{
  "description": null,
  "_filename": "NHSDigital-MedicationDispense.StructureDefinition.json",
  "package_name": "uk.nhsdigital.medicines.r4",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "NHSDigitalMedicationDispense",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://www.hl7.org/v3/PORX_RM020070UV",
    "name": "V3 Pharmacy Dispense RMIM",
    "identity": "rx-dispense-rmim"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  } ],
  "abstract": false,
  "type": "MedicationDispense",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "2.3.0",
  "status": "draft",
  "id": "7acaca20-319a-4a59-879a-50e4b8b6804e",
  "kind": "resource",
  "url": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
  "version": null,
  "differential": {
    "element": [ {
      "id": "MedicationDispense.extension",
      "min": 1,
      "path": "MedicationDispense.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationDispense.extension:prescriptionStatus",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus" ]
      } ],
      "sliceName": "prescriptionStatus",
      "mustSupport": true
    }, {
      "path": "MedicationDispense.extension",
      "min": 0,
      "definition": "Mandatory for Repeat Prescribing and Repeat Dispensing",
      "short": "Repeat Prescribing and Dispensing",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation" ]
      } ],
      "mustSupport": true,
      "sliceName": "repeatInformation",
      "max": "1",
      "id": "MedicationDispense.extension:repeatInformation"
    }, {
      "id": "MedicationDispense.identifier",
      "path": "MedicationDispense.identifier",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier.system",
      "min": 1,
      "path": "MedicationDispense.identifier.system"
    }, {
      "id": "MedicationDispense.identifier.value",
      "min": 1,
      "path": "MedicationDispense.identifier.value"
    }, {
      "id": "MedicationDispense.status",
      "path": "MedicationDispense.status",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.statusReason[x]",
      "path": "MedicationDispense.statusReason[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.nhs.uk/ValueSet/DM-medicationdispense-status-reason"
      }
    }, {
      "id": "MedicationDispense.category.coding.system",
      "min": 1,
      "path": "MedicationDispense.category.coding.system"
    }, {
      "id": "MedicationDispense.category.coding.code",
      "min": 1,
      "path": "MedicationDispense.category.coding.code"
    }, {
      "id": "MedicationDispense.medication[x]",
      "path": "MedicationDispense.medication[x]",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense-CodeableConcept" ]
      }, {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense-Medication" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.subject",
      "min": 1,
      "path": "MedicationDispense.subject",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ],
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient" ]
      } ],
      "constraint": [ {
        "key": "eps-2",
        "human": "subject - An identifier reference plus a display name or resource reference must be provided",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "warning",
        "expression": "(reference.exists() or (identifier.exists() and display.exists()))"
      }, {
        "key": "patient-nhs",
        "human": "Supplied NHS Number is outside the English and Welsh NHS Number range or length of the number is wrong.",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Claim",
        "severity": "error",
        "expression": "identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists().not() or (identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists()  and identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').value.matches('^([456789]{1}[0-9]{9})$'))"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.subject.identifier.system",
      "min": 1,
      "path": "MedicationDispense.subject.identifier.system",
      "fixedUri": "https://fhir.nhs.uk/Id/nhs-number"
    }, {
      "id": "MedicationDispense.subject.identifier.value",
      "min": 1,
      "path": "MedicationDispense.subject.identifier.value"
    }, {
      "id": "MedicationDispense.context",
      "path": "MedicationDispense.context",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Encounter" ]
      } ]
    }, {
      "id": "MedicationDispense.performer",
      "path": "MedicationDispense.performer",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.performer.actor",
      "path": "MedicationDispense.performer.actor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner" ]
      } ],
      "constraint": [ {
        "key": "usercode-reference",
        "human": "PractitionerRole.practitioner - An identifier reference plus a display name or resource reference must be provided",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "error",
        "expression": "(reference.exists() or (identifier.exists() and display.exists()))"
      }, {
        "key": "usercode-nmc",
        "human": "NMC must be of the format NNANNNNA",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "error",
        "expression": "identifier.exists().not() or identifier.where(system='https://fhir.hl7.org.uk/Id/nmc-number').exists().not() or (identifier.where(system='https://fhir.hl7.org.uk/Id/nmc-number').exists()  and identifier.where(system='https://fhir.hl7.org.uk/Id/nmc-number').value.matches('^[0-9]{2}[A-Z]{1}[0-9]{4}[A-Z]{1}$'))"
      }, {
        "key": "usercodee-gmp",
        "human": "GMP must be of the format GNNNNNNN and not be a spurious code (starts with G6 or G7)",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "error",
        "expression": "identifier.exists().not() or identifier.where(system='https://fhir.hl7.org.uk/Id/gmp-number').exists().not() or (identifier.where(system='https://fhir.hl7.org.uk/Id/gmp-number').exists()  and identifier.where(system='https://fhir.hl7.org.uk/Id/gmp-number').value.matches('^[G]{1}[01234589]{1}[0-9]{6}$'))"
      }, {
        "key": "usercode-gmc",
        "human": "GMC must be of the format CNNNNNNN",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "error",
        "expression": "identifier.exists().not() or identifier.where(system='https://fhir.hl7.org.uk/Id/gmc-number').exists().not() or (identifier.where(system='https://fhir.hl7.org.uk/Id/gmc-number').exists()  and identifier.where(system='https://fhir.hl7.org.uk/Id/gmc-number').value.matches('^[C]{1}[0-9]{7}$'))"
      }, {
        "key": "usercode-gphc",
        "human": "GPHC must be of the format NNNNNNN",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "error",
        "expression": "identifier.exists().not() or identifier.where(system='https://fhir.hl7.org.uk/Id/gphc-number').exists().not() or (identifier.where(system='https://fhir.hl7.org.uk/Id/gphc-number').exists()  and identifier.where(system='https://fhir.hl7.org.uk/Id/gphc-number').value.matches('^[0-9]{7}$'))"
      }, {
        "key": "usercode-hcpc",
        "human": "HCPC must be of the format AANNNNNN",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "error",
        "expression": "identifier.exists().not() or identifier.where(system='https://fhir.hl7.org.uk/Id/hcpc-number').exists().not() or (identifier.where(system='https://fhir.hl7.org.uk/Id/hcpc-number').exists()  and identifier.where(system='https://fhir.hl7.org.uk/Id/hcpc-number').value.matches('^[A-Z]{2}[0-9]{6}$'))"
      }, {
        "key": "usercode-din",
        "human": "DIN format must be NNNNNN",
        "source": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense",
        "severity": "error",
        "expression": "identifier.exists().not() or identifier.where(system='https://fhir.hl7.org.uk/Id/din-number').exists().not() or (identifier.where(system='https://fhir.hl7.org.uk/Id/din-number').exists()  and identifier.where(system='https://fhir.hl7.org.uk/Id/din-number').value.matches('^[0-9]{6}$'))"
      } ]
    }, {
      "id": "MedicationDispense.performer.actor.identifier",
      "min": 1,
      "path": "MedicationDispense.performer.actor.identifier"
    }, {
      "id": "MedicationDispense.performer.actor.identifier.system",
      "min": 1,
      "path": "MedicationDispense.performer.actor.identifier.system"
    }, {
      "id": "MedicationDispense.performer.actor.identifier.value",
      "min": 1,
      "path": "MedicationDispense.performer.actor.identifier.value"
    }, {
      "id": "MedicationDispense.performer.actor.display",
      "min": 1,
      "path": "MedicationDispense.performer.actor.display"
    }, {
      "id": "MedicationDispense.location",
      "path": "MedicationDispense.location",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Location" ]
      } ]
    }, {
      "id": "MedicationDispense.location.identifier.system",
      "min": 1,
      "path": "MedicationDispense.location.identifier.system"
    }, {
      "id": "MedicationDispense.location.identifier.value",
      "min": 1,
      "path": "MedicationDispense.location.identifier.value"
    }, {
      "id": "MedicationDispense.location.display",
      "min": 1,
      "path": "MedicationDispense.location.display"
    }, {
      "id": "MedicationDispense.authorizingPrescription",
      "min": 1,
      "path": "MedicationDispense.authorizingPrescription",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced" ],
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.authorizingPrescription.extension",
      "min": 1,
      "path": "MedicationDispense.authorizingPrescription.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationDispense.authorizingPrescription.extension:groupIdentifier",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.authorizingPrescription.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier" ]
      } ],
      "sliceName": "groupIdentifier"
    }, {
      "id": "MedicationDispense.authorizingPrescription.identifier",
      "min": 1,
      "path": "MedicationDispense.authorizingPrescription.identifier"
    }, {
      "id": "MedicationDispense.type",
      "path": "MedicationDispense.type",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.nhs.uk/ValueSet/DM-medicationdispense-type",
        "description": "A ValueSet to identify the type of medication item status."
      },
      "mustSupport": true
    }, {
      "id": "MedicationDispense.type.coding.system",
      "min": 1,
      "path": "MedicationDispense.type.coding.system"
    }, {
      "id": "MedicationDispense.type.coding.code",
      "min": 1,
      "path": "MedicationDispense.type.coding.code"
    }, {
      "id": "MedicationDispense.quantity",
      "path": "MedicationDispense.quantity",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.quantity.extension",
      "min": 0,
      "path": "MedicationDispense.quantity.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationDispense.quantity.extension:runningTotal",
      "max": "1",
      "min": 0,
      "path": "MedicationDispense.quantity.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/Extension-DM-RunningTotal" ]
      } ],
      "sliceName": "runningTotal"
    }, {
      "id": "MedicationDispense.quantity.value",
      "min": 1,
      "path": "MedicationDispense.quantity.value"
    }, {
      "id": "MedicationDispense.quantity.unit",
      "min": 1,
      "path": "MedicationDispense.quantity.unit"
    }, {
      "id": "MedicationDispense.quantity.system",
      "min": 1,
      "path": "MedicationDispense.quantity.system"
    }, {
      "id": "MedicationDispense.quantity.code",
      "min": 1,
      "path": "MedicationDispense.quantity.code"
    }, {
      "id": "MedicationDispense.daysSupply",
      "path": "MedicationDispense.daysSupply",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.whenHandedOver",
      "path": "MedicationDispense.whenHandedOver",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.receiver",
      "max": "1",
      "path": "MedicationDispense.receiver"
    }, {
      "id": "MedicationDispense.dosageInstruction",
      "path": "MedicationDispense.dosageInstruction",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.id",
      "max": "0",
      "path": "MedicationDispense.dosageInstruction.id"
    }, {
      "id": "MedicationDispense.dosageInstruction.text",
      "min": 1,
      "path": "MedicationDispense.dosageInstruction.text"
    } ]
  },
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense"
}