HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia
​0.1.0 - Zambia flag

HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ZM-Core Medication Dispense Profile

Official URL: http://hapi.moh.gov.zm/fhir/StructureDefinition/zm-core-medication-dispense Version: 0.1.0
Active as of 2026-08-12 Computable Name: ZMCoreMedicationDispense

Zambia medication dispensing profile linking dispensed medicine to the prescription, patient, encounter, and dispensing facility.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Who the dispense is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter associated with event
... performer S 1..* BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Individual who was performing
... authorizingPrescription S 1..* Reference(ZM-Core MedicationRequest Profile) Medication order that authorizes the dispense
... quantity S 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply S 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded S 1..1 dateTime When the recording of the dispense started
... whenPrepared SΣC 0..1 dateTime When product was packaged and reviewed
... whenHandedOver SC 0..1 dateTime When product was given out
... destination S 0..1 Reference(ZM-Core Location Profile) Where the medication was/will be sent
... receiver S 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
... identifier S 1..* Identifier External identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
... medication S 1..1 CodeableReference(ZM-Core Medication Profile) What medication was supplied
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter associated with event
... performer S 1..* BackboneElement Who performed event
... authorizingPrescription S 1..* Reference(ZM-Core MedicationRequest Profile) Medication order that authorizes the dispense
... quantity S 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply S 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded S 1..1 dateTime When the recording of the dispense started
... whenPrepared S 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... destination S 0..1 Reference(ZM-Core Location Profile) Where the medication was/will be sent
... receiver S 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... 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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
Constraints: mdd-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier S 1..* Identifier External identifier
.... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..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)
... basedOn 0..* Reference(CarePlan) Plan that is fulfilled by this dispense
... partOf 0..* Reference(Procedure | MedicationAdministration) Event that dispense is part of
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... notPerformedReason 0..1 CodeableReference(DetectedIssue) Why a dispense was not performed
Binding: MedicationDispenseStatusReasonCodes (example)
... statusChanged 0..1 dateTime When the status changed
... category 0..* CodeableConcept Type of medication dispense
Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered.
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Who the dispense is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter associated with event
... 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: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Individual who was performing
... location 0..1 Reference(Location) Where the dispense occurred
... authorizingPrescription S 1..* Reference(ZM-Core MedicationRequest Profile) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity S 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply S 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded S 1..1 dateTime When the recording of the dispense started
... whenPrepared SΣC 0..1 dateTime When product was packaged and reviewed
... whenHandedOver SC 0..1 dateTime When product was given out
... destination S 0..1 Reference(ZM-Core Location Profile) Where the medication was/will be sent
... receiver S 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... note S 0..* Annotation Information about the dispense
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... dosageInstruction S 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
... 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): ActSubstanceAdminSubstitutionCode
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
.... responsibleParty 0..1 Reference(Practitioner | PractitionerRole | Organization) Who is responsible for the substitution
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationDispense.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.notPerformedReason Base example MedicationDispense Status Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.category Base example MedicationDispense Administration Location Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.1
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
Constraints: mdd-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Who the dispense is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter associated with event
... performer S 1..* BackboneElement Who performed event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Individual who was performing
... authorizingPrescription S 1..* Reference(ZM-Core MedicationRequest Profile) Medication order that authorizes the dispense
... quantity S 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply S 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded S 1..1 dateTime When the recording of the dispense started
... whenPrepared SΣC 0..1 dateTime When product was packaged and reviewed
... whenHandedOver SC 0..1 dateTime When product was given out
... destination S 0..1 Reference(ZM-Core Location Profile) Where the medication was/will be sent
... receiver S 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense 0..* MedicationDispense Dispensing a medication to a named patient
... identifier S 1..* Identifier External identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
... medication S 1..1 CodeableReference(ZM-Core Medication Profile) What medication was supplied
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter associated with event
... performer S 1..* BackboneElement Who performed event
... authorizingPrescription S 1..* Reference(ZM-Core MedicationRequest Profile) Medication order that authorizes the dispense
... quantity S 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply S 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded S 1..1 dateTime When the recording of the dispense started
... whenPrepared S 0..1 dateTime When product was packaged and reviewed
... whenHandedOver S 0..1 dateTime When product was given out
... destination S 0..1 Reference(ZM-Core Location Profile) Where the medication was/will be sent
... receiver S 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... 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

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationDispense C 0..* MedicationDispense Dispensing a medication to a named patient
Constraints: mdd-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier S 1..* Identifier External identifier
.... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..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)
... basedOn 0..* Reference(CarePlan) Plan that is fulfilled by this dispense
... partOf 0..* Reference(Procedure | MedicationAdministration) Event that dispense is part of
... status ?!SΣ 1..1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense.
... notPerformedReason 0..1 CodeableReference(DetectedIssue) Why a dispense was not performed
Binding: MedicationDispenseStatusReasonCodes (example)
... statusChanged 0..1 dateTime When the status changed
... category 0..* CodeableConcept Type of medication dispense
Binding: MedicationDispenseAdministrationLocationCodes (example): A code describing where the dispensed medication is expected to be consumed or administered.
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) What medication was supplied
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Who the dispense is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter associated with event
... 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: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Individual who was performing
... location 0..1 Reference(Location) Where the dispense occurred
... authorizingPrescription S 1..* Reference(ZM-Core MedicationRequest Profile) Medication order that authorizes the dispense
... type 0..1 CodeableConcept Trial fill, partial fill, emergency fill, etc
Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
... quantity S 1..1 SimpleQuantity(5.0.0) Amount dispensed
... daysSupply S 0..1 SimpleQuantity(5.0.0) Amount of medication expressed as a timing amount
... recorded S 1..1 dateTime When the recording of the dispense started
... whenPrepared SΣC 0..1 dateTime When product was packaged and reviewed
... whenHandedOver SC 0..1 dateTime When product was given out
... destination S 0..1 Reference(ZM-Core Location Profile) Where the medication was/will be sent
... receiver S 0..* Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole) Who collected the medication or where the medication was delivered
... note S 0..* Annotation Information about the dispense
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... dosageInstruction S 0..* Dosage How the medication is to be used by the patient or administered by the caregiver
... 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): ActSubstanceAdminSubstitutionCode
.... reason 0..* CodeableConcept Why was substitution made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
.... responsibleParty 0..1 Reference(Practitioner | PractitionerRole | Organization) Who is responsible for the substitution
... eventHistory 0..* Reference(Provenance) A list of relevant lifecycle events

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationDispense.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
MedicationDispense.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.notPerformedReason Base example MedicationDispense Status Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.category Base example MedicationDispense Administration Location Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v7.1
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationDispense If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationDispense If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationDispense If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationDispense A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mdd-1 error MedicationDispense whenHandedOver cannot be before whenPrepared whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

 

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