ERA FHIR specification - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: EraMedicationListMedicationDispense

EraMedicationListMedicationDispense profile that is used with Kanta medication list in ERA interface. Based on the Kanta profile MedicationListMedicationDispense. Source

Usages:

• Refer to this Profile: EraMedicationListProvenance
• CapabilityStatements using this Profile: ERA Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationDispense.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListMedicationDispense (no extensions allowed)
MedicationDispense.meta.Slices for tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId	Σ This element is included in summaries.	0..1	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://resepti.kanta.fi/fhir/cdaHeaderTemplateId (no extensions allowed)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.code	Σ This element is included in summaries.	1..1	code	CDA R2 header specification templateId (specification package version)
MedicationDispense.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationDispense.Slices for extension		6..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:versionNumber		1..1	(Complex)	Asiakirjan versio URL: http://resepti.kanta.fi/StructureDefinition/extension/versionNumber Constraints: ext-1
MedicationDispense.Slices for extension.extension:versionNumber.url		1..1	uri	"http://resepti.kanta.fi/StructureDefinition/extension/versionNumber"
MedicationDispense.Slices for extension.extension:versionNumber.value[x]		1..1	positiveInt	Asiakirjan versio
MedicationDispense.Slices for extension.extension:effectiveTime		1..*	dateTime	The creation time of a document URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
MedicationDispense.Slices for extension.extension:dosePackaging		1..*	boolean	Dose dispensing information URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
MedicationDispense.Slices for extension.extension:fullyDispensed		1..*	boolean	A fully dispensed entry URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed Constraints: ext-1
MedicationDispense.Slices for extension.extension:continuum		0..1	(Complex)	The identifier of the medicine in use and part identifier of medicine continuum. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:continuum.Slices for extension				Content/Rules for all slices
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId		0..1	Extension	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.url		1..1	uri	"medicineId"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x]		1..1	Identifier	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 (no extensions allowed)
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].value	Σ This element is included in summaries.	1..1	string	The identifier of the drug in use Example General: 123456
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart		0..1	Extension	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.url		1..1	uri	"medicineIdPart"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.value[x]		1..1	positiveInt	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.url		1..1	uri	"http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum"
MedicationDispense.Slices for extension.extension:additionalInformation		0..*	string	Further clarification of the drug dispensation to Kela URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
MedicationDispense.Slices for extension.extension:cost		1..1	Money	The price of dispensation URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
MedicationDispense.Slices for extension.extension:amountOfPackages		1..*	positiveInt	The number of packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
MedicationDispense.Slices for extension.extension:additionalPackage		0..*	(Complex)	Information of different packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
MedicationDispense.Slices for extension.extension:previousDispenseChange		0..1	(Complex)	Toimituksen kauppanimen muutospäivä, kauppanimen muutospäivänä toimitetun valmisteen VNR-numero ja kauppanimi, kauppanimen muutospäivänä toimitetun valmisteen vahvuus, kauppanimen muutospäivänä toimitetun valmisteen lääkemuoto. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange Constraints: ext-1
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for identifier.identifier:id		1..1	Identifier	Document identifier (unique identifier of the dispensation document)
MedicationDispense.Slices for identifier.identifier:id.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:id.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:id.value	Σ This element is included in summaries.	1..1	string	An unique OID identifier of the dispensation document Example General: 123456
MedicationDispense.Slices for identifier.identifier:setId		1..1	Identifier	The identifier of the original dispensation document
MedicationDispense.Slices for identifier.identifier:setId.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:setId.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/setId (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:setId.value	Σ This element is included in summaries.	1..1	string	The identifier of the original dispensation document Example General: 123456
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	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. Fixed Value: completed (no extensions allowed)
MedicationDispense.statusReason[x]		1..1	CodeableConcept	Type of prescription message Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
MedicationDispense.statusReason[x].coding	Σ This element is included in summaries.	1..1	Coding	Type of prescription message
MedicationDispense.statusReason[x].coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi' Fixed Value: urn:oid:1.2.246.537.5.40105.2006 (no extensions allowed)
MedicationDispense.statusReason[x].coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi'.
MedicationDispense.medication[x]	Σ This element is included in summaries.	1..1	Reference(MedicationListMedication) {r}	Reference to MedicationListMedication resource
MedicationDispense.authorizingPrescription		1..1	Reference(MedicationRequest)	Reference to the unique identifier of the MedicationRequest resource to which the MedicationDispense is linked
MedicationDispense.authorizingPrescription.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.authorizingPrescription.Slices for extension.extension:prescriptionSetId		1..1	Identifier	setId, the original identifier of the prescription document, with which the drug dispensation is associated URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
MedicationDispense.authorizingPrescription.identifier	Σ This element is included in summaries.	1..1	Identifier	Unique identifier of the MedicationRequest resource to which the MedicationDispense resource is linked
MedicationDispense.authorizingPrescription.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.authorizingPrescription.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.authorizingPrescription.identifier.value	Σ This element is included in summaries.	1..1	string	The unique OID identifier of the prescription Example General: 123456
MedicationDispense.quantity	C	1..1	SimpleQuantity(4.0.1)	Total amount of drug and unit of the amount Constraints: sqty-1
MedicationDispense.quantity.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.quantity.Slices for extension.extension:amountFormula		0..1	(Complex)	The dispensed amount of drug as a calculation formula URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
MedicationDispense.quantity.Slices for extension.extension:amountText		0..1	string	The amount of drug as text URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
MedicationDispense.quantity.Slices for extension.extension:totalDispensedAmount		0..1	(Complex)	Lääkemääräyksellä yhteensä toimitettu määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
MedicationDispense.quantity.Slices for extension.extension:remainingAmount		1..1	(Complex)	Lääkemääräyksellä jäljellä oleva määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount
MedicationDispense.quantity.value	Σ This element is included in summaries.	0..1	decimal	Total amount of medicine, amount
MedicationDispense.quantity.unit	Σ This element is included in summaries.	0..1	string	The total amount of medicine, unit
MedicationDispense.whenHandedOver		1..1	dateTime	Dispensation date
MedicationDispense.note		0..1	Annotation	Information about the dispense
MedicationDispense.note.text	Σ This element is included in summaries.	1..1	markdown	Pharmacy's note on drug dispensing
MedicationDispense.substitution		1..1	BackboneElement	Whether a substitution was performed on the dispense
MedicationDispense.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.substitution.wasSubstituted		1..1	boolean	Drug substituted in dispensing
MedicationDispense.substitution.reason		0..1	CodeableConcept	The reason and additional information for dispensing a drug outside the reference pricing system Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
MedicationDispense.substitution.reason.coding	Σ This element is included in summaries.	1..1	Coding	Reason for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy' Fixed Value: urn:oid:1.2.246.537.5.40183.2009 (no extensions allowed)
MedicationDispense.substitution.reason.coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy'
MedicationDispense.substitution.reason.text	Σ This element is included in summaries.	0..1	string	Additional information for dispensing a drug outside the reference pricing system
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.meta.​tag:cdaHeaderTemplateId	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.extension:continuum.​extension:medicineId.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:id.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:setId.​use	Base	required	IdentifierUse	📍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.authorizingPrescription.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.5

Constraints

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	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
MedicationDispense.meta		0..1	Meta	Metadata about the resource
MedicationDispense.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListMedicationDispense (no extensions allowed)
MedicationDispense.meta.Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId		0..1	Coding	Tags applied to this resource
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.system		1..1	uri	Identity of the terminology system Fixed Value: http://resepti.kanta.fi/fhir/cdaHeaderTemplateId (no extensions allowed)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.code		1..1	code	CDA R2 header specification templateId (specification package version)
MedicationDispense.Slices for extension		6..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:versionNumber		1..1	(Complex)	Asiakirjan versio URL: http://resepti.kanta.fi/StructureDefinition/extension/versionNumber
MedicationDispense.Slices for extension.extension:versionNumber.value[x]		1..1	positiveInt	Asiakirjan versio
MedicationDispense.Slices for extension.extension:effectiveTime		1..*	dateTime	The creation time of a document URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
MedicationDispense.Slices for extension.extension:dosePackaging		1..*	boolean	Dose dispensing information URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
MedicationDispense.Slices for extension.extension:fullyDispensed		1..*	boolean	A fully dispensed entry URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed
MedicationDispense.Slices for extension.extension:continuum		0..1	(Complex)	The identifier of the medicine in use and part identifier of medicine continuum. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:continuum.Slices for extension				Content/Rules for all slices
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId		0..1	Extension	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart		0..1	Extension	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:newest		0..0		Status information 'Latest'
MedicationDispense.Slices for extension.extension:additionalInformation		0..*	string	Further clarification of the drug dispensation to Kela URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
MedicationDispense.Slices for extension.extension:cost		1..1	Money	The price of dispensation URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
MedicationDispense.Slices for extension.extension:amountOfPackages		1..*	positiveInt	The number of packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
MedicationDispense.Slices for extension.extension:additionalPackage		0..*	(Complex)	Information of different packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
MedicationDispense.Slices for extension.extension:previousDispenseChange		0..1	(Complex)	Toimituksen kauppanimen muutospäivä, kauppanimen muutospäivänä toimitetun valmisteen VNR-numero ja kauppanimi, kauppanimen muutospäivänä toimitetun valmisteen vahvuus, kauppanimen muutospäivänä toimitetun valmisteen lääkemuoto. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange
MedicationDispense.Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for identifier.identifier:id		1..1	Identifier	Document identifier (unique identifier of the dispensation document)
MedicationDispense.Slices for identifier.identifier:id.system		1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:id.value		1..1	string	An unique OID identifier of the dispensation document
MedicationDispense.Slices for identifier.identifier:setId		1..1	Identifier	The identifier of the original dispensation document
MedicationDispense.Slices for identifier.identifier:setId.system		1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/setId (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:setId.value		1..1	string	The identifier of the original dispensation document
MedicationDispense.partOf		0..0		Event that dispense is part of
MedicationDispense.status		1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Fixed Value: completed (no extensions allowed)
MedicationDispense.statusReason[x]		1..1	CodeableConcept	Type of prescription message
MedicationDispense.statusReason[x].coding		1..1	Coding	Type of prescription message
MedicationDispense.statusReason[x].coding.system		1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi' Fixed Value: urn:oid:1.2.246.537.5.40105.2006 (no extensions allowed)
MedicationDispense.statusReason[x].coding.code		1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi'.
MedicationDispense.category		0..0		Type of medication dispense
MedicationDispense.medication[x]		1..1	Reference(MedicationListMedication) {r}	Reference to MedicationListMedication resource
MedicationDispense.subject		0..0		Who the dispense is for
MedicationDispense.context		0..0		Encounter / Episode associated with event
MedicationDispense.supportingInformation		0..0		Information that supports the dispensing of the medication
MedicationDispense.performer
MedicationDispense.performer.actor		1..1	Reference(EraMedicationListPractitionerRole) {r}	Reference to the information of the person who performed the dispensation
MedicationDispense.performer.actor.reference		1..1	string	Literal reference, Relative, internal or absolute URL
MedicationDispense.location		0..0		Where the dispense occurred
MedicationDispense.authorizingPrescription		1..1	Reference(MedicationRequest)	Reference to the unique identifier of the MedicationRequest resource to which the MedicationDispense is linked
MedicationDispense.authorizingPrescription.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.authorizingPrescription.Slices for extension.extension:prescriptionSetId		1..1	Identifier	setId, the original identifier of the prescription document, with which the drug dispensation is associated URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
MedicationDispense.authorizingPrescription.identifier		1..1	Identifier	Unique identifier of the MedicationRequest resource to which the MedicationDispense resource is linked
MedicationDispense.authorizingPrescription.identifier.system		1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.authorizingPrescription.identifier.value		1..1	string	The unique OID identifier of the prescription
MedicationDispense.type		0..0		Trial fill, partial fill, emergency fill, etc.
MedicationDispense.quantity		1..1	SimpleQuantity(4.0.1)	Total amount of drug and unit of the amount
MedicationDispense.quantity.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.quantity.Slices for extension.extension:amountFormula		0..1	(Complex)	The dispensed amount of drug as a calculation formula URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
MedicationDispense.quantity.Slices for extension.extension:amountText		0..1	string	The amount of drug as text URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
MedicationDispense.quantity.Slices for extension.extension:totalDispensedAmount		0..1	(Complex)	Lääkemääräyksellä yhteensä toimitettu määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
MedicationDispense.quantity.Slices for extension.extension:remainingAmount		1..1	(Complex)	Lääkemääräyksellä jäljellä oleva määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount
MedicationDispense.quantity.value		0..1	decimal	Total amount of medicine, amount
MedicationDispense.quantity.unit		0..1	string	The total amount of medicine, unit
MedicationDispense.daysSupply		0..0		Amount of medication expressed as a timing amount
MedicationDispense.whenPrepared		0..0		When product was packaged and reviewed
MedicationDispense.whenHandedOver		1..1	dateTime	Dispensation date
MedicationDispense.destination		0..0		Where the medication was sent
MedicationDispense.receiver		0..0		Who collected the medication
MedicationDispense.note		0..1	Annotation	Information about the dispense
MedicationDispense.note.text		1..1	markdown	Pharmacy's note on drug dispensing
MedicationDispense.dosageInstruction
MedicationDispense.dosageInstruction.text		0..1	string	Intended use of the drug on a dispensation information sticker
MedicationDispense.dosageInstruction.patientInstruction		0..1	string	Dosage instructions on a dispensation information sticker
MedicationDispense.substitution		1..1	BackboneElement	Whether a substitution was performed on the dispense
MedicationDispense.substitution.wasSubstituted		1..1	boolean	Drug substituted in dispensing
MedicationDispense.substitution.reason		0..1	CodeableConcept	The reason and additional information for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding		1..1	Coding	Reason for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding.system		1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy' Fixed Value: urn:oid:1.2.246.537.5.40183.2009 (no extensions allowed)
MedicationDispense.substitution.reason.coding.code		1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy'
MedicationDispense.substitution.reason.text		0..1	string	Additional information for dispensing a drug outside the reference pricing system
MedicationDispense.detectedIssue		0..0		Clinical issue with action
MedicationDispense.eventHistory		0..0		A list of relevant lifecycle events
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationDispense.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationDispense.meta.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
MedicationDispense.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
MedicationDispense.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
MedicationDispense.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListMedicationDispense (no extensions allowed)
MedicationDispense.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationDispense.meta.Slices for tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId	Σ This element is included in summaries.	0..1	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://resepti.kanta.fi/fhir/cdaHeaderTemplateId (no extensions allowed)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.code	Σ This element is included in summaries.	1..1	code	CDA R2 header specification templateId (specification package version)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationDispense.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationDispense.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.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
MedicationDispense.contained		0..*	Resource	Contained, inline Resources
MedicationDispense.Slices for extension		6..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:versionNumber		1..1	(Complex)	Asiakirjan versio URL: http://resepti.kanta.fi/StructureDefinition/extension/versionNumber Constraints: ext-1
MedicationDispense.Slices for extension.extension:versionNumber.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:versionNumber.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:versionNumber.url		1..1	uri	"http://resepti.kanta.fi/StructureDefinition/extension/versionNumber"
MedicationDispense.Slices for extension.extension:versionNumber.value[x]		1..1	positiveInt	Asiakirjan versio
MedicationDispense.Slices for extension.extension:effectiveTime		1..*	dateTime	The creation time of a document URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
MedicationDispense.Slices for extension.extension:dosePackaging		1..*	boolean	Dose dispensing information URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
MedicationDispense.Slices for extension.extension:fullyDispensed		1..*	boolean	A fully dispensed entry URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed Constraints: ext-1
MedicationDispense.Slices for extension.extension:continuum		0..1	(Complex)	The identifier of the medicine in use and part identifier of medicine continuum. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
MedicationDispense.Slices for extension.extension:continuum.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:continuum.Slices for extension				Content/Rules for all slices
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId		0..1	Extension	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.url		1..1	uri	"medicineId"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x]		1..1	Identifier	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 (no extensions allowed)
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].value	Σ This element is included in summaries.	1..1	string	The identifier of the drug in use Example General: 123456
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart		0..1	Extension	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.url		1..1	uri	"medicineIdPart"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.value[x]		1..1	positiveInt	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.url		1..1	uri	"http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum"
MedicationDispense.Slices for extension.extension:additionalInformation		0..*	string	Further clarification of the drug dispensation to Kela URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
MedicationDispense.Slices for extension.extension:cost		1..1	Money	The price of dispensation URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
MedicationDispense.Slices for extension.extension:amountOfPackages		1..*	positiveInt	The number of packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
MedicationDispense.Slices for extension.extension:additionalPackage		0..*	(Complex)	Information of different packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
MedicationDispense.Slices for extension.extension:previousDispenseChange		0..1	(Complex)	Toimituksen kauppanimen muutospäivä, kauppanimen muutospäivänä toimitetun valmisteen VNR-numero ja kauppanimi, kauppanimen muutospäivänä toimitetun valmisteen vahvuus, kauppanimen muutospäivänä toimitetun valmisteen lääkemuoto. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange Constraints: ext-1
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for identifier.identifier:id		1..1	Identifier	Document identifier (unique identifier of the dispensation document)
MedicationDispense.Slices for identifier.identifier:id.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for identifier.identifier:id.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for identifier.identifier:id.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:id.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.Slices for identifier.identifier:id.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:id.value	Σ This element is included in summaries.	1..1	string	An unique OID identifier of the dispensation document Example General: 123456
MedicationDispense.Slices for identifier.identifier:id.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.Slices for identifier.identifier:id.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.Slices for identifier.identifier:setId		1..1	Identifier	The identifier of the original dispensation document
MedicationDispense.Slices for identifier.identifier:setId.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for identifier.identifier:setId.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for identifier.identifier:setId.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:setId.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.Slices for identifier.identifier:setId.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/setId (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:setId.value	Σ This element is included in summaries.	1..1	string	The identifier of the original dispensation document Example General: 123456
MedicationDispense.Slices for identifier.identifier:setId.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.Slices for identifier.identifier:setId.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	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. Fixed Value: completed (no extensions allowed)
MedicationDispense.statusReason[x]		1..1	CodeableConcept	Type of prescription message Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
MedicationDispense.statusReason[x].id		0..1	string	Unique id for inter-element referencing
MedicationDispense.statusReason[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.statusReason[x].coding	Σ This element is included in summaries.	1..1	Coding	Type of prescription message
MedicationDispense.statusReason[x].coding.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.statusReason[x].coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.statusReason[x].coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi' Fixed Value: urn:oid:1.2.246.537.5.40105.2006 (no extensions allowed)
MedicationDispense.statusReason[x].coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationDispense.statusReason[x].coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi'.
MedicationDispense.statusReason[x].coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationDispense.statusReason[x].coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationDispense.statusReason[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationDispense.medication[x]	Σ This element is included in summaries.	1..1	Reference(MedicationListMedication) {r}	Reference to MedicationListMedication resource
MedicationDispense.performer		0..*	BackboneElement	Who performed event
MedicationDispense.performer.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.performer.extension		0..*	Extension	Additional content defined by implementations
MedicationDispense.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.performer.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.
MedicationDispense.performer.actor		1..1	Reference(EraMedicationListPractitionerRole) {r}	Reference to the information of the person who performed the dispensation
MedicationDispense.performer.actor.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.performer.actor.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.performer.actor.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationDispense.performer.actor.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationDispense.performer.actor.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationDispense.performer.actor.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationDispense.authorizingPrescription		1..1	Reference(MedicationRequest)	Reference to the unique identifier of the MedicationRequest resource to which the MedicationDispense is linked
MedicationDispense.authorizingPrescription.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.authorizingPrescription.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.authorizingPrescription.Slices for extension.extension:prescriptionSetId		1..1	Identifier	setId, the original identifier of the prescription document, with which the drug dispensation is associated URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
MedicationDispense.authorizingPrescription.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationDispense.authorizingPrescription.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationDispense.authorizingPrescription.identifier	Σ This element is included in summaries.	1..1	Identifier	Unique identifier of the MedicationRequest resource to which the MedicationDispense resource is linked
MedicationDispense.authorizingPrescription.identifier.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.authorizingPrescription.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.authorizingPrescription.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.authorizingPrescription.identifier.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.authorizingPrescription.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.authorizingPrescription.identifier.value	Σ This element is included in summaries.	1..1	string	The unique OID identifier of the prescription Example General: 123456
MedicationDispense.authorizingPrescription.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.authorizingPrescription.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.authorizingPrescription.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationDispense.quantity	C	1..1	SimpleQuantity(4.0.1)	Total amount of drug and unit of the amount Constraints: sqty-1
MedicationDispense.quantity.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.quantity.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.quantity.Slices for extension.extension:amountFormula		0..1	(Complex)	The dispensed amount of drug as a calculation formula URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
MedicationDispense.quantity.Slices for extension.extension:amountText		0..1	string	The amount of drug as text URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
MedicationDispense.quantity.Slices for extension.extension:totalDispensedAmount		0..1	(Complex)	Lääkemääräyksellä yhteensä toimitettu määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
MedicationDispense.quantity.Slices for extension.extension:remainingAmount		1..1	(Complex)	Lääkemääräyksellä jäljellä oleva määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount
MedicationDispense.quantity.value	Σ This element is included in summaries.	0..1	decimal	Total amount of medicine, amount
MedicationDispense.quantity.unit	Σ This element is included in summaries.	0..1	string	The total amount of medicine, unit
MedicationDispense.quantity.system	Σ This element is included in summaries. C	0..1	uri	System that defines coded unit form
MedicationDispense.quantity.code	Σ This element is included in summaries.	0..1	code	Coded form of the unit
MedicationDispense.whenHandedOver		1..1	dateTime	Dispensation date
MedicationDispense.note		0..1	Annotation	Information about the dispense
MedicationDispense.note.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.note.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.note.author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation
MedicationDispense.note.author[x].authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
MedicationDispense.note.author[x].authorString			string
MedicationDispense.note.time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
MedicationDispense.note.text	Σ This element is included in summaries.	1..1	markdown	Pharmacy's note on drug dispensing
MedicationDispense.dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
MedicationDispense.dosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.dosageInstruction.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions
MedicationDispense.dosageInstruction.text	Σ This element is included in summaries.	0..1	string	Intended use of the drug on a dispensation information sticker
MedicationDispense.dosageInstruction.additionalInstruction	Σ This element is included in summaries.	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
MedicationDispense.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	Dosage instructions on a dispensation information sticker
MedicationDispense.dosageInstruction.timing	Σ This element is included in summaries.	0..1	Timing	When medication should be administered
MedicationDispense.dosageInstruction.asNeeded[x]	Σ This element is included in summaries.	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
MedicationDispense.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationDispense.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationDispense.dosageInstruction.site	Σ This element is included in summaries.	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
MedicationDispense.dosageInstruction.route	Σ This element is included in summaries.	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
MedicationDispense.dosageInstruction.method	Σ This element is included in summaries.	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationDispense.dosageInstruction.doseAndRate	Σ This element is included in summaries.	0..*	Element	Amount of medication administered
MedicationDispense.dosageInstruction.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.dosageInstruction.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.dosageInstruction.doseAndRate.type	Σ This element is included in summaries.	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationDispense.dosageInstruction.doseAndRate.dose[x]	Σ This element is included in summaries.	0..1		Amount of medication per dose
MedicationDispense.dosageInstruction.doseAndRate.dose[x].doseRange			Range
MedicationDispense.dosageInstruction.doseAndRate.dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationDispense.dosageInstruction.doseAndRate.rate[x]	Σ This element is included in summaries.	0..1		Amount of medication per unit of time
MedicationDispense.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationDispense.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationDispense.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationDispense.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time
MedicationDispense.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration Constraints: sqty-1
MedicationDispense.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient Constraints: sqty-1
MedicationDispense.substitution		1..1	BackboneElement	Whether a substitution was performed on the dispense
MedicationDispense.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationDispense.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.substitution.wasSubstituted		1..1	boolean	Drug substituted in dispensing
MedicationDispense.substitution.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.
MedicationDispense.substitution.reason		0..1	CodeableConcept	The reason and additional information for dispensing a drug outside the reference pricing system Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
MedicationDispense.substitution.reason.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.substitution.reason.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.substitution.reason.coding	Σ This element is included in summaries.	1..1	Coding	Reason for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.substitution.reason.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.substitution.reason.coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy' Fixed Value: urn:oid:1.2.246.537.5.40183.2009 (no extensions allowed)
MedicationDispense.substitution.reason.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationDispense.substitution.reason.coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy'
MedicationDispense.substitution.reason.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationDispense.substitution.reason.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationDispense.substitution.reason.text	Σ This element is included in summaries.	0..1	string	Additional information for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationDispense.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.meta.​tag:cdaHeaderTemplateId	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationDispense.extension:continuum.​extension:medicineId.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.extension:continuum.​extension:medicineId.​value[x].type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationDispense.identifier:id.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:id.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationDispense.identifier:setId.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:setId.​type	Base	extensible	IdentifierType	📍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.performer.​function	Base	example	Medication dispense performer function codes	📍4.0.1	FHIR Std.
MedicationDispense.performer.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationDispense.authorizingPrescription.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationDispense.authorizingPrescription.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.authorizingPrescription.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.5
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.5

Constraints

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.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from MedicationDispense

Summary

Mandatory: 28 elements(7 nested mandatory elements)
Fixed: 8 elements
Prohibited: 14 elements

Structures

This structure refers to these other structures:

• MedicationListMedication (http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedication)
• EraMedicationListPractitionerRole (https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListPractitionerRole)

Extensions

This structure refers to these extensions:

• http://resepti.kanta.fi/StructureDefinition/extension/versionNumber
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.meta.tag
• The element 1 is sliced based on the value of MedicationDispense.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationDispense.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListMedicationDispense (no extensions allowed)
MedicationDispense.meta.Slices for tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId	Σ This element is included in summaries.	0..1	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://resepti.kanta.fi/fhir/cdaHeaderTemplateId (no extensions allowed)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.code	Σ This element is included in summaries.	1..1	code	CDA R2 header specification templateId (specification package version)
MedicationDispense.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationDispense.Slices for extension		6..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:versionNumber		1..1	(Complex)	Asiakirjan versio URL: http://resepti.kanta.fi/StructureDefinition/extension/versionNumber Constraints: ext-1
MedicationDispense.Slices for extension.extension:versionNumber.url		1..1	uri	"http://resepti.kanta.fi/StructureDefinition/extension/versionNumber"
MedicationDispense.Slices for extension.extension:versionNumber.value[x]		1..1	positiveInt	Asiakirjan versio
MedicationDispense.Slices for extension.extension:effectiveTime		1..*	dateTime	The creation time of a document URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
MedicationDispense.Slices for extension.extension:dosePackaging		1..*	boolean	Dose dispensing information URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
MedicationDispense.Slices for extension.extension:fullyDispensed		1..*	boolean	A fully dispensed entry URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed Constraints: ext-1
MedicationDispense.Slices for extension.extension:continuum		0..1	(Complex)	The identifier of the medicine in use and part identifier of medicine continuum. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:continuum.Slices for extension				Content/Rules for all slices
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId		0..1	Extension	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.url		1..1	uri	"medicineId"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x]		1..1	Identifier	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 (no extensions allowed)
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].value	Σ This element is included in summaries.	1..1	string	The identifier of the drug in use Example General: 123456
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart		0..1	Extension	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.url		1..1	uri	"medicineIdPart"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.value[x]		1..1	positiveInt	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.url		1..1	uri	"http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum"
MedicationDispense.Slices for extension.extension:additionalInformation		0..*	string	Further clarification of the drug dispensation to Kela URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
MedicationDispense.Slices for extension.extension:cost		1..1	Money	The price of dispensation URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
MedicationDispense.Slices for extension.extension:amountOfPackages		1..*	positiveInt	The number of packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
MedicationDispense.Slices for extension.extension:additionalPackage		0..*	(Complex)	Information of different packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
MedicationDispense.Slices for extension.extension:previousDispenseChange		0..1	(Complex)	Toimituksen kauppanimen muutospäivä, kauppanimen muutospäivänä toimitetun valmisteen VNR-numero ja kauppanimi, kauppanimen muutospäivänä toimitetun valmisteen vahvuus, kauppanimen muutospäivänä toimitetun valmisteen lääkemuoto. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange Constraints: ext-1
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for identifier.identifier:id		1..1	Identifier	Document identifier (unique identifier of the dispensation document)
MedicationDispense.Slices for identifier.identifier:id.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:id.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:id.value	Σ This element is included in summaries.	1..1	string	An unique OID identifier of the dispensation document Example General: 123456
MedicationDispense.Slices for identifier.identifier:setId		1..1	Identifier	The identifier of the original dispensation document
MedicationDispense.Slices for identifier.identifier:setId.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:setId.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/setId (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:setId.value	Σ This element is included in summaries.	1..1	string	The identifier of the original dispensation document Example General: 123456
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	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. Fixed Value: completed (no extensions allowed)
MedicationDispense.statusReason[x]		1..1	CodeableConcept	Type of prescription message Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
MedicationDispense.statusReason[x].coding	Σ This element is included in summaries.	1..1	Coding	Type of prescription message
MedicationDispense.statusReason[x].coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi' Fixed Value: urn:oid:1.2.246.537.5.40105.2006 (no extensions allowed)
MedicationDispense.statusReason[x].coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi'.
MedicationDispense.medication[x]	Σ This element is included in summaries.	1..1	Reference(MedicationListMedication) {r}	Reference to MedicationListMedication resource
MedicationDispense.authorizingPrescription		1..1	Reference(MedicationRequest)	Reference to the unique identifier of the MedicationRequest resource to which the MedicationDispense is linked
MedicationDispense.authorizingPrescription.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.authorizingPrescription.Slices for extension.extension:prescriptionSetId		1..1	Identifier	setId, the original identifier of the prescription document, with which the drug dispensation is associated URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
MedicationDispense.authorizingPrescription.identifier	Σ This element is included in summaries.	1..1	Identifier	Unique identifier of the MedicationRequest resource to which the MedicationDispense resource is linked
MedicationDispense.authorizingPrescription.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.authorizingPrescription.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.authorizingPrescription.identifier.value	Σ This element is included in summaries.	1..1	string	The unique OID identifier of the prescription Example General: 123456
MedicationDispense.quantity	C	1..1	SimpleQuantity(4.0.1)	Total amount of drug and unit of the amount Constraints: sqty-1
MedicationDispense.quantity.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.quantity.Slices for extension.extension:amountFormula		0..1	(Complex)	The dispensed amount of drug as a calculation formula URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
MedicationDispense.quantity.Slices for extension.extension:amountText		0..1	string	The amount of drug as text URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
MedicationDispense.quantity.Slices for extension.extension:totalDispensedAmount		0..1	(Complex)	Lääkemääräyksellä yhteensä toimitettu määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
MedicationDispense.quantity.Slices for extension.extension:remainingAmount		1..1	(Complex)	Lääkemääräyksellä jäljellä oleva määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount
MedicationDispense.quantity.value	Σ This element is included in summaries.	0..1	decimal	Total amount of medicine, amount
MedicationDispense.quantity.unit	Σ This element is included in summaries.	0..1	string	The total amount of medicine, unit
MedicationDispense.whenHandedOver		1..1	dateTime	Dispensation date
MedicationDispense.note		0..1	Annotation	Information about the dispense
MedicationDispense.note.text	Σ This element is included in summaries.	1..1	markdown	Pharmacy's note on drug dispensing
MedicationDispense.substitution		1..1	BackboneElement	Whether a substitution was performed on the dispense
MedicationDispense.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.substitution.wasSubstituted		1..1	boolean	Drug substituted in dispensing
MedicationDispense.substitution.reason		0..1	CodeableConcept	The reason and additional information for dispensing a drug outside the reference pricing system Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
MedicationDispense.substitution.reason.coding	Σ This element is included in summaries.	1..1	Coding	Reason for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy' Fixed Value: urn:oid:1.2.246.537.5.40183.2009 (no extensions allowed)
MedicationDispense.substitution.reason.coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy'
MedicationDispense.substitution.reason.text	Σ This element is included in summaries.	0..1	string	Additional information for dispensing a drug outside the reference pricing system
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.meta.​tag:cdaHeaderTemplateId	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.extension:continuum.​extension:medicineId.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:id.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:setId.​use	Base	required	IdentifierUse	📍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.authorizingPrescription.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.5

Constraints

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: Bindings Constraints Obligations
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
MedicationDispense.meta		0..1	Meta	Metadata about the resource
MedicationDispense.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListMedicationDispense (no extensions allowed)
MedicationDispense.meta.Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId		0..1	Coding	Tags applied to this resource
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.system		1..1	uri	Identity of the terminology system Fixed Value: http://resepti.kanta.fi/fhir/cdaHeaderTemplateId (no extensions allowed)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.code		1..1	code	CDA R2 header specification templateId (specification package version)
MedicationDispense.Slices for extension		6..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:versionNumber		1..1	(Complex)	Asiakirjan versio URL: http://resepti.kanta.fi/StructureDefinition/extension/versionNumber
MedicationDispense.Slices for extension.extension:versionNumber.value[x]		1..1	positiveInt	Asiakirjan versio
MedicationDispense.Slices for extension.extension:effectiveTime		1..*	dateTime	The creation time of a document URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
MedicationDispense.Slices for extension.extension:dosePackaging		1..*	boolean	Dose dispensing information URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
MedicationDispense.Slices for extension.extension:fullyDispensed		1..*	boolean	A fully dispensed entry URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed
MedicationDispense.Slices for extension.extension:continuum		0..1	(Complex)	The identifier of the medicine in use and part identifier of medicine continuum. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:continuum.Slices for extension				Content/Rules for all slices
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId		0..1	Extension	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart		0..1	Extension	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:newest		0..0		Status information 'Latest'
MedicationDispense.Slices for extension.extension:additionalInformation		0..*	string	Further clarification of the drug dispensation to Kela URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
MedicationDispense.Slices for extension.extension:cost		1..1	Money	The price of dispensation URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
MedicationDispense.Slices for extension.extension:amountOfPackages		1..*	positiveInt	The number of packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
MedicationDispense.Slices for extension.extension:additionalPackage		0..*	(Complex)	Information of different packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
MedicationDispense.Slices for extension.extension:previousDispenseChange		0..1	(Complex)	Toimituksen kauppanimen muutospäivä, kauppanimen muutospäivänä toimitetun valmisteen VNR-numero ja kauppanimi, kauppanimen muutospäivänä toimitetun valmisteen vahvuus, kauppanimen muutospäivänä toimitetun valmisteen lääkemuoto. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange
MedicationDispense.Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for identifier.identifier:id		1..1	Identifier	Document identifier (unique identifier of the dispensation document)
MedicationDispense.Slices for identifier.identifier:id.system		1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:id.value		1..1	string	An unique OID identifier of the dispensation document
MedicationDispense.Slices for identifier.identifier:setId		1..1	Identifier	The identifier of the original dispensation document
MedicationDispense.Slices for identifier.identifier:setId.system		1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/setId (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:setId.value		1..1	string	The identifier of the original dispensation document
MedicationDispense.partOf		0..0		Event that dispense is part of
MedicationDispense.status		1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Fixed Value: completed (no extensions allowed)
MedicationDispense.statusReason[x]		1..1	CodeableConcept	Type of prescription message
MedicationDispense.statusReason[x].coding		1..1	Coding	Type of prescription message
MedicationDispense.statusReason[x].coding.system		1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi' Fixed Value: urn:oid:1.2.246.537.5.40105.2006 (no extensions allowed)
MedicationDispense.statusReason[x].coding.code		1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi'.
MedicationDispense.category		0..0		Type of medication dispense
MedicationDispense.medication[x]		1..1	Reference(MedicationListMedication) {r}	Reference to MedicationListMedication resource
MedicationDispense.subject		0..0		Who the dispense is for
MedicationDispense.context		0..0		Encounter / Episode associated with event
MedicationDispense.supportingInformation		0..0		Information that supports the dispensing of the medication
MedicationDispense.performer
MedicationDispense.performer.actor		1..1	Reference(EraMedicationListPractitionerRole) {r}	Reference to the information of the person who performed the dispensation
MedicationDispense.performer.actor.reference		1..1	string	Literal reference, Relative, internal or absolute URL
MedicationDispense.location		0..0		Where the dispense occurred
MedicationDispense.authorizingPrescription		1..1	Reference(MedicationRequest)	Reference to the unique identifier of the MedicationRequest resource to which the MedicationDispense is linked
MedicationDispense.authorizingPrescription.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.authorizingPrescription.Slices for extension.extension:prescriptionSetId		1..1	Identifier	setId, the original identifier of the prescription document, with which the drug dispensation is associated URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
MedicationDispense.authorizingPrescription.identifier		1..1	Identifier	Unique identifier of the MedicationRequest resource to which the MedicationDispense resource is linked
MedicationDispense.authorizingPrescription.identifier.system		1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.authorizingPrescription.identifier.value		1..1	string	The unique OID identifier of the prescription
MedicationDispense.type		0..0		Trial fill, partial fill, emergency fill, etc.
MedicationDispense.quantity		1..1	SimpleQuantity(4.0.1)	Total amount of drug and unit of the amount
MedicationDispense.quantity.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.quantity.Slices for extension.extension:amountFormula		0..1	(Complex)	The dispensed amount of drug as a calculation formula URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
MedicationDispense.quantity.Slices for extension.extension:amountText		0..1	string	The amount of drug as text URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
MedicationDispense.quantity.Slices for extension.extension:totalDispensedAmount		0..1	(Complex)	Lääkemääräyksellä yhteensä toimitettu määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
MedicationDispense.quantity.Slices for extension.extension:remainingAmount		1..1	(Complex)	Lääkemääräyksellä jäljellä oleva määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount
MedicationDispense.quantity.value		0..1	decimal	Total amount of medicine, amount
MedicationDispense.quantity.unit		0..1	string	The total amount of medicine, unit
MedicationDispense.daysSupply		0..0		Amount of medication expressed as a timing amount
MedicationDispense.whenPrepared		0..0		When product was packaged and reviewed
MedicationDispense.whenHandedOver		1..1	dateTime	Dispensation date
MedicationDispense.destination		0..0		Where the medication was sent
MedicationDispense.receiver		0..0		Who collected the medication
MedicationDispense.note		0..1	Annotation	Information about the dispense
MedicationDispense.note.text		1..1	markdown	Pharmacy's note on drug dispensing
MedicationDispense.dosageInstruction
MedicationDispense.dosageInstruction.text		0..1	string	Intended use of the drug on a dispensation information sticker
MedicationDispense.dosageInstruction.patientInstruction		0..1	string	Dosage instructions on a dispensation information sticker
MedicationDispense.substitution		1..1	BackboneElement	Whether a substitution was performed on the dispense
MedicationDispense.substitution.wasSubstituted		1..1	boolean	Drug substituted in dispensing
MedicationDispense.substitution.reason		0..1	CodeableConcept	The reason and additional information for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding		1..1	Coding	Reason for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding.system		1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy' Fixed Value: urn:oid:1.2.246.537.5.40183.2009 (no extensions allowed)
MedicationDispense.substitution.reason.coding.code		1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy'
MedicationDispense.substitution.reason.text		0..1	string	Additional information for dispensing a drug outside the reference pricing system
MedicationDispense.detectedIssue		0..0		Clinical issue with action
MedicationDispense.eventHistory		0..0		A list of relevant lifecycle events
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: mdd-1
MedicationDispense.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationDispense.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationDispense.meta.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
MedicationDispense.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
MedicationDispense.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
MedicationDispense.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListMedicationDispense (no extensions allowed)
MedicationDispense.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationDispense.meta.Slices for tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId	Σ This element is included in summaries.	0..1	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://resepti.kanta.fi/fhir/cdaHeaderTemplateId (no extensions allowed)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.code	Σ This element is included in summaries.	1..1	code	CDA R2 header specification templateId (specification package version)
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationDispense.meta.Slices for tag.tag:cdaHeaderTemplateId.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationDispense.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationDispense.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.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
MedicationDispense.contained		0..*	Resource	Contained, inline Resources
MedicationDispense.Slices for extension		6..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:versionNumber		1..1	(Complex)	Asiakirjan versio URL: http://resepti.kanta.fi/StructureDefinition/extension/versionNumber Constraints: ext-1
MedicationDispense.Slices for extension.extension:versionNumber.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:versionNumber.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:versionNumber.url		1..1	uri	"http://resepti.kanta.fi/StructureDefinition/extension/versionNumber"
MedicationDispense.Slices for extension.extension:versionNumber.value[x]		1..1	positiveInt	Asiakirjan versio
MedicationDispense.Slices for extension.extension:effectiveTime		1..*	dateTime	The creation time of a document URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
MedicationDispense.Slices for extension.extension:dosePackaging		1..*	boolean	Dose dispensing information URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
MedicationDispense.Slices for extension.extension:fullyDispensed		1..*	boolean	A fully dispensed entry URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed Constraints: ext-1
MedicationDispense.Slices for extension.extension:continuum		0..1	(Complex)	The identifier of the medicine in use and part identifier of medicine continuum. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
MedicationDispense.Slices for extension.extension:continuum.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for extension.extension:continuum.Slices for extension				Content/Rules for all slices
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId		0..1	Extension	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.url		1..1	uri	"medicineId"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x]		1..1	Identifier	The identifier of the drug in use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 (no extensions allowed)
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].value	Σ This element is included in summaries.	1..1	string	The identifier of the drug in use Example General: 123456
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineId.value[x].assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart		0..1	Extension	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.url		1..1	uri	"medicineIdPart"
MedicationDispense.Slices for extension.extension:continuum.Slices for extension.extension:medicineIdPart.value[x]		1..1	positiveInt	Part identifier of medicine continuum
MedicationDispense.Slices for extension.extension:continuum.url		1..1	uri	"http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum"
MedicationDispense.Slices for extension.extension:additionalInformation		0..*	string	Further clarification of the drug dispensation to Kela URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
MedicationDispense.Slices for extension.extension:cost		1..1	Money	The price of dispensation URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
MedicationDispense.Slices for extension.extension:amountOfPackages		1..*	positiveInt	The number of packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
MedicationDispense.Slices for extension.extension:additionalPackage		0..*	(Complex)	Information of different packages URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
MedicationDispense.Slices for extension.extension:previousDispenseChange		0..1	(Complex)	Toimituksen kauppanimen muutospäivä, kauppanimen muutospäivänä toimitetun valmisteen VNR-numero ja kauppanimi, kauppanimen muutospäivänä toimitetun valmisteen vahvuus, kauppanimen muutospäivänä toimitetun valmisteen lääkemuoto. URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange Constraints: ext-1
MedicationDispense.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationDispense.Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.Slices for identifier.identifier:id		1..1	Identifier	Document identifier (unique identifier of the dispensation document)
MedicationDispense.Slices for identifier.identifier:id.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for identifier.identifier:id.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for identifier.identifier:id.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:id.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.Slices for identifier.identifier:id.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:id.value	Σ This element is included in summaries.	1..1	string	An unique OID identifier of the dispensation document Example General: 123456
MedicationDispense.Slices for identifier.identifier:id.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.Slices for identifier.identifier:id.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.Slices for identifier.identifier:setId		1..1	Identifier	The identifier of the original dispensation document
MedicationDispense.Slices for identifier.identifier:setId.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.Slices for identifier.identifier:setId.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.Slices for identifier.identifier:setId.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.Slices for identifier.identifier:setId.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.Slices for identifier.identifier:setId.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/setId (no extensions allowed)
MedicationDispense.Slices for identifier.identifier:setId.value	Σ This element is included in summaries.	1..1	string	The identifier of the original dispensation document Example General: 123456
MedicationDispense.Slices for identifier.identifier:setId.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.Slices for identifier.identifier:setId.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.status	?! This element is a modifier element. Σ This element is included in summaries.	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. Fixed Value: completed (no extensions allowed)
MedicationDispense.statusReason[x]		1..1	CodeableConcept	Type of prescription message Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
MedicationDispense.statusReason[x].id		0..1	string	Unique id for inter-element referencing
MedicationDispense.statusReason[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.statusReason[x].coding	Σ This element is included in summaries.	1..1	Coding	Type of prescription message
MedicationDispense.statusReason[x].coding.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.statusReason[x].coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.statusReason[x].coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi' Fixed Value: urn:oid:1.2.246.537.5.40105.2006 (no extensions allowed)
MedicationDispense.statusReason[x].coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationDispense.statusReason[x].coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Reseptisanoman tyyppi'.
MedicationDispense.statusReason[x].coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationDispense.statusReason[x].coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationDispense.statusReason[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationDispense.medication[x]	Σ This element is included in summaries.	1..1	Reference(MedicationListMedication) {r}	Reference to MedicationListMedication resource
MedicationDispense.performer		0..*	BackboneElement	Who performed event
MedicationDispense.performer.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.performer.extension		0..*	Extension	Additional content defined by implementations
MedicationDispense.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.performer.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.
MedicationDispense.performer.actor		1..1	Reference(EraMedicationListPractitionerRole) {r}	Reference to the information of the person who performed the dispensation
MedicationDispense.performer.actor.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.performer.actor.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.performer.actor.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationDispense.performer.actor.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationDispense.performer.actor.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationDispense.performer.actor.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationDispense.authorizingPrescription		1..1	Reference(MedicationRequest)	Reference to the unique identifier of the MedicationRequest resource to which the MedicationDispense is linked
MedicationDispense.authorizingPrescription.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.authorizingPrescription.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.authorizingPrescription.Slices for extension.extension:prescriptionSetId		1..1	Identifier	setId, the original identifier of the prescription document, with which the drug dispensation is associated URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
MedicationDispense.authorizingPrescription.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
MedicationDispense.authorizingPrescription.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationDispense.authorizingPrescription.identifier	Σ This element is included in summaries.	1..1	Identifier	Unique identifier of the MedicationRequest resource to which the MedicationDispense resource is linked
MedicationDispense.authorizingPrescription.identifier.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.authorizingPrescription.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.authorizingPrescription.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationDispense.authorizingPrescription.identifier.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationDispense.authorizingPrescription.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://resepti.kanta.fi/fhir/id/id (no extensions allowed)
MedicationDispense.authorizingPrescription.identifier.value	Σ This element is included in summaries.	1..1	string	The unique OID identifier of the prescription Example General: 123456
MedicationDispense.authorizingPrescription.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
MedicationDispense.authorizingPrescription.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
MedicationDispense.authorizingPrescription.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationDispense.quantity	C	1..1	SimpleQuantity(4.0.1)	Total amount of drug and unit of the amount Constraints: sqty-1
MedicationDispense.quantity.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.quantity.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationDispense.quantity.Slices for extension.extension:amountFormula		0..1	(Complex)	The dispensed amount of drug as a calculation formula URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
MedicationDispense.quantity.Slices for extension.extension:amountText		0..1	string	The amount of drug as text URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
MedicationDispense.quantity.Slices for extension.extension:totalDispensedAmount		0..1	(Complex)	Lääkemääräyksellä yhteensä toimitettu määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
MedicationDispense.quantity.Slices for extension.extension:remainingAmount		1..1	(Complex)	Lääkemääräyksellä jäljellä oleva määrä URL: http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount
MedicationDispense.quantity.value	Σ This element is included in summaries.	0..1	decimal	Total amount of medicine, amount
MedicationDispense.quantity.unit	Σ This element is included in summaries.	0..1	string	The total amount of medicine, unit
MedicationDispense.quantity.system	Σ This element is included in summaries. C	0..1	uri	System that defines coded unit form
MedicationDispense.quantity.code	Σ This element is included in summaries.	0..1	code	Coded form of the unit
MedicationDispense.whenHandedOver		1..1	dateTime	Dispensation date
MedicationDispense.note		0..1	Annotation	Information about the dispense
MedicationDispense.note.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.note.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.note.author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation
MedicationDispense.note.author[x].authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
MedicationDispense.note.author[x].authorString			string
MedicationDispense.note.time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
MedicationDispense.note.text	Σ This element is included in summaries.	1..1	markdown	Pharmacy's note on drug dispensing
MedicationDispense.dosageInstruction		0..*	Dosage	How the medication is to be used by the patient or administered by the caregiver
MedicationDispense.dosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.dosageInstruction.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions
MedicationDispense.dosageInstruction.text	Σ This element is included in summaries.	0..1	string	Intended use of the drug on a dispensation information sticker
MedicationDispense.dosageInstruction.additionalInstruction	Σ This element is included in summaries.	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
MedicationDispense.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	Dosage instructions on a dispensation information sticker
MedicationDispense.dosageInstruction.timing	Σ This element is included in summaries.	0..1	Timing	When medication should be administered
MedicationDispense.dosageInstruction.asNeeded[x]	Σ This element is included in summaries.	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
MedicationDispense.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationDispense.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationDispense.dosageInstruction.site	Σ This element is included in summaries.	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
MedicationDispense.dosageInstruction.route	Σ This element is included in summaries.	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
MedicationDispense.dosageInstruction.method	Σ This element is included in summaries.	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationDispense.dosageInstruction.doseAndRate	Σ This element is included in summaries.	0..*	Element	Amount of medication administered
MedicationDispense.dosageInstruction.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.dosageInstruction.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.dosageInstruction.doseAndRate.type	Σ This element is included in summaries.	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationDispense.dosageInstruction.doseAndRate.dose[x]	Σ This element is included in summaries.	0..1		Amount of medication per dose
MedicationDispense.dosageInstruction.doseAndRate.dose[x].doseRange			Range
MedicationDispense.dosageInstruction.doseAndRate.dose[x].doseQuantity			Quantity(SimpleQuantity)
MedicationDispense.dosageInstruction.doseAndRate.rate[x]	Σ This element is included in summaries.	0..1		Amount of medication per unit of time
MedicationDispense.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationDispense.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationDispense.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationDispense.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time
MedicationDispense.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration Constraints: sqty-1
MedicationDispense.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient Constraints: sqty-1
MedicationDispense.substitution		1..1	BackboneElement	Whether a substitution was performed on the dispense
MedicationDispense.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationDispense.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationDispense.substitution.wasSubstituted		1..1	boolean	Drug substituted in dispensing
MedicationDispense.substitution.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.
MedicationDispense.substitution.reason		0..1	CodeableConcept	The reason and additional information for dispensing a drug outside the reference pricing system Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
MedicationDispense.substitution.reason.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.substitution.reason.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.substitution.reason.coding	Σ This element is included in summaries.	1..1	Coding	Reason for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.reason.coding.id		0..1	string	Unique id for inter-element referencing
MedicationDispense.substitution.reason.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationDispense.substitution.reason.coding.system	Σ This element is included in summaries.	1..1	uri	OID of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy' Fixed Value: urn:oid:1.2.246.537.5.40183.2009 (no extensions allowed)
MedicationDispense.substitution.reason.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
MedicationDispense.substitution.reason.coding.code	Σ This element is included in summaries.	1..1	code	Code of the Kanta code system 'Sähköinen lääkemääräys - Lääkevaihtokielto tai lääkevaihdon syy'
MedicationDispense.substitution.reason.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
MedicationDispense.substitution.reason.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
MedicationDispense.substitution.reason.text	Σ This element is included in summaries.	0..1	string	Additional information for dispensing a drug outside the reference pricing system
MedicationDispense.substitution.responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationDispense.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.meta.​tag:cdaHeaderTemplateId	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationDispense.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationDispense.extension:continuum.​extension:medicineId.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.extension:continuum.​extension:medicineId.​value[x].type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationDispense.identifier:id.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:id.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationDispense.identifier:setId.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.identifier:setId.​type	Base	extensible	IdentifierType	📍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.performer.​function	Base	example	Medication dispense performer function codes	📍4.0.1	FHIR Std.
MedicationDispense.performer.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationDispense.authorizingPrescription.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationDispense.authorizingPrescription.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationDispense.authorizingPrescription.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.5
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.5

Constraints

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.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from MedicationDispense

Summary

Mandatory: 28 elements(7 nested mandatory elements)
Fixed: 8 elements
Prohibited: 14 elements

Structures

This structure refers to these other structures:

• MedicationListMedication (http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedication)
• EraMedicationListPractitionerRole (https://eradocumentation.atostek.com/StructureDefinition/EraMedicationListPractitionerRole)

Extensions

This structure refers to these extensions:

• http://resepti.kanta.fi/StructureDefinition/extension/versionNumber
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalPackage
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/previousDispenseChange
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescriptionSetId
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountFormula
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountText
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount
• http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.meta.tag
• The element 1 is sliced based on the value of MedicationDispense.identifier