ELGA e-Medikation FHIR R5 Implementierungsleitfaden - Local Development build (v0.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: LINCA Dispense (LINCAMedicationDispense)

Linked Care Profile for dispense documentation. The dispense must be documented by the dispensing pharmacist and specify if an order was fulfilled completly or partially. The LINCA Dispense must have an LINCA Prescription as authorizingPrescription.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	A dispense ends the chain of the workflow. Therefore the status is fixed to 'completed' Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
medication	Σ	1..1	CodeableReference(Medication)	Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste). Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required) ele-1: All FHIR elements must have a @value or children
concept	Σ	1..1	CodeableConcept	Reference to a concept (by class) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(HL7® AT Core Patient Profile)	Patient conform HL7 AT. Make sure the patient is identifiable somehow ele-1: All FHIR elements must have a @value or children
authorizingPrescription		1..1	Reference(2 ELGA e-Medication MedicationRequest (eMedRequest))	Prescription that authorized dispense of this medication ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Possible values: FFC (First-fill complete for completly fulfilled orders), FFP (first-fill part fill, for pratially fulfilled orders) Binding: ActPharmacySupplyType (example): ActPharmacySupplyType ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.medication	required	https://termgit.elga.gv.at/CodeSystem/asp-liste https://termgit.elga.gv.at/CodeSystem/asp-liste
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType

Constraints

Id	Grade	Path(s)	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().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

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
status		1..1	code	A dispense ends the chain of the workflow. Therefore the status is fixed to 'completed' Required Pattern: completed
medication		1..1	CodeableReference(Medication)	Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste). Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
concept		1..1	CodeableConcept	Reference to a concept (by class)
reference		0..0
subject		1..1	Reference(HL7® AT Core Patient Profile)	Patient conform HL7 AT. Make sure the patient is identifiable somehow
performer
actor		1..1	Reference(Organization)	Reference to dispensing pharmacy (GDA index)
authorizingPrescription		1..1	Reference(2 ELGA e-Medication MedicationRequest (eMedRequest))	Prescription that authorized dispense of this medication
type		0..1	CodeableConcept	Possible values: FFC (First-fill complete for completly fulfilled orders), FFP (first-fill part fill, for pratially fulfilled orders)
dosageInstruction
doseAndRate
Slices for dose[x]		0..1	Range, SimpleQuantity	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		0..1	SimpleQuantity	Amount of medication per dose
code		0..1	code	Coded form of the unit Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.medication	required	https://termgit.elga.gv.at/CodeSystem/asp-liste https://termgit.elga.gv.at/CodeSystem/asp-liste
MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
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 Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
basedOn		0..*	Reference(CarePlan)	Plan that is fulfilled by this dispense
partOf		0..*	Reference(Procedure | MedicationAdministration)	Event that dispense is part of
status	?!Σ	1..1	code	A dispense ends the chain of the workflow. Therefore the status is fixed to 'completed' Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. Required Pattern: completed
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	Σ	1..1	CodeableReference(Medication)	Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste). Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	1..1	CodeableConcept	Reference to a concept (by class)
subject	Σ	1..1	Reference(HL7® AT Core Patient Profile)	Patient conform HL7 AT. Make sure the patient is identifiable somehow
encounter		0..1	Reference(Encounter)	Encounter associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
actor		1..1	Reference(Organization)	Reference to dispensing pharmacy (GDA index)
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		1..1	Reference(2 ELGA e-Medication MedicationRequest (eMedRequest))	Prescription that authorized dispense of this medication
type		0..1	CodeableConcept	Possible values: FFC (First-fill complete for completly fulfilled orders), FFP (first-fill part fill, for pratially fulfilled orders) Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
recorded		0..1	dateTime	When the recording of the dispense started
whenPrepared	ΣC	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	C	0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was/will be sent
receiver		0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
note		0..*	Annotation	Information about the dispense
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
id		0..1	id	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	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	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..*	CodeableConcept	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.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (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, to be administered or typical amount to be 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.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Amount of medication per dose
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	ΣC	0..1	code	Coded form of the unit Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..*	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): 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.notPerformedReason	example	MedicationDispenseStatusReasonCodes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	example	MedicationDispenseAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationdispense-admin-location from the FHIR Standard
MedicationDispense.medication	required	https://termgit.elga.gv.at/CodeSystem/asp-liste https://termgit.elga.gv.at/CodeSystem/asp-liste
MedicationDispense.performer.function	example	MedicationDispensePerformerFunctionCodes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	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().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

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• HL7® AT Core Patient Profile (http://hl7.at/fhir/HL7ATCoreProfiles/5.0.0/StructureDefinition/at-core-patient)
• 2 ELGA e-Medication MedicationRequest (eMedRequest) (http://fhir.hl7.at/elga-e-medikation-R5/StructureDefinition/eMed-request)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.dosageInstruction.doseAndRate.dose[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mdd-1: whenHandedOver cannot be before whenPrepared
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	A dispense ends the chain of the workflow. Therefore the status is fixed to 'completed' Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
medication	Σ	1..1	CodeableReference(Medication)	Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste). Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required) ele-1: All FHIR elements must have a @value or children
concept	Σ	1..1	CodeableConcept	Reference to a concept (by class) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(HL7® AT Core Patient Profile)	Patient conform HL7 AT. Make sure the patient is identifiable somehow ele-1: All FHIR elements must have a @value or children
authorizingPrescription		1..1	Reference(2 ELGA e-Medication MedicationRequest (eMedRequest))	Prescription that authorized dispense of this medication ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Possible values: FFC (First-fill complete for completly fulfilled orders), FFP (first-fill part fill, for pratially fulfilled orders) Binding: ActPharmacySupplyType (example): ActPharmacySupplyType ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.medication	required	https://termgit.elga.gv.at/CodeSystem/asp-liste https://termgit.elga.gv.at/CodeSystem/asp-liste
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType

Constraints

Id	Grade	Path(s)	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().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

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
status		1..1	code	A dispense ends the chain of the workflow. Therefore the status is fixed to 'completed' Required Pattern: completed
medication		1..1	CodeableReference(Medication)	Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste). Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
concept		1..1	CodeableConcept	Reference to a concept (by class)
reference		0..0
subject		1..1	Reference(HL7® AT Core Patient Profile)	Patient conform HL7 AT. Make sure the patient is identifiable somehow
performer
actor		1..1	Reference(Organization)	Reference to dispensing pharmacy (GDA index)
authorizingPrescription		1..1	Reference(2 ELGA e-Medication MedicationRequest (eMedRequest))	Prescription that authorized dispense of this medication
type		0..1	CodeableConcept	Possible values: FFC (First-fill complete for completly fulfilled orders), FFP (first-fill part fill, for pratially fulfilled orders)
dosageInstruction
doseAndRate
Slices for dose[x]		0..1	Range, SimpleQuantity	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		0..1	SimpleQuantity	Amount of medication per dose
code		0..1	code	Coded form of the unit Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.medication	required	https://termgit.elga.gv.at/CodeSystem/asp-liste https://termgit.elga.gv.at/CodeSystem/asp-liste
MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
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 Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
basedOn		0..*	Reference(CarePlan)	Plan that is fulfilled by this dispense
partOf		0..*	Reference(Procedure | MedicationAdministration)	Event that dispense is part of
status	?!Σ	1..1	code	A dispense ends the chain of the workflow. Therefore the status is fixed to 'completed' Binding: MedicationDispenseStatusCodes (required): Describes the lifecycle of the dispense. Required Pattern: completed
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	Σ	1..1	CodeableReference(Medication)	Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste). Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	1..1	CodeableConcept	Reference to a concept (by class)
subject	Σ	1..1	Reference(HL7® AT Core Patient Profile)	Patient conform HL7 AT. Make sure the patient is identifiable somehow
encounter		0..1	Reference(Encounter)	Encounter associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer		0..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispensePerformerFunctionCodes (example): A code describing the role an individual played in dispensing a medication.
actor		1..1	Reference(Organization)	Reference to dispensing pharmacy (GDA index)
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		1..1	Reference(2 ELGA e-Medication MedicationRequest (eMedRequest))	Prescription that authorized dispense of this medication
type		0..1	CodeableConcept	Possible values: FFC (First-fill complete for completly fulfilled orders), FFP (first-fill part fill, for pratially fulfilled orders) Binding: ActPharmacySupplyType (example): ActPharmacySupplyType
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
recorded		0..1	dateTime	When the recording of the dispense started
whenPrepared	ΣC	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	C	0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was/will be sent
receiver		0..*	Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)	Who collected the medication or where the medication was delivered
note		0..*	Annotation	Information about the dispense
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
id		0..1	id	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	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	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..*	CodeableConcept	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.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (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, to be administered or typical amount to be 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.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Amount of medication per dose
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	ΣC	0..1	code	Coded form of the unit Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..*	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): 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationDispense.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0 from the FHIR Standard
MedicationDispense.notPerformedReason	example	MedicationDispenseStatusReasonCodes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	example	MedicationDispenseAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationdispense-admin-location from the FHIR Standard
MedicationDispense.medication	required	https://termgit.elga.gv.at/CodeSystem/asp-liste https://termgit.elga.gv.at/CodeSystem/asp-liste
MedicationDispense.performer.function	example	MedicationDispensePerformerFunctionCodes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	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().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

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• HL7® AT Core Patient Profile (http://hl7.at/fhir/HL7ATCoreProfiles/5.0.0/StructureDefinition/at-core-patient)
• 2 ELGA e-Medication MedicationRequest (eMedRequest) (http://fhir.hl7.at/elga-e-medikation-R5/StructureDefinition/eMed-request)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.dosageInstruction.doseAndRate.dose[x]

Other representations of profile: CSV, Excel, Schematron