ELGA e-Medikation FHIR R5 Implementierungsleitfaden
0.0.0 - ci-build

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

Resource Profile: LINCA Dispense (LINCAMedicationDispense)

Official URL: http://fhir.hl7.at/elga-e-medikation-R5/StructureDefinition/linca-dipsense-documentation Version: 0.0.0
Draft as of 2025-10-07 Responsible: ELGA GmbH Computable Name: 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.

Usages:

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

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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
... 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)
.... 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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v6.5

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

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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(5.0.0) 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)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationDispense.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​code Base required https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform Not Stated Unknown
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 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(5.0.0) Amount dispensed
... daysSupply 0..1 SimpleQuantity(5.0.0) 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(5.0.0) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(5.0.0) 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

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.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 required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v6.5
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​asNeededFor Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​route Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📦1.0.0 THO v6.5
MedicationDispense.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​code Base required https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform Not Stated Unknown
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

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

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

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

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
... 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)
.... 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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationDispense.status Base required MedicationDispense Status Codes 📍5.0.0 FHIR Std.
MedicationDispense.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v6.5

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

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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(5.0.0) 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)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationDispense.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationDispense.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​code Base required https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform Not Stated Unknown

Snapshot View

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 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(5.0.0) Amount dispensed
... daysSupply 0..1 SimpleQuantity(5.0.0) 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(5.0.0) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(5.0.0) 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

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.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 required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationDispense.performer.​function Base example MedicationDispense Performer Function Codes 📍5.0.0 FHIR Std.
MedicationDispense.type Base example ActPharmacySupplyType 📦3.0.0 THO v6.5
MedicationDispense.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​asNeededFor Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​route Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍5.0.0 FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📦1.0.0 THO v6.5
MedicationDispense.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​code Base required https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform Not Stated Unknown
MedicationDispense.substitution.​type Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationDispense.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

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

This structure is derived from MedicationDispense

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

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