description: This profile sets minimum expectations for the MedicationDispense resource to record, search, and fetch the \"state of a medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed)\" associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreMedicationDispenseProfile
type: MedicationDispense
elements:
  whenHandedOver: {short: (USCDI) When product was given out or mailed, mustSupport: true, index: 11}
  medicationCodeableConcept: {type: CodeableConcept, short: (USCDI) What medication was supplied, mustSupport: true, choiceOf: medication, index: 3}
  type:
    short: (USCDI) Trial fill, partial fill, emergency fill, etc.
    binding: {strength: extensible, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType'}
    mustSupport: true
    index: 9
  status: {short: (USCDI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown, mustSupport: true, index: 0}
  dosageInstruction:
    short: (USCDI) How the medication is to be used by the patient or administered by the caregiver
    mustSupport: true
    index: 12
    elements:
      text: {short: (USCDI) Free text dosage instructions e.g. SIG, mustSupport: true, index: 13}
      timing: {short: (USCDI) When medication should be administered, mustSupport: true, index: 14}
      doseAndRate:
        short: (USCDI) Amount of medication administered
        mustSupport: true
        index: 15
        elements:
          dose:
            short: (USCDI) Amount of medication per dose
            mustSupport: true
            choices: [doseQuantity, doseRange]
            index: 17
          doseQuantity: {type: Quantity, short: (USCDI) Amount of medication per dose, mustSupport: true, choiceOf: dose, index: 18}
          doseRange: {type: Range, short: (USCDI) Amount of medication per dose, mustSupport: true, choiceOf: dose, index: 19}
  medicationReference:
    type: Reference
    short: (USCDI) What medication was supplied
    mustSupport: true
    choiceOf: medication
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication']
    index: 4
  quantity:
    type: Quantity
    short: (USCDI) Amount dispensed
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-common'}
    mustSupport: true
    index: 10
  authorizingPrescription:
    type: Reference
    short: (USCDI) Medication order that authorizes the dispense
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest']
    index: 8
  subject:
    type: Reference
    short: (USCDI) Who the dispense is for
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 5
  performer:
    short: (USCDI) Who performed event
    mustSupport: true
    index: 6
    elements:
      actor:
        type: Reference
        short: (USCDI) Individual who was performing
        mustSupport: true
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
        index: 7
  medication:
    short: (USCDI) What medication was supplied
    mustSupport: true
    choices: [medicationCodeableConcept, medicationReference]
    index: 2
package_version: 6.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense
base: http://hl7.org/fhir/StructureDefinition/MedicationDispense
version: 6.0.0
required: [subject]