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: fhir.r4.spirecore
derivation: constraint
name: SpireCoreMedicationDispense
type: MedicationDispense
elements:
  statusReasonReference:
    type: Reference
    choiceOf: statusReason
    refers: ['http://hl7.org/fhir/StructureDefinition/DetectedIssue', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DetectedIssue']
    index: 6
  eventHistory:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Provenance', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Provenance']
    index: 35
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 36
  substitution:
    elements:
      responsibleParty:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
        index: 31
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 32
  detectedIssue:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DetectedIssue', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DetectedIssue']
    index: 33
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 34
  medicationCodeableConcept: {type: CodeableConcept, choiceOf: medication, index: 9}
  statusReason:
    choices: [statusReasonCodeableConcept, statusReasonReference]
    index: 4
  note:
    elements:
      author:
        choices: [authorReference, authorString]
        index: 28
      authorReference:
        type: Reference
        choiceOf: author
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
        index: 29
      authorString: {type: string, choiceOf: author, index: 30}
  statusReasonCodeableConcept: {type: CodeableConcept, choiceOf: statusReason, index: 5}
  supportingInformation:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Resource', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Resource']
    index: 15
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 16
  identifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 0
  context:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'http://hl7.org/fhir/StructureDefinition/EpisodeOfCare', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-EpisodeOfCare']
    index: 13
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 14
  medicationReference:
    type: Reference
    choiceOf: medication
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Medication']
    index: 10
  partOf:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
    index: 1
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 2
  location:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location']
    index: 19
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 20
  authorizingPrescription:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest']
    index: 21
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 22
  receiver:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner']
    index: 25
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 26
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Group', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient']
    index: 11
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 12
  destination:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location']
    index: 23
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 24
  performer:
    elements:
      actor:
        type: Reference
        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', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
        index: 17
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 18
  medication:
    choices: [medicationCodeableConcept, medicationReference]
    index: 8
package_version: 0.1.0-alpha
class: profile
kind: resource
url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationDispense
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense
version: null