http://hl7.org/fhir/StructureDefinition/MedicationDispense|5.0.0

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.
NameFlagsCardTypeDescription & Constraints
MedicationDispense
0..*Dispensing a medication to a named patient
 
identifier
0..*IdentifierExternal identifier
 
basedOn
0..*ReferencePlan that is fulfilled by this dispense
 
partOf
0..*ReferenceEvent that dispense is part of
 
status *
?!Σ
1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown MedicationDispenseStatus (required)
 
notPerformedReason
0..1CodeableReferenceWhy a dispense was not performed MedicationDispenseStatusReason (example)
 
statusChanged
0..1dateTimeWhen the status changed
 
category
0..*CodeableConceptType of medication dispense MedicationDispenseAdminLocation (example)
 
medication *
Σ
1..1CodeableReferenceWhat medication was supplied MedicationCode (example)
 
subject *
Σ
1..1ReferenceWho the dispense is for
 
encounter
0..1ReferenceEncounter associated with event
 
supportingInformation
0..*ReferenceInformation that supports the dispensing of the medication
 
performer
0..*BackboneElementWho performed event
 
 
function
0..1CodeableConceptWho performed the dispense and what they did MedicationDispensePerformerFunction (example)
 
 
actor *
1..1ReferenceIndividual who was performing
 
location
0..1ReferenceWhere the dispense occurred
 
authorizingPrescription
0..*ReferenceMedication order that authorizes the dispense
 
type
0..1CodeableConceptTrial fill, partial fill, emergency fill, etc MedicationDispenseType (example)
 
quantity
0..1QuantityAmount dispensed
 
daysSupply
0..1QuantityAmount of medication expressed as a timing amount
 
recorded
0..1dateTimeWhen the recording of the dispense started
 
whenPrepared
Σ
0..1dateTimeWhen product was packaged and reviewed
 
whenHandedOver
0..1dateTimeWhen product was given out
 
destination
0..1ReferenceWhere the medication was/will be sent
 
receiver
0..*ReferenceWho collected the medication or where the medication was delivered
 
note
0..*AnnotationInformation about the dispense
 
renderedDosageInstruction
0..1markdownFull representation of the dosage instructions
 
dosageInstruction
0..*DosageHow the medication is to be used by the patient or administered by the caregiver
 
substitution
0..1BackboneElementWhether a substitution was performed on the dispense
 
 
wasSubstituted *
1..1booleanWhether a substitution was or was not performed on the dispense
 
 
type
0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed MedicationIntendedSubstitutionType (example)
 
 
reason
0..*CodeableConceptWhy was substitution made MedicationIntendedSubstitutionReason (example)
 
 
responsibleParty
0..1ReferenceWho is responsible for the substitution
 
eventHistory
0..*ReferenceA list of relevant lifecycle events