description: Definition of the medication dispense for the medication dispense document
package_name: ch.fhir.ig.ch
derivation: constraint
name: CHEMEDMedicationDispense
type: MedicationDispense
elements:
  whenHandedOver: {index: 21}
  substitution:
    constraint:
      ch-emed-dis-1: {human: 'If no substitution was performed, no type is expected.', source: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense', severity: error, expression: wasSubstituted = true or (wasSubstituted = false and type.exists().not())}
    index: 25
    elements:
      wasSubstituted: {short: Whether a substitution was (true) or was not (false) performed on the dispense, index: 26}
      type:
        short: If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
        binding: {strength: required, valueSet: 'http://fhir.ch/ig/ch-emed/ValueSet/ActSubstanceAdminSubstitutionCode'}
        index: 27
  extension:
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        treatmentReason:
          match: {url: null}
          schema: {type: Extension, short: Treatment reason, url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason', index: 2}
          min: 0
          max: 1
        prescription:
          match: {url: null}
          schema: {type: Extension, short: Reference to the medication prescription, url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription', index: 3}
          min: 0
          max: 1
        pharmaceuticalAdvice:
          match: {url: null}
          schema: {type: Extension, short: Reference to the pharmaceutical advice, url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice', index: 4}
          min: 0
          max: 1
        treatmentPlan:
          match: {url: null}
          schema: {type: Extension, short: Reference to the medication treatment plan, url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan', index: 5}
          min: 0
          max: 1
  contained: {index: 0}
  status:
    pattern: {type: Code, value: completed}
    index: 9
  dosageInstruction:
    short: How the medication should be taken
    index: 22
    slicing:
      rules: closed
      discriminator:
      - {path: $this, type: profile}
      min: 1
      slices:
        baseEntry:
          match: {}
          schema: {type: Dosage, short: Base entry of the dosage instruction, _required: true, index: 23}
          min: 1
          max: 1
        additionalEntry:
          match: {}
          schema: {type: Dosage, short: Additional entry of the dosage instruction, array: true, index: 24}
          min: 0
  identifier:
    short: MedicationDispense Identifier
    index: 6
    elements:
      system:
        pattern: {type: Uri, value: 'urn:ietf:rfc:3986'}
        index: 7
      value: {short: Identifier value as UUID, index: 8}
    required: [value, system]
  medicationReference:
    short: Reference to the contained medication
    refers: ['http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication-medicationdispense']
    type: Reference
    choiceOf: medication
    index: 14
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            short: Reference to the contained medication
            refers: ['http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication-medicationdispense']
            type: Reference
            choiceOf: medication
            index: 14
          min: 0
          max: 1
  quantity: {short: Number of packages, index: 20}
  subject:
    type: Reference
    short: Patient
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient']
    index: 15
    elements:
      reference: {index: 16}
    required: [reference]
  performer:
    index: 17
    elements:
      actor:
        type: Reference
        short: The author of the medical decision, see also 'Guidance - Authorship'
        refers: ['http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole']
        index: 18
        elements:
          reference: {index: 19}
        required: [reference]
  medication:
    choices: []
    index: 11
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        medicationReference:
          match: {}
          schema:
            short: Reference to the contained medication
            choices: [medicationReference]
            index: 13
          min: 0
          max: 1
package_version: emed-4.0.0
extensions:
  treatmentReason: {url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason', min: 0, max: 1, type: Extension, short: Treatment reason, index: 2}
  prescription: {url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription', min: 0, max: 1, type: Extension, short: Reference to the medication prescription, index: 3}
  pharmaceuticalAdvice: {url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice', min: 0, max: 1, type: Extension, short: Reference to the pharmaceutical advice, index: 4}
  treatmentPlan: {url: 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan', min: 0, max: 1, type: Extension, short: Reference to the medication treatment plan, index: 5}
class: profile
kind: resource
url: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense
base: http://hl7.org/fhir/StructureDefinition/MedicationDispense
version: 4.0.0
required: [dosageInstruction, quantity, whenHandedOver, identifier, contained, performer]