Usage Notes

Profile specific implementation guidance:

• When identifying a medication, this resource can use either a code or refer to a Medication resource.
• If making use of MedicationDispense.code, this profile includes coding as:
  • PBS Item Code - Pharmaceutical Benefits Scheme coding, claiming context is not relevant as medicine coding
  • Medication Package Global Trade Item Number - Global Trade Item Number (GTIN) physical product reference
  • AMT Medicines - Australian Medicines Terminology, national drug terminology
  • MIMS Package - commonly used medicine coding
• If a medication is compounded and is a list of ingredients, MedicationDispense.code is still present and may contain only the list of ingredients as text in MedicationDispense.code.text.
• Where additional medicinal product information is needed, MedicationDispense.medicationReference is preferred to MedicationDispense.code and use of extensions, see guidance on AU Base Medication.
• See each Identifier profile page for guidance related to that identifier type.

Potentially useful extensions:

• MedicationDispense: Medication Brand Name
• MedicationDispense: Medication Generic Name

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Coded Dispensed Medication
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text		0..1	string	Medication primary text
medication[x]:medicationReference		0..1	Reference(Medication)	Dispensed Medication
authorizingPrescription		0..*	Reference(AU Base Medication Request)	Medication order that authorizes the dispense
dosageInstruction		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
reason		0..1	CodeableConcept	Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationDispense.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationDispense.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationDispense.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationDispense.substitution.reason	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
status	?!Σ	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]	Σ	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.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Dispensed Medication
authorizingPrescription		0..*	Reference(AU Base Medication Request)	Medication order that authorizes the dispense
dosageInstruction		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
modifierExtension	?!Σ	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
reason		0..1	CodeableConcept	Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationDispense.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationDispense.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationDispense.substitution.reason	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!Σ	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]	Σ	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.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Dispensed Medication
subject	Σ	0..1	Reference(Patient | Group)	Who the dispense is for
context		0..1	Reference(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	?!Σ	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(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(AU Base Medication Request)	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		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver		0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
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	?!Σ	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..1	CodeableConcept	Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
responsibleParty		0..*	Reference(Practitioner | 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

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes
MedicationDispense.category	preferred	MedicationDispense Category Codes
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationDispense.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationDispense.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes
MedicationDispense.type	example	ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Coded Dispensed Medication
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text		0..1	string	Medication primary text
medication[x]:medicationReference		0..1	Reference(Medication)	Dispensed Medication
authorizingPrescription		0..*	Reference(AU Base Medication Request)	Medication order that authorizes the dispense
dosageInstruction		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
reason		0..1	CodeableConcept	Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationDispense.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationDispense.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationDispense.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationDispense.substitution.reason	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
status	?!Σ	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]	Σ	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.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Dispensed Medication
authorizingPrescription		0..*	Reference(AU Base Medication Request)	Medication order that authorizes the dispense
dosageInstruction		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
modifierExtension	?!Σ	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
reason		0..1	CodeableConcept	Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationDispense.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationDispense.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationDispense.substitution.reason	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	A dispense record for a medication for a patient in an Australian healthcare context
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
subsidisedConcurrentSupply		0..1	Coding	Grounds for concurrent supply of medication URL: http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply Binding: https://healthterminologies.gov.au/fhir/ValueSet/concurrent-supply-grounds-1 (required)
dispenseNumber		0..1	integer	Number of this dispense URL: http://hl7.org.au/fhir/StructureDefinition/dispense-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier, AULocalDispenseIdentifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!Σ	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]	Σ	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.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Dispensed Medication Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Medication primary text
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Dispensed Medication
subject	Σ	0..1	Reference(Patient | Group)	Who the dispense is for
context		0..1	Reference(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	?!Σ	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(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription		0..*	Reference(AU Base Medication Request)	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		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver		0..1	dateTime	When product was given out
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction		0..*	AUBaseDosage	Dosage information in an Australian healthcare context
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	?!Σ	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..1	CodeableConcept	Why was substitution made Binding: https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1 (preferred)
responsibleParty		0..*	Reference(Practitioner | 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

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes
MedicationDispense.category	preferred	MedicationDispense Category Codes
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes)
MedicationDispense.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN
MedicationDispense.medication[x]:medicationCodeableConcept.coding:amt	preferred	https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1
MedicationDispense.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes
MedicationDispense.type	example	ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	preferred	https://healthterminologies.gov.au/fhir/ValueSet/medicine-substitution-reason-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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

This structure is derived from MedicationDispense

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

• AU Base Medication Request (http://hl7.org.au/fhir/StructureDefinition/au-medicationrequest)
• AU Base Dosage (http://hl7.org.au/fhir/StructureDefinition/au-dosage)

Extensions

This structure refers to these extensions:

• http://hl7.org.au/fhir/StructureDefinition/subsidised-concurrent-supply
• http://hl7.org.au/fhir/StructureDefinition/dispense-number
• http://hl7.org.au/fhir/StructureDefinition/medication-type

Slices

This structure defines the following Slices:

• The element MedicationDispense.medication[x] is sliced based on the value of type:$this (Closed)
• The element MedicationDispense.medication[x].coding is sliced based on the value of value:system

Maturity: 2