Medication
1.0.0 - STU1

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## Resource Profile: BeMedicationDispense

Official URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-medicationdispense | Version: 1.0.0
Active as of 2022-05-31 | Maturity Level: 1 | Responsible: eHealth Platform | Realm: BE | Computable Name: BeMedicationDispense

Defines constraints and extensions on the Medication Dispense resource for a record of a dispensation in Belgium.

Usage:

- Examples for this Resource Profile: MedicationDispense/example-dispense-communitypharmacy-1med, MedicationDispense/example-dispense-hospital, MedicationDispense/example-dispense-with-atc, MedicationDispense/example-minimal-dispense, MedicationDispense/medication-dispense-example-2

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 17 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BeOrganization (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
- BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)

Slices

This structure defines the following Slices:

- The element MedicationDispense.identifier is sliced based on the value of value:system

Maturity: 1

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | The medication dispense entry
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
type |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: dguid
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
medicationCodeableConcept | S | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medicationReference | S | 0..1 | Reference(Medication) | What medication was supplied
subject | S | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
type |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
system |  | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
performer | S | 1..* | BackboneElement | Who performed event
function |  |  |  |
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner) | Individual who was performing
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S | 0..1 | string | Text alternative for the resource
quantity | S | 0..1 | SimpleQuantity | Amount dispensed
whenHandedOver | S | 1..1 | dateTime | When product was given out
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
patientInstruction | S | 0..1 | string | Patient or consumer oriented instructions
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationDispense | I | 0..* | MedicationDispense | The medication dispense entry
id | Σ | 0..1 | string | 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: dguid
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!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.
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] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Any) |
medication[x]:medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S Σ | 0..1 | Reference(Medication) | What medication was supplied
subject | S Σ | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation |  | 0..* | Reference(Resource) | Information that supports the dispensing of the medication
performer | S | 1..* | 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.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S Σ | 0..1 | string | Text alternative for the resource
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 | S | 0..1 | SimpleQuantity | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver | S | 1..1 | dateTime | When product was given out
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient | Practitioner) | Who collected the medication
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | S Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
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 |  | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
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 | PractitionerRole) | 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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationDispense | I | 0..* | MedicationDispense | The medication dispense entry
Slices for identifier |  | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID |  | 0..1 | Identifier | External identifier
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | What medication was supplied
subject | Σ | 1..1 | Reference(BePatient) | Who the dispense is for
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
performer |  | 1..* | BackboneElement | Who performed event
authorizingPrescription |  | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
quantity |  | 0..1 | SimpleQuantity | Amount dispensed
whenHandedOver |  | 1..1 | dateTime | When product was given out
note |  | 0..* | Annotation | Information about the dispense
dosageInstruction |  | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
Documentation for this format

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 17 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BeOrganization (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
- BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)

Slices

This structure defines the following Slices:

- The element MedicationDispense.identifier is sliced based on the value of value:system

Maturity: 1

Differential View

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | The medication dispense entry
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
type |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: dguid
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
medicationCodeableConcept | S | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medicationReference | S | 0..1 | Reference(Medication) | What medication was supplied
subject | S | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
type |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
system |  | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
performer | S | 1..* | BackboneElement | Who performed event
function |  |  |  |
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner) | Individual who was performing
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S | 0..1 | string | Text alternative for the resource
quantity | S | 0..1 | SimpleQuantity | Amount dispensed
whenHandedOver | S | 1..1 | dateTime | When product was given out
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
patientInstruction | S | 0..1 | string | Patient or consumer oriented instructions
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationDispense | I | 0..* | MedicationDispense | The medication dispense entry
id | Σ | 0..1 | string | 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 0..* | Identifier | External identifier Slice: Unordered, Open by value:system
identifier:DGUID | S | 0..1 | Identifier | External identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: dguid
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.gfd-dpp.be/fhir/reference/dguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!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.
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] | Σ | 1..1 |  | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Any) |
medication[x]:medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): The drug code. For example CNK code for the medication
medication[x]:medicationReference | S Σ | 0..1 | Reference(Medication) | What medication was supplied
subject | S Σ | 1..1 | Reference(BePatient) | Who the dispense is for
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | The dispense session identifier, for example an identifier of a visit to a pharmacy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.gfd-dpp.be/fhir/reference/identifier_types
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: sguid
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: https://www.gfd-dpp.be/fhir/reference/sguid
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation |  | 0..* | Reference(Resource) | Information that supports the dispensing of the medication
performer | S | 1..* | 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.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: dispenser
actor |  | 1..1 | Reference(BeOrganization | BePractitioner) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription | S | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | S Σ | 0..1 | string | Text alternative for the resource
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 | S | 0..1 | SimpleQuantity | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount
whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed
whenHandedOver | S | 1..1 | dateTime | When product was given out
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient | Practitioner) | Who collected the medication
note | S | 0..* | Annotation | Information about the dispense
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | S Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
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 |  | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
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 | PractitionerRole) | 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

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
MedicationDispense.language | preferred | CommonLanguages Max Binding: AllLanguages
MedicationDispense.identifier:DGUID.use | required | IdentifierUse
MedicationDispense.identifier:DGUID.type | extensible | Identifier Type Codes
MedicationDispense.status | required | MedicationDispense Status Codes
MedicationDispense.statusReason[x] | example | MedicationDispense Status Reason Codes
MedicationDispense.category | preferred | MedicationDispense Category Codes
MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodes
MedicationDispense.context.type | extensible | ResourceType
MedicationDispense.context.identifier.use | required | IdentifierUse
MedicationDispense.context.identifier.type | extensible | Identifier Type Codes
MedicationDispense.performer.function | example | MedicationDispense Performer Function Codes
MedicationDispense.authorizingPrescription.type | extensible | ResourceType
MedicationDispense.type | example | ActPharmacySupplyType
MedicationDispense.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions
MedicationDispense.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes
MedicationDispense.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationDispense.dosageInstruction.route | example | SNOMEDCTRouteCodes
MedicationDispense.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes
MedicationDispense.dosageInstruction.doseAndRate.type | example | DoseAndRateType
MedicationDispense.substitution.type | example | ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason | example | SubstanceAdminSubstitutionReason

#### Constraints

Id | Grade | Path | Details | Requirements
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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() |
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared |
ele-1 | error | MedicationDispense.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.identifier:DGUID.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.identifier:DGUID.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.identifier:DGUID.type.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.identifier:DGUID.type.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type.coding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.identifier:DGUID.type.coding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.identifier:DGUID.type.coding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type.coding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type.coding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type.coding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type.coding.userSelected | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.type.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.identifier:DGUID.assigner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.statusReason[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.medication[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.medication[x]:medicationCodeableConcept | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.medication[x]:medicationReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.context.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.context.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.context.identifier.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.context.identifier.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.context.identifier.type.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.context.identifier.type.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type.coding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.context.identifier.type.coding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.context.identifier.type.coding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type.coding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type.coding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type.coding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type.coding.userSelected | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.type.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.identifier.assigner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.context.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.supportingInformation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.performer.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.performer.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.performer.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.performer.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.performer.function | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.performer.function.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.performer.function.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.performer.function.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.performer.function.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.performer.actor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.location | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.authorizingPrescription | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.authorizingPrescription.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.authorizingPrescription.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.authorizingPrescription.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.authorizingPrescription.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.authorizingPrescription.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.authorizingPrescription.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.quantity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.daysSupply | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.whenPrepared | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.whenHandedOver | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.destination | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.receiver | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.dosageInstruction.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.dosageInstruction.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.dosageInstruction.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.dosageInstruction.sequence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.additionalInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.patientInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.timing | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.asNeeded[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.site | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.route | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.doseAndRate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.doseAndRate.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.dosageInstruction.doseAndRate.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.dosageInstruction.doseAndRate.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.doseAndRate.dose[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.doseAndRate.rate[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.maxDosePerPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.maxDosePerAdministration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.dosageInstruction.maxDosePerLifetime | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.substitution | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.substitution.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.substitution.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.substitution.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationDispense.substitution.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationDispense.substitution.wasSubstituted | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.substitution.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.substitution.reason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.substitution.responsibleParty | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.detectedIssue | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationDispense.eventHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |