description: Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.
package_name: hl7.fhir.core
derivation: specialization
name: MedicationDispense
type: MedicationDispense
elements:
  statusReasonReference:
    short: Why a dispense was not performed
    refers: ['http://hl7.org/fhir/StructureDefinition/DetectedIssue']
    type: Reference
    choiceOf: statusReason
    index: 34
  category: {short: Type of medication dispense, type: CodeableConcept, index: 3}
  whenHandedOver: {type: dateTime, short: When product was given out, index: 20}
  whenPrepared: {short: When product was packaged and reviewed, type: dateTime, isSummary: true, index: 19}
  eventHistory:
    short: A list of releveant lifecycle events
    refers: ['http://hl7.org/fhir/StructureDefinition/Provenance']
    type: Reference
    array: true
    index: 35
  substitution:
    type: BackboneElement
    short: Whether a substitution was performed on the dispense
    index: 25
    elements:
      wasSubstituted: {type: boolean, short: Whether a substitution was or was not performed on the dispense, index: 26}
      type: {short: Code signifying whether a different drug was dispensed from what was prescribed, type: CodeableConcept, index: 27}
      reason: {short: Why was substitution made, type: CodeableConcept, array: true, index: 28}
      responsibleParty:
        short: Who is responsible for the substitution
        refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner']
        type: Reference
        array: true
        index: 29
    required: [wasSubstituted]
  detectedIssue:
    short: Clinical issue with action
    refers: ['http://hl7.org/fhir/StructureDefinition/DetectedIssue']
    type: Reference
    array: true
    index: 30
  medicationCodeableConcept: {short: What medication was supplied, type: CodeableConcept, choiceOf: medication, isSummary: true, index: 6}
  type: {short: 'Trial fill, partial fill, emergency fill, etc.', type: CodeableConcept, index: 16}
  statusReason:
    short: Why a dispense was not performed
    choices: [statusReasonCodeableConcept, statusReasonReference]
    index: 32
  note: {type: Annotation, short: Information about the dispense, array: true, index: 23}
  statusReasonCodeableConcept: {short: Why a dispense was not performed, type: CodeableConcept, choiceOf: statusReason, index: 33}
  supportingInformation:
    short: Information that supports the dispensing of the medication
    refers: ['http://hl7.org/fhir/StructureDefinition/Resource']
    type: Reference
    array: true
    index: 10
  status: {isModifier: true, short: preparation | in-progress | not-done | on-hold | completed | entered-in-error | stopped, type: code, isSummary: true, index: 2}
  dosageInstruction: {short: How the medication is to be used by the patient or administered by the caregiver, type: Dosage, array: true, index: 24}
  daysSupply: {type: Quantity, short: Amount of medication expressed as a timing amount, index: 18}
  identifier: {type: Identifier, short: External identifier, array: true, index: 0}
  context:
    short: Encounter / Episode associated with event
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'http://hl7.org/fhir/StructureDefinition/EpisodeOfCare']
    type: Reference
    index: 9
  medicationReference:
    short: What medication was supplied
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    type: Reference
    choiceOf: medication
    isSummary: true
    index: 7
  quantity: {type: Quantity, short: Amount dispensed, index: 17}
  partOf:
    short: Event that dispense is part of
    refers: ['http://hl7.org/fhir/StructureDefinition/Procedure']
    type: Reference
    array: true
    index: 1
  location:
    short: Where the dispense occurred
    refers: ['http://hl7.org/fhir/StructureDefinition/Location']
    type: Reference
    index: 14
  authorizingPrescription:
    short: Medication order that authorizes the dispense
    refers: ['http://hl7.org/fhir/StructureDefinition/MedicationRequest']
    type: Reference
    array: true
    index: 15
  receiver:
    short: Who collected the medication
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner']
    type: Reference
    array: true
    index: 22
  subject:
    short: Who the dispense is for
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    isSummary: true
    index: 8
  destination:
    short: Where the medication was sent
    refers: ['http://hl7.org/fhir/StructureDefinition/Location']
    type: Reference
    index: 21
  performer:
    type: BackboneElement
    short: Who performed event
    array: true
    index: 11
    elements:
      function: {short: Who performed the dispense and what they did, type: CodeableConcept, index: 12}
      actor:
        short: Individual who was performing
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
        type: Reference
        index: 13
    required: [actor]
  medication:
    short: What medication was supplied
    choices: [medicationCodeableConcept, medicationReference]
    isSummary: true
    index: 5
package_version: 3.2.0
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/MedicationDispense
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: null
required: [medicationCodeableConcept, medication, medicationReference]