)A coded concept specifying the state of the dispense event. | |||||||||
| Type | code | |||||||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 28. MedicationDispense.statusReason[x] | ||||||||||
| Definition | Indicates the reason why a dispense was not performed. | |||||||||
| Short | Why a dispense was not performed | |||||||||
| Control | 0..1 | |||||||||
| Binding | For example codes, see MedicationDispense Status Reason Codes (example to http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|4.0.1)A code describing why a dispense was not performed. | |||||||||
| Type | Choice of: CodeableConcept, Reference(DetectedIssue) | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 30. MedicationDispense.category | ||||||||||
| Definition | Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). | |||||||||
| Short | Type of medication dispense | |||||||||
| Comments | The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind. | |||||||||
| Control | 0..1 | |||||||||
| Binding | The codes SHOULD be taken from MedicationDispense Category Codes (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category|4.0.1)A code describing where the dispensed medication is expected to be consumed or administered. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 32. MedicationDispense.medication[x] | ||||||||||
| Definition | 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. | |||||||||
| Short | What medication was supplied | |||||||||
| Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | |||||||||
| Control | 1..1 | |||||||||
| Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying which substance or product can be dispensed. | |||||||||
| Type | Reference(Medication) | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on MedicationDispense.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | |||||||||
| 34. MedicationDispense.medication[x]:medicationReference | ||||||||||
| Slice Name | medicationReference | |||||||||
| Definition | 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. | |||||||||
| Short | What medication was supplied | |||||||||
| Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | |||||||||
| Control | 1..1 | |||||||||
| Type | Reference(Medication (EPD)) | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 36. MedicationDispense.subject | ||||||||||
| Definition | A link to a resource representing the person or the group to whom the medication will be given. | |||||||||
| Short | Who the dispense is for | |||||||||
| Comments | SubstanceAdministration->subject->Patient. | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Patient (Core)) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 38. MedicationDispense.context | ||||||||||
| Definition | The encounter or episode of care that establishes the context for this event. | |||||||||
| Short | Encounter / Episode associated with event | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Encounter, EpisodeOfCare) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 40. MedicationDispense.supportingInformation | ||||||||||
| Definition | Additional information that supports the medication being dispensed. | |||||||||
| Short | Information that supports the dispensing of the medication | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Resource) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 42. MedicationDispense.performer | ||||||||||
| Definition | Indicates who or what performed the event. | |||||||||
| Short | Who performed event | |||||||||
| Control | 0..* | |||||||||
| Type | BackboneElement | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 44. MedicationDispense.performer.id | ||||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | |||||||||
| Short | Unique id for inter-element referencing | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| XML Format | In the XML format, this property is represented as an attribute. | |||||||||
| Summary | false | |||||||||
| 46. MedicationDispense.performer.extension | ||||||||||
| Definition | 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. | |||||||||
| Short | Additional content defined by implementations | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 48. MedicationDispense.performer.modifierExtension | ||||||||||
| Definition | 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). | |||||||||
| Short | Extensions that cannot be ignored even if unrecognized | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | |||||||||
| Summary | true | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content, modifiers | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 50. MedicationDispense.performer.function | ||||||||||
| Definition | Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker. | |||||||||
| Short | Who performed the dispense and what they did | |||||||||
| Control | 0..1 | |||||||||
| Binding | For example codes, see MedicationDispense Performer Function Codes (example to http://hl7.org/fhir/ValueSet/medicationdispense-performer-function|4.0.1)A code describing the role an individual played in dispensing a medication. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Requirements | Allows disambiguation of the types of involvement of different performers. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 52. MedicationDispense.performer.actor | ||||||||||
| Definition | The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication. | |||||||||
| Short | Individual who was performing | |||||||||
| Control | 1..1 | |||||||||
| Type | Reference(PractitionerRole (Core), Practitioner (Core), Organization (Core)) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 54. MedicationDispense.location | ||||||||||
| Definition | The principal physical location where the dispense was performed. | |||||||||
| Short | Where the dispense occurred | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Location) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 56. MedicationDispense.authorizingPrescription | ||||||||||
| Definition | Indicates the medication order that is being dispensed against. | |||||||||
| Short | Medication order that authorizes the dispense | |||||||||
| Comments | Maps to basedOn in Event logical model. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(MedicationRequest (EPD)) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 58. MedicationDispense.type | ||||||||||
| Definition | Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||||||
| Short | Trial fill, partial fill, emergency fill, etc. | |||||||||
| Control | 0..1 | |||||||||
| Binding | For example codes, see ActPharmacySupplyType (example to http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType)Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 60. MedicationDispense.quantity | ||||||||||
| Definition | The amount of medication that has been dispensed. Includes unit of measure. | |||||||||
| Short | Amount dispensed | |||||||||
| Control | 1..1 | |||||||||
| Type | Quantity(Simple Quantity (MyHealth@EU)) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 62. MedicationDispense.daysSupply | ||||||||||
| Definition | The amount of medication expressed as a timing amount. | |||||||||
| Short | Amount of medication expressed as a timing amount | |||||||||
| Control | 0..1 | |||||||||
| Type | Quantity(Simple Quantity (MyHealth@EU)) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 64. MedicationDispense.whenPrepared | ||||||||||
| Definition | The time when the dispensed product was packaged and reviewed. | |||||||||
| Short | When product was packaged and reviewed | |||||||||
| Control | 0..1 | |||||||||
| Type | dateTime | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 66. MedicationDispense.whenHandedOver | ||||||||||
| Definition | The time the dispensed product was provided to the patient or their representative. | |||||||||
| Short | 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. | |||||||||
| Control | 1..1 | |||||||||
| Type | dateTime | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 68. MedicationDispense.destination | ||||||||||
| Definition | Identification of the facility/location where the medication was shipped to, as part of the dispense event. | |||||||||
| Short | Where the medication was sent | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Location) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 70. MedicationDispense.receiver | ||||||||||
| Definition | 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. | |||||||||
| Short | Who collected the medication | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Patient (Core)) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 72. MedicationDispense.note | ||||||||||
| Definition | Extra information about the dispense that could not be conveyed in the other attributes. | |||||||||
| Short | Information about the dispense | |||||||||
| Control | 0..* | |||||||||
| Type | Annotation | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 74. MedicationDispense.dosageInstruction | ||||||||||
| Definition | Indicates how the medication is to be used by the patient. | |||||||||
| Short | How the medication is to be used by the patient | |||||||||
| Comments | When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed. | |||||||||
| Control | 0..* | |||||||||
| Type | Dosage(Dosage: MPD) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 76. MedicationDispense.substitution | ||||||||||
| Definition | 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. | |||||||||
| Short | Whether a substitution was performed on the dispense | |||||||||
| Control | 0..1 | |||||||||
| Type | BackboneElement | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 78. MedicationDispense.substitution.id | ||||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | |||||||||
| Short | Unique id for inter-element referencing | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| XML Format | In the XML format, this property is represented as an attribute. | |||||||||
| Summary | false | |||||||||
| 80. MedicationDispense.substitution.extension | ||||||||||
| Definition | 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. | |||||||||
| Short | Additional content defined by implementations | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 82. MedicationDispense.substitution.modifierExtension | ||||||||||
| Definition | 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). | |||||||||
| Short | Extensions that cannot be ignored even if unrecognized | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | |||||||||
| Summary | true | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content, modifiers | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 84. MedicationDispense.substitution.wasSubstituted | ||||||||||
| Definition | True if the dispenser dispensed a different drug or product from what was prescribed. | |||||||||
| Short | Whether a substitution was or was not performed on the dispense | |||||||||
| Control | 1..1 | |||||||||
| Type | boolean | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 86. MedicationDispense.substitution.type | ||||||||||
| Definition | A code signifying whether a different drug was dispensed from what was prescribed. | |||||||||
| Short | Code signifying whether a different drug was dispensed from what was prescribed | |||||||||
| Control | 0..1 | |||||||||
| Binding | Unless not suitable, these codes SHALL be taken from eHDSI Substitution Code (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSISubstitutionCode) | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 88. MedicationDispense.substitution.reason | ||||||||||
| Definition | Indicates the reason for the substitution (or lack of substitution) from what was prescribed. | |||||||||
| Short | Why was substitution made | |||||||||
| Control | 0..* | |||||||||
| Binding | For example codes, see SubstanceAdminSubstitutionReason (example to http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason)A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 90. MedicationDispense.substitution.responsibleParty | ||||||||||
| Definition | The person or organization that has primary responsibility for the substitution. | |||||||||
| Short | Who is responsible for the substitution | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Practitioner (Core), PractitionerRole (Core)) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 92. MedicationDispense.detectedIssue | ||||||||||
| Definition | 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. | |||||||||
| Short | Clinical issue with action | |||||||||
| Comments | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(DetectedIssue) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 94. MedicationDispense.eventHistory | ||||||||||
| Definition | A summary of the events of interest that have occurred, such as when the dispense was verified. | |||||||||
| Short | A list of relevant lifecycle events | |||||||||
| Comments | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Provenance) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
IG © 2023+ MyHealth@Eu. Package myhealth.eu.fhir.epd#1.0.0-poc based on FHIR 4.0.1. Generated 2026-07-16
