TIFlow - Datenaustausch BfArM Webdienst
Version 2.0.0-ballot.1 - ci-build

## Resource Profile: E-T-Rezept Medication Dispense

Official URL: https://gematik.de/fhir/tiflow-bfarm/StructureDefinition/erp-tprescription-medication-dispense | Version: 2.0.0-ballot.1
Draft as of 2026-05-26 | Computable Name: ERP_TPrescription_MedicationDispense

Abgabeinformationen einer Apotheke, die es im Rahmen der Belieferung eines T-Rezeptes an den E-Rezept-Fachdienst übermittelt hat.

## Mapping

Folgende Tabelle gibt eine grobe Darstellung des Mappings für dieses Profil:

Titel: E-T-Rezept Structure Map for MedicationDispense

Beschreibung: Mapping-Anweisungen zur Transformation von gematik ERP MedicationDispense zu BfArM T-Prescription MedicationDispense

Quelle (Eingangsdaten) | Ziel (Ausgabedaten) | Transformation & Beschreibung
--- | --- | ---
`gematikMedicationDispense.extension [GeneratedDosageInstructionsMeta]` | `bfarmMedicationDispense.extension` | Kopiert Dosage Metadata Extension → übernimmt Wert aus Quellvariable
`gematikMedicationDispense.extension [extension-MedicationDispense.renderedDosageInstruction]` | `bfarmMedicationDispense.extension` | Kopiert RenderedDosageText → übernimmt Wert aus Quellvariable
`gematikMedicationDispense.dosageInstruction` | `bfarmMedicationDispense.dosageInstruction` | Übernimmt die Dosierungsanweisungen aus der ursprünglichen Abgabe für den digitalen Durchschlag → übernimmt Wert aus Quellvariable
`gematikMedicationDispense.whenHandedOver` | `bfarmMedicationDispense.whenHandedOver` | Kopiert das Abgabedatum zur Dokumentation des Zeitpunkts der Medikamentenausgabe → übernimmt Wert aus Quellvariable
`gematikMedicationDispense.medication` | `bfarmMedicationDispense.medication` | Kopiert die Medikamentenreferenz - das referenzierte Medication wird separat gemappt → übernimmt Wert aus Quellvariable
`gematikMedicationDispense.status` | `bfarmMedicationDispense.status` | Setzt den Status auf ‘completed’ da die Abgabe bereits erfolgt ist (digitaler Durchschlag) → setzt Wert ‘completed’
`gematikMedicationDispense.quantity` | `bfarmMedicationDispense.quantity` | Übernimmt die abgegebene Menge zur Dokumentation der tatsächlich ausgehändigten Medikamentenmenge → übernimmt Wert aus Quellvariable
`gematikMedicationDispense.performer` | `bfarmMedicationDispense.performer` | Transformiert Apotheken-Identifier zu Organization-Referenz für eindeutige Zuordnung der abgebenden Apotheke
`gematikMedicationDispense.performer.actor` | `bfarmMedicationDispense.performer.actor` | Verarbeitet den Actor (abgebende Apotheke) des Performers
`gematikMedicationDispense.performer.actor.identifier` | (wird bestimmt durch Kontext) | Extrahiert den Identifier der abgebenden Apotheke
`gematikMedicationDispense.performer.actor.identifier.value` | `reference` | Wandelt Apotheken-Identifier in Organization-Referenz um (Organization/)

Usages:

- Use this Profile: Digitaler Durchschlag T-Rezept
- Examples for this Profile: MedicationDispense/ExampleMedicationDispense-T

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Fixed Value: completed
medication[x] | S Σ | 1..1 | Reference(Medication) | What medication was supplied
performer | S | 0..* | BackboneElement | Who performed event
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | C | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing Constraints: ref-1
quantity | S C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: qty-3, sqty-1
whenHandedOver | S | 0..1 | dateTime | When product was given out
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`
qty-3 | error | MedicationDispense.quantity | If a code for the unit is present, the system SHALL also be present | `code.empty() or system.exists()`
ref-1 | error | MedicationDispense.performer.actor | 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 | The comparator is not used on a SimpleQuantity | `comparator.empty()`

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  |  | MedicationDispense |
identifier |  | 0..0 |  | External identifier
partOf |  | 0..0 |  | Event that dispense is part of
status |  | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Fixed Value: completed
statusReason[x] |  | 0..0 |  | Why a dispense was not performed
category |  | 0..0 |  | Type of medication dispense
medication[x] | S | 1..1 | Reference(Medication) | What medication was supplied
subject |  | 0..0 |  | Who the dispense is for
context |  | 0..0 |  | Encounter / Episode associated with event
supportingInformation |  | 0..0 |  | Information that supports the dispensing of the medication
performer | S | 0..* | BackboneElement | Who performed event
location |  | 0..0 |  | Where the dispense occurred
authorizingPrescription |  | 0..0 |  | Medication order that authorizes the dispense
type |  | 0..0 |  | Trial fill, partial fill, emergency fill, etc.
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
daysSupply |  | 0..0 |  | Amount of medication expressed as a timing amount
whenPrepared |  | 0..0 |  | When product was packaged and reviewed
whenHandedOver | S | 0..1 | dateTime | When product was given out
destination |  | 0..0 |  | Where the medication was sent
receiver |  | 0..0 |  | Who collected the medication
note |  | 0..0 |  | Information about the dispense
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
substitution |  | 0..0 |  | Whether a substitution was performed on the dispense
detectedIssue |  | 0..0 |  | Clinical issue with action
eventHistory |  | 0..0 |  | A list of relevant lifecycle events
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation 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 Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Fixed Value: completed
medication[x] | S Σ | 1..1 | Reference(Medication) | What medication was supplied
performer | S | 0..* | 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(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing Constraints: ref-1
quantity | S C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: qty-3, sqty-1
whenHandedOver | S | 0..1 | dateTime | When product was given out
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std.
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`
qty-3 | error | MedicationDispense.quantity | If a code for the unit is present, the system SHALL also be present | `code.empty() or system.exists()`
ref-1 | error | MedicationDispense.performer.actor, MedicationDispense.substitution.responsibleParty | 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 | The comparator is not used on a SimpleQuantity | `comparator.empty()`

This structure is derived from MedicationDispense

Summary

Must-Support: 5 elements
Fixed: 1 element
Prohibited: 18 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Fixed Value: completed
medication[x] | S Σ | 1..1 | Reference(Medication) | What medication was supplied
performer | S | 0..* | BackboneElement | Who performed event
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | C | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing Constraints: ref-1
quantity | S C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: qty-3, sqty-1
whenHandedOver | S | 0..1 | dateTime | When product was given out
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`
qty-3 | error | MedicationDispense.quantity | If a code for the unit is present, the system SHALL also be present | `code.empty() or system.exists()`
ref-1 | error | MedicationDispense.performer.actor | 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 | The comparator is not used on a SimpleQuantity | `comparator.empty()`

Differential View

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  |  | MedicationDispense |
identifier |  | 0..0 |  | External identifier
partOf |  | 0..0 |  | Event that dispense is part of
status |  | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Fixed Value: completed
statusReason[x] |  | 0..0 |  | Why a dispense was not performed
category |  | 0..0 |  | Type of medication dispense
medication[x] | S | 1..1 | Reference(Medication) | What medication was supplied
subject |  | 0..0 |  | Who the dispense is for
context |  | 0..0 |  | Encounter / Episode associated with event
supportingInformation |  | 0..0 |  | Information that supports the dispensing of the medication
performer | S | 0..* | BackboneElement | Who performed event
location |  | 0..0 |  | Where the dispense occurred
authorizingPrescription |  | 0..0 |  | Medication order that authorizes the dispense
type |  | 0..0 |  | Trial fill, partial fill, emergency fill, etc.
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed
daysSupply |  | 0..0 |  | Amount of medication expressed as a timing amount
whenPrepared |  | 0..0 |  | When product was packaged and reviewed
whenHandedOver | S | 0..1 | dateTime | When product was given out
destination |  | 0..0 |  | Where the medication was sent
receiver |  | 0..0 |  | Who collected the medication
note |  | 0..0 |  | Information about the dispense
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
substitution |  | 0..0 |  | Whether a substitution was performed on the dispense
detectedIssue |  | 0..0 |  | Clinical issue with action
eventHistory |  | 0..0 |  | A list of relevant lifecycle events
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation 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 Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Fixed Value: completed
medication[x] | S Σ | 1..1 | Reference(Medication) | What medication was supplied
performer | S | 0..* | 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(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing Constraints: ref-1
quantity | S C | 0..1 | SimpleQuantity(4.0.1) | Amount dispensed Constraints: qty-3, sqty-1
whenHandedOver | S | 0..1 | dateTime | When product was given out
dosageInstruction | S | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationDispense.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationDispense.status | Base | required | Medication dispense status codes | 📍4.0.1 | FHIR Std.
MedicationDispense.performer.​function | Base | example | Medication dispense performer function codes | 📍4.0.1 | FHIR Std.
MedicationDispense.substitution.​type | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationDispense.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationDispense | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationDispense | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationDispense | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationDispense | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mdd-1 | error | MedicationDispense | whenHandedOver cannot be before whenPrepared | `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`
qty-3 | error | MedicationDispense.quantity | If a code for the unit is present, the system SHALL also be present | `code.empty() or system.exists()`
ref-1 | error | MedicationDispense.performer.actor, MedicationDispense.substitution.responsibleParty | 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 | The comparator is not used on a SimpleQuantity | `comparator.empty()`

This structure is derived from MedicationDispense

Summary

Must-Support: 5 elements
Fixed: 1 element
Prohibited: 18 elements

Other representations of profile: CSV, Excel, Schematron