Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
modifierExtension	?!	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)
status	?!SΣ	1..1	code	Status of medication dispense Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
category	S	0..1	CodeableConcept	Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: TI Medication Dispense Category ValueSet (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
performer	S	1..1	BackboneElement	Who performed event
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	C	1..1	Reference(Organization | PractitionerRole)	Individual who was performing Constraints: ref-1
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense Constraints: ref-1
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
whenHandedOver	S	1..1	dateTime	When product was given out
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	required	TIMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-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** 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
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    Filter: Bindings Constraints Obligations
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
extension: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	S	1..1	code	Status of medication dispense
category	S	0..1	CodeableConcept	Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: TI Medication Dispense Category ValueSet (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.
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..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
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.category	required	TIMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-medication-dispense-category-vs

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1
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		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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
modifierExtension	?!	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 Constraints: ref-1
status	?!SΣ	1..1	code	Status of medication dispense Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
statusReason[x]		0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category	S	0..1	CodeableConcept	Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: TI Medication Dispense Category ValueSet (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
supportingInformation	C	0..*	Reference(Resource)	Information that supports the dispensing of the medication Constraints: ref-1
performer	S	1..1	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
location	C	0..1	Reference(Location)	Where the dispense occurred Constraints: ref-1
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: qty-3, sqty-1
daysSupply	C	0..1	SimpleQuantity	Amount of medication expressed as a timing amount Constraints: qty-3, sqty-1
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 Constraints: ref-1
receiver	C	0..*	Reference(Patient | Practitioner)	Who collected the medication Constraints: ref-1
note		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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 Constraints: ref-1
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical issue with action Constraints: ref-1
eventHistory	C	0..*	Reference(Provenance)	A list of relevant lifecycle events Constraints: ref-1
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	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	required	TIMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-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.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** 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
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply	If a code for the unit is present, the system SHALL also be present : code.empty() or system.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	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 4 elements(1 nested mandatory element)
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)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

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    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
modifierExtension	?!	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)
status	?!SΣ	1..1	code	Status of medication dispense Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
category	S	0..1	CodeableConcept	Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: TI Medication Dispense Category ValueSet (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
performer	S	1..1	BackboneElement	Who performed event
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	C	1..1	Reference(Organization | PractitionerRole)	Individual who was performing Constraints: ref-1
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense Constraints: ref-1
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
whenHandedOver	S	1..1	dateTime	When product was given out
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.category	required	TIMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-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** 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
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    Filter: Bindings Constraints Obligations
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
extension: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	S	1..1	code	Status of medication dispense
category	S	0..1	CodeableConcept	Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: TI Medication Dispense Category ValueSet (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.
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..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
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.category	required	TIMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-medication-dispense-category-vs

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1
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		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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
modifierExtension	?!	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 Constraints: ref-1
status	?!SΣ	1..1	code	Status of medication dispense Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
statusReason[x]		0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category	S	0..1	CodeableConcept	Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: TI Medication Dispense Category ValueSet (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
supportingInformation	C	0..*	Reference(Resource)	Information that supports the dispensing of the medication Constraints: ref-1
performer	S	1..1	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
location	C	0..1	Reference(Location)	Where the dispense occurred Constraints: ref-1
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: qty-3, sqty-1
daysSupply	C	0..1	SimpleQuantity	Amount of medication expressed as a timing amount Constraints: qty-3, sqty-1
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 Constraints: ref-1
receiver	C	0..*	Reference(Patient | Practitioner)	Who collected the medication Constraints: ref-1
note		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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 Constraints: ref-1
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical issue with action Constraints: ref-1
eventHistory	C	0..*	Reference(Provenance)	A list of relevant lifecycle events Constraints: ref-1
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	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	required	TIMedicationDispenseCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-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.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** 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
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply	If a code for the unit is present, the system SHALL also be present : code.empty() or system.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	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 4 elements(1 nested mandatory element)
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)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

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