## Intersection of https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense and https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense

This is the set of resources that conform to both EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense) and EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense).

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* |  | Dispensing a medication to a named patient Constraints: mdd-1
meta | S Σ | 0..1 | Meta | Metadata about the resource
extension |  | 0..* | Extension | Additional content defined by implementations
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (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: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
partOf | C | 0..* | Reference(Procedure) | Event that dispense is part of Constraints: ref-1
status | ?!S Σ | 1..1 | code | Status of medication dispense Binding: ?? (required): A coded concept specifying the state of the dispense event.
statusReason[x] |  | 0..1 |  | Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonReference |  |  | Reference(DetectedIssue) |
category | S | 0..1 | CodeableConcept | left: Type of medication dispense; right: Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: ?? (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.
medication[x] | S Σ | 1..1 | Reference(Medication) | What medication was supplied
subject | S Σ C | 1..1 | Reference(Patient) | Who the dispense is for Constraints: ref-1
extension |  | 0..* | Extension | Additional content defined by implementations
reference | Σ | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 1..1 | ??, ?? | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: ?? (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
extension |  | 0..* | Extension | Additional content defined by implementations
reference | S Σ | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (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: ?? (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 | ??, ?? | Amount dispensed Constraints: qty-3, sqty-1
daysSupply | C | 0..1 | ??, ?? | 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..* | ?? | Hier werden Informationen zur Dosierung angegeben.
substitution | S | 0..1 | BackboneElement | Whether a substitution was performed on the dispense
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
wasSubstituted |  | 1..1 | boolean | Whether a substitution was or was not performed on the dispense
type |  | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (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: ?? (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