Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label mdd-1: whenHandedOver cannot be before whenPrepared
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
versionId	SΣ	0..1	id	Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	0..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External identifier ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status	?!Σ	1..1	code	Status of medication dispense Binding: EPA Medication Dispense ValueSet (required) ele-1: All FHIR elements must have a @value or children
category	S	0..1	CodeableConcept	Missing value indicates a prescription dispense. Binding: EPAMedicationDispenseCategoryVS (required): Defines the context of a Dispensation: prescription or non-prescription ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
performer	S	1..1	BackboneElement	Who performed event ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	C	1..1	Reference(Organization | PractitionerRole)	Individual who was performing ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
whenHandedOver	S	1..1	dateTime	When product was given out ele-1: All FHIR elements must have a @value or children
dosageInstruction	S	0..*	Dosage	Hier werden Informationen zur Dosierung angegeben. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden. ele-1: All FHIR elements must have a @value or children
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	EPAMedicationDispenseStatusVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-status-vs
MedicationDispense.category	required	EPAMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-category-vs

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	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
ref-1	error	MedicationDispense.subject, MedicationDispense.performer.actor, MedicationDispense.authorizingPrescription	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
Slices for extension				Content/Rules for all slices
rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External identifier Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status		1..1	code	Status of medication dispense Binding: EPA Medication Dispense ValueSet (required)
category	S	0..1	CodeableConcept	Missing value indicates a prescription dispense. Binding: EPAMedicationDispenseCategoryVS (required): Defines the context of a Dispensation: prescription or non-prescription
medication[x]	S	1..1	Reference(Medication)	What medication was supplied
subject	S	1..1	Reference(Patient)	Who the dispense is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
performer	S	1..1	BackboneElement	Who performed event
actor		1..1	Reference(Organization | PractitionerRole)	Individual who was performing
authorizingPrescription
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
whenHandedOver	S	1..1	dateTime	When product was given out
dosageInstruction	S	0..*	Dosage	Hier werden Informationen zur Dosierung angegeben.
text	S	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	EPAMedicationDispenseStatusVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-status-vs
MedicationDispense.category	required	EPAMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-category-vs

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	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".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
partOf	C	0..*	Reference(Procedure)	Event that dispense is part of ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	Status of medication dispense Binding: EPA Medication Dispense ValueSet (required)
statusReason[x]		0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category	S	0..1	CodeableConcept	Missing value indicates a prescription dispense. Binding: EPAMedicationDispenseCategoryVS (required): Defines the context of a Dispensation: prescription or non-prescription
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	C	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation	C	0..*	Reference(Resource)	Information that supports the dispensing of the medication ref-1: SHALL have a contained resource if a local reference is provided
performer	S	1..1	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	C	1..1	Reference(Organization | PractitionerRole)	Individual who was performing ref-1: SHALL have a contained resource if a local reference is provided
location	C	0..1	Reference(Location)	Where the dispense occurred ref-1: SHALL have a contained resource if a local reference is provided
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	C	0..1	SimpleQuantity	Amount dispensed qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
daysSupply	C	0..1	SimpleQuantity	Amount of medication expressed as a timing amount qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	1..1	dateTime	When product was given out
destination	C	0..1	Reference(Location)	Where the medication was sent ref-1: SHALL have a contained resource if a local reference is provided
receiver	C	0..*	Reference(Patient | Practitioner)	Who collected the medication ref-1: SHALL have a contained resource if a local reference is provided
note		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	Dosage	Hier werden Informationen zur Dosierung angegeben.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.
additionalInstruction	Σ	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".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	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.
route	Σ	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.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	ΣC	0..1	Ratio	Upper limit on medication per unit of time rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	ΣC	0..1	SimpleQuantity	Upper limit on medication per administration qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	ΣC	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty	C	0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution ref-1: SHALL have a contained resource if a local reference is provided
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical issue with action ref-1: SHALL have a contained resource if a local reference is provided
eventHistory	C	0..*	Reference(Provenance)	A list of relevant lifecycle events ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationDispense.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	EPAMedicationDispenseStatusVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-status-vs
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	required	EPAMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-category-vs
MedicationDispense.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.authorizingPrescription.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	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
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationDispense.dosageInstruction.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	MedicationDispense.partOf, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• RxOriginatorProcessIdentifier (https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label mdd-1: whenHandedOver cannot be before whenPrepared
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
versionId	SΣ	0..1	id	Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	0..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External identifier ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status	?!Σ	1..1	code	Status of medication dispense Binding: EPA Medication Dispense ValueSet (required) ele-1: All FHIR elements must have a @value or children
category	S	0..1	CodeableConcept	Missing value indicates a prescription dispense. Binding: EPAMedicationDispenseCategoryVS (required): Defines the context of a Dispensation: prescription or non-prescription ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
performer	S	1..1	BackboneElement	Who performed event ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	C	1..1	Reference(Organization | PractitionerRole)	Individual who was performing ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
whenHandedOver	S	1..1	dateTime	When product was given out ele-1: All FHIR elements must have a @value or children
dosageInstruction	S	0..*	Dosage	Hier werden Informationen zur Dosierung angegeben. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden. ele-1: All FHIR elements must have a @value or children
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	EPAMedicationDispenseStatusVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-status-vs
MedicationDispense.category	required	EPAMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-category-vs

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	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
ref-1	error	MedicationDispense.subject, MedicationDispense.performer.actor, MedicationDispense.authorizingPrescription	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
Slices for extension				Content/Rules for all slices
rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External identifier Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status		1..1	code	Status of medication dispense Binding: EPA Medication Dispense ValueSet (required)
category	S	0..1	CodeableConcept	Missing value indicates a prescription dispense. Binding: EPAMedicationDispenseCategoryVS (required): Defines the context of a Dispensation: prescription or non-prescription
medication[x]	S	1..1	Reference(Medication)	What medication was supplied
subject	S	1..1	Reference(Patient)	Who the dispense is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
performer	S	1..1	BackboneElement	Who performed event
actor		1..1	Reference(Organization | PractitionerRole)	Individual who was performing
authorizingPrescription
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
whenHandedOver	S	1..1	dateTime	When product was given out
dosageInstruction	S	0..*	Dosage	Hier werden Informationen zur Dosierung angegeben.
text	S	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	EPAMedicationDispenseStatusVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-status-vs
MedicationDispense.category	required	EPAMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-category-vs

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	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".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
partOf	C	0..*	Reference(Procedure)	Event that dispense is part of ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	Status of medication dispense Binding: EPA Medication Dispense ValueSet (required)
statusReason[x]		0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category	S	0..1	CodeableConcept	Missing value indicates a prescription dispense. Binding: EPAMedicationDispenseCategoryVS (required): Defines the context of a Dispensation: prescription or non-prescription
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	C	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation	C	0..*	Reference(Resource)	Information that supports the dispensing of the medication ref-1: SHALL have a contained resource if a local reference is provided
performer	S	1..1	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	C	1..1	Reference(Organization | PractitionerRole)	Individual who was performing ref-1: SHALL have a contained resource if a local reference is provided
location	C	0..1	Reference(Location)	Where the dispense occurred ref-1: SHALL have a contained resource if a local reference is provided
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	C	0..1	SimpleQuantity	Amount dispensed qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
daysSupply	C	0..1	SimpleQuantity	Amount of medication expressed as a timing amount qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	1..1	dateTime	When product was given out
destination	C	0..1	Reference(Location)	Where the medication was sent ref-1: SHALL have a contained resource if a local reference is provided
receiver	C	0..*	Reference(Patient | Practitioner)	Who collected the medication ref-1: SHALL have a contained resource if a local reference is provided
note		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	Dosage	Hier werden Informationen zur Dosierung angegeben.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.
additionalInstruction	Σ	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".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	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.
route	Σ	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.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	ΣC	0..1	Ratio	Upper limit on medication per unit of time rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	ΣC	0..1	SimpleQuantity	Upper limit on medication per administration qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	ΣC	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty	C	0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution ref-1: SHALL have a contained resource if a local reference is provided
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical issue with action ref-1: SHALL have a contained resource if a local reference is provided
eventHistory	C	0..*	Reference(Provenance)	A list of relevant lifecycle events ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationDispense.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.status	required	EPAMedicationDispenseStatusVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-status-vs
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason from the FHIR Standard
MedicationDispense.category	required	EPAMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-dispense-category-vs
MedicationDispense.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.authorizingPrescription.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	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
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationDispense.dosageInstruction.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	MedicationDispense.partOf, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• RxOriginatorProcessIdentifier (https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension

Slices

This structure defines the following Slices:

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