NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationdispense | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreMedicationDispense | ||||
Sets minimum expectations for representing the dispensing of a medication to a patient in Nepal.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationDispense |
C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1 | ||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
| |||||||||
  Slices for medication[x] |
1..1 | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
   medicationCodeableConcept |
CodeableConcept | |||||||||||
 medicationReference |
Reference(Medication) | |||||||||||
 medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What medication was supplied | |||||||||
 medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What medication was supplied Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
0..1 | Reference(NP Core Patient | Group) | Who the dispense is for
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||||||
| performer |
0..* | BackboneElement | Who performed event
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
 actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Individual who was performing | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the dispense occurred | |||||||||
| authorizingPrescription |
0..* | Reference(NP Core MedicationRequest) | Medication order that authorizes the dispense | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: sqty-1
| ||||||||
| whenHandedOver |
0..1 | dateTime | When product was given out
| |||||||||
| destination |
0..1 | Reference(NP Core Location) | Where the medication was sent | |||||||||
| receiver |
0..* | Reference(NP Core Patient | NP Core Practitioner) | Who collected the medication | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| performer |
|
|
|
| quantity |
|
|
|
| whenHandedOver |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared |
whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
|
| sqty-1 | error | MedicationDispense.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationDispense
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
|||
 status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| performer |
|
|
|
| quantity |
|
|
|
| whenHandedOver |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationDispense.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationDispense |
C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External identifier | |||||||||
| partOf |
0..* | Reference(Procedure) | Event that dispense is part of | |||||||||
| status |
1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
| |||||||||
 statusReason[x] |
0..1 | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed. | ||||||||||
| statusReasonCodeableConcept |
CodeableConcept | |||||||||||
| statusReasonReference |
Reference(DetectedIssue) | |||||||||||
| category |
0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | |||||||||
| Slices for medication[x] |
1..1 | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What medication was supplied | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What medication was supplied Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
0..1 | Reference(NP Core Patient | Group) | Who the dispense is for
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||||||
| supportingInformation |
0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||||||
| performer |
0..* | BackboneElement | Who performed event
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| function |
0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Individual who was performing | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the dispense occurred | |||||||||
| authorizingPrescription |
0..* | Reference(NP Core MedicationRequest) | Medication order that authorizes the dispense | |||||||||
| type |
0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: sqty-1
| ||||||||
| daysSupply |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication expressed as a timing amount Constraints: sqty-1 | ||||||||
| whenPrepared |
0..1 | dateTime | When product was packaged and reviewed | |||||||||
| whenHandedOver |
0..1 | dateTime | When product was given out
| |||||||||
| destination |
0..1 | Reference(NP Core Location) | Where the medication was sent | |||||||||
| receiver |
0..* | Reference(NP Core Patient | NP Core Practitioner) | Who collected the medication | |||||||||
| note |
0..* | Annotation | Information about the dispense | |||||||||
| dosageInstruction |
0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver | |||||||||
| substitution |
0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| wasSubstituted |
1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||||||||
| type |
0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||||||||
| reason |
0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||
| responsibleParty |
0..* | Reference(NP Core Practitioner | NP Core PractitionerRole) | Who is responsible for the substitution | |||||||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical issue with action | |||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| performer |
|
|
|
| quantity |
|
|
|
| whenHandedOver |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.category | Base | preferred | Medication dispense category codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| MedicationDispense.performer.function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.type | Base | example | ActPharmacySupplyType | 📦3.0.0 | THO v7.4 |
| MedicationDispense.substitution.type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationDispense.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared |
whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
|
| sqty-1 | error | MedicationDispense.quantity, MedicationDispense.daysSupply | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| performer |
|
|
|
| quantity |
|
|
|
| whenHandedOver |
|
|
|
| Documentation for this format | |||
This structure is derived from MedicationDispense
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationDispense |
C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1 | ||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
| |||||||||
| Slices for medication[x] |
1..1 | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What medication was supplied | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What medication was supplied Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
0..1 | Reference(NP Core Patient | Group) | Who the dispense is for
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||||||
| performer |
0..* | BackboneElement | Who performed event
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Individual who was performing | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the dispense occurred | |||||||||
| authorizingPrescription |
0..* | Reference(NP Core MedicationRequest) | Medication order that authorizes the dispense | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: sqty-1
| ||||||||
| whenHandedOver |
0..1 | dateTime | When product was given out
| |||||||||
| destination |
0..1 | Reference(NP Core Location) | Where the medication was sent | |||||||||
| receiver |
0..* | Reference(NP Core Patient | NP Core Practitioner) | Who collected the medication | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| performer |
|
|
|
| quantity |
|
|
|
| whenHandedOver |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared |
whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
|
| sqty-1 | error | MedicationDispense.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
Differential View
This structure is derived from MedicationDispense
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationDispense |
0..* | MedicationDispense | Dispensing a medication to a named patient | |||||||||
| status |
1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
| |||||||||
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(Medication) | What medication was supplied Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What medication was supplied | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What medication was supplied Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
0..1 | Reference(NP Core Patient | Group) | Who the dispense is for
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||||||
| performer |
0..* | BackboneElement | Who performed event
| |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Individual who was performing | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the dispense occurred | |||||||||
| authorizingPrescription |
0..* | Reference(NP Core MedicationRequest) | Medication order that authorizes the dispense | |||||||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Amount dispensed
| |||||||||
| whenHandedOver |
0..1 | dateTime | When product was given out
| |||||||||
| destination |
0..1 | Reference(NP Core Location) | Where the medication was sent | |||||||||
| receiver |
0..* | Reference(NP Core Patient | NP Core Practitioner) | Who collected the medication | |||||||||
 substitution |
||||||||||||
 responsibleParty |
0..* | Reference(NP Core Practitioner | NP Core PractitionerRole) | Who is responsible for the substitution | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| performer |
|
|
|
| quantity |
|
|
|
| whenHandedOver |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationDispense.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationDispense |
C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External identifier | |||||||||
| partOf |
0..* | Reference(Procedure) | Event that dispense is part of | |||||||||
| status |
1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
| |||||||||
| statusReason[x] |
0..1 | Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed. | ||||||||||
| statusReasonCodeableConcept |
CodeableConcept | |||||||||||
| statusReasonReference |
Reference(DetectedIssue) | |||||||||||
| category |
0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered. | |||||||||
| Slices for medication[x] |
1..1 | What medication was supplied Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What medication was supplied | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What medication was supplied Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
0..1 | Reference(NP Core Patient | Group) | Who the dispense is for
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||||||
| supportingInformation |
0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||||||
| performer |
0..* | BackboneElement | Who performed event
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| function |
0..1 | CodeableConcept | Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication. | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Individual who was performing | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the dispense occurred | |||||||||
| authorizingPrescription |
0..* | Reference(NP Core MedicationRequest) | Medication order that authorizes the dispense | |||||||||
| type |
0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: sqty-1
| ||||||||
| daysSupply |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication expressed as a timing amount Constraints: sqty-1 | ||||||||
| whenPrepared |
0..1 | dateTime | When product was packaged and reviewed | |||||||||
| whenHandedOver |
0..1 | dateTime | When product was given out
| |||||||||
| destination |
0..1 | Reference(NP Core Location) | Where the medication was sent | |||||||||
| receiver |
0..* | Reference(NP Core Patient | NP Core Practitioner) | Who collected the medication | |||||||||
| note |
0..* | Annotation | Information about the dispense | |||||||||
| dosageInstruction |
0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver | |||||||||
| substitution |
0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| wasSubstituted |
1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||||||||
| type |
0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||||||||
| reason |
0..* | CodeableConcept | Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||
| responsibleParty |
0..* | Reference(NP Core Practitioner | NP Core PractitionerRole) | Who is responsible for the substitution | |||||||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical issue with action | |||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
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| whenHandedOver |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.statusReason[x] | Base | example | Medication dispense status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.category | Base | preferred | Medication dispense category codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| MedicationDispense.performer.function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationDispense.type | Base | example | ActPharmacySupplyType | 📦3.0.0 | THO v7.4 |
| MedicationDispense.substitution.type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationDispense.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
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| dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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| dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
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| dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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| dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management |
text.`div`.exists()
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| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
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| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
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| mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared |
whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
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| sqty-1 | error | MedicationDispense.quantity, MedicationDispense.daysSupply | The comparator is not used on a SimpleQuantity |
comparator.empty()
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| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationDispense |
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| status |
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| Slices for medication[x] |
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| subject |
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| performer |
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| quantity |
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| whenHandedOver |
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| Documentation for this format | |||
This structure is derived from MedicationDispense
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron