description: The US Core MedicationDispense Profile inherits from the FHIR [MedicationDispense](https://hl7.org/fhir/R4/medicationdispense.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the MedicationDispense resource to record, search, and fetch the state of a patients medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed)  It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreMedicationDispenseProfile
type: MedicationDispense
elements:
  whenHandedOver: {short: When product was given out or mailed, mustSupport: true, index: 12}
  medicationCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 3}
  type:
    binding: {strength: extensible, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType'}
    mustSupport: true
    index: 10
  status: {mustSupport: true, index: 0}
  dosageInstruction:
    mustSupport: true
    index: 13
    elements:
      text: {mustSupport: true, index: 14}
      timing: {mustSupport: true, index: 15}
      doseAndRate:
        mustSupport: true
        index: 16
        elements:
          dose:
            short: Amount of medication per dose
            mustSupport: true
            choices: [doseQuantity, doseRange]
            index: 18
          doseQuantity: {type: Quantity, short: Amount of medication per dose, mustSupport: true, choiceOf: dose, index: 19}
          doseRange: {type: Range, short: Amount of medication per dose, mustSupport: true, choiceOf: dose, index: 20}
  context:
    type: Reference
    short: Encounter associated with MedicationDispense
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/EpisodeOfCare', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter']
    index: 6
  medicationReference:
    type: Reference
    mustSupport: true
    choiceOf: medication
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication']
    index: 4
  quantity:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-common'}
    mustSupport: true
    index: 11
  authorizingPrescription:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest']
    index: 9
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 5
  performer:
    mustSupport: true
    index: 7
    elements:
      actor:
        type: Reference
        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: 8
  medication:
    mustSupport: true
    choices: [medicationCodeableConcept, medicationReference]
    index: 2
package_version: 7.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense
base: http://hl7.org/fhir/StructureDefinition/MedicationDispense
version: 7.0.0
required: [subject]