description: Definition of the medication dispense
package_name: ch.fhir.ig.ch
derivation: constraint
name: CHEMEDMedicationDispense
type: MedicationDispense
elements:
  whenHandedOver: {short: When product was given out, index: 14}
  substitution:
    short: Whether a substitution was performed on the dispense
    index: 20
    elements:
      wasSubstituted: {short: Whether a substitution was or was not performed on the dispense, index: 21}
      type:
        short: Code signifying whether a different drug was dispensed from what was prescribed
        binding: {strength: preferred, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode'}
        index: 22
    required: [type]
  note: {short: Annotation, index: 15}
  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: {short: Medication inline resource, index: 0}
  status:
    pattern: {type: Code, value: completed}
    index: 9
  dosageInstruction:
    short: How the medication should be taken
    index: 16
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: profile}
      min: 1
      slices:
        nonstructured:
          match: {}
          schema: {type: Dosage, short: Free text dosage instructions, index: 17}
          min: 0
          max: 1
        structurednormal:
          match: {}
          schema: {type: Dosage, short: Structured Normal Dosing, index: 18}
          min: 0
          max: 1
        structuredsplit:
          match: {}
          schema: {type: Dosage, short: Structured Split Dosing, array: true, index: 19}
          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:
    type: Reference
    short: Reference to the contained medication
    refers: ['http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication-medicationdispense']
    index: 10
  quantity: {short: Number of packages, index: 13}
  subject:
    type: Reference
    short: Patient
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient']
    index: 11
    elements:
      reference: {index: 12}
    required: [reference]
package_version: emed-2.1.0
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: 2.1.0
required: [dosageInstruction, quantity, identifier, contained]