ch-emed-epr-medicationdispense
type: StructureDefinition
node role: treeRoot
id:
  v: ch-emed-epr-medicationdispense
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ch-emed-epr-medicationdispense Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MedicationDispense <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( split-dosage-instruction-unit-must-match-base-dosage-instruction )">C 0..* CHEMEDMedicationDispense CH EMED MedicationDispense (DIS) Constraints: split-dosage-instruction-unit-must-match-base-dosage-instruction #xD; meta #xD; extension D 0..* Extension ✕ This element is not supported #xD; versionId D 0..1 id ✕ This element is not supported #xD; lastUpdated D 0..1 instant ✕ This element is not supported #xD; source D 0..1 uri ✕ This element is not supported #xD; security D 0..* Coding ✕ This element is not supported #xD; tag D 0..* Coding ✕ This element is not supported #xD; implicitRules 0..0 A set of rules under which this content was created #xD; extension 1..* Extension Extension #xD; Slices for extension Content/Rules for all slices #xD; extension:prescription 0..1 CHEMEDExtPrescription Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed. #xD; <a href="StructureDefinition-ch-emed-epr-medicationdispense-definitions.html#MedicationDispense.extension:pharmaceuticalAdvice" title="Slice pharmaceuticalAdvice: Implementers should not set or read this element. #xA;This element is only kept as optional to allow submission of documents that would contain a value, #xA;since those documents are still readable by others.#xA;The meaning of this element is undefined in this profile.">extension:pharmaceuticalAdvice D 0..1 CHEMEDExtPharmaceu…
url:
  v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationdispense
  l: ch-emed-epr-medicationdispense
version:
  v: 3.0.0
name:
  v: CHEMEDEPRMedicationDispense
title:
  v: DIS MedicationDispense
status:
  v: draft
date:
  v: 2026-02-11T07:01:54+00:00
publisher:
  v: CARA
contact:
  name:
    v: CARA
  telecom:
    system:
      v: url
    value:
      v: https://www.cara.ch
description:
  v: Definition of the medication dispense for the medication dispense document
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: CH
    display:
      v: Switzerland
copyright:
  v: CC0-1.0
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: rx-dispense-rmim
  uri:
    v: http://www.hl7.org/v3/PORX_RM020070UV
    l: PORX RM020070UV
  name:
    v: V3 Pharmacy Dispense RMIM
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: MedicationDispense
  l: MedicationDispense
base definition:
  v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense
  l: ch-emed-medicationdispense
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 6.0.0
  element:
    id:
      v: MedicationDispense
    path:
      v: MedicationDispense
    short:
      v: CH EMED MedicationDispense (DIS)
    definition:
      v: Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: MedicationDispense
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: mdd-1

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: error

v: whenHandedOver cannot be before whenPrepared

v: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

v: not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)

key:
  v: ch-dosage-meddis
severity:
  v: error
human:
  v: If one dosage element is present, it SHALL NOT have a sequence number. If more than one dosage element is present, the base entry SHALL have the sequence number 1.
expression:
  v: (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
source:
  v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense
  l: ch-emed-medicationdispense

key:
  v: split-dosage-instruction-unit-must-match-base-dosage-instruction
severity:
  v: error
human:
  v: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
expression:
  v: (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1
source:
  v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationdispense
  l: ch-emed-epr-medicationdispense

v: false

v: false

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: rim
map:
  v: Supply[moodCode=EVN]

id:
  v: MedicationDispense.id
path:
  v: MedicationDispense.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: MedicationDispense.meta
path:
  v: MedicationDispense.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: MedicationDispense.meta.id
path:
  v: MedicationDispense.meta.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.meta.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.meta.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: MedicationDispense.meta.versionId
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.meta.versionId
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.versionId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: MedicationDispense.meta.lastUpdated
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.meta.lastUpdated
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.lastUpdated
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: MedicationDispense.meta.source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.meta.source
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.source
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: MedicationDispense.meta.profile
path:
  v: MedicationDispense.meta.profile
short:
  v: Profiles this resource claims to conform to
definition:
  v: A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
comment:
  v: It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.profile
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: canonical
    l: canonical
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/StructureDefinition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: MedicationDispense.meta.security
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.meta.security
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.security
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SecurityLabels
  strength:
    v: extensible
  description:
    v: Security Labels from the Healthcare Privacy and Security Classification System.
  value set:
    v: http://hl7.org/fhir/ValueSet/security-labels|4.0.1
    l: http://hl7.org/fhir/ValueSet/security-labels

id:
  v: MedicationDispense.meta.tag
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.meta.tag
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.tag
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Tags
  strength:
    v: example
  description:
    v: Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
  value set:
    v: http://hl7.org/fhir/ValueSet/common-tags|4.0.1
    l: http://hl7.org/fhir/ValueSet/common-tags

id:
  v: MedicationDispense.implicitRules
path:
  v: MedicationDispense.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. All modifiers SHALL be documented in the profile, in order to be usable.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: MedicationDispense.language
path:
  v: MedicationDispense.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: MedicationDispense.text
path:
  v: MedicationDispense.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: MedicationDispense.contained
path:
  v: MedicationDispense.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 1
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.extension
path:
  v: MedicationDispense.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 1
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: MedicationDispense.extension:treatmentReason
path:
  v: MedicationDispense.extension
slice name:
  v: treatmentReason
short:
  v: Treatment reason
definition:
  v: Optional Extension Element - found in all resources.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentreason
    l: ch-emed-ext-treatmentreason
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.extension:prescription
path:
  v: MedicationDispense.extension
slice name:
  v: prescription
short:
  v: Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed.
definition:
  v: An Extension
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
    l: ch-emed-ext-prescription
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: MedicationDispense.extension:pharmaceuticalAdvice
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.extension
slice name:
  v: pharmaceuticalAdvice
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
    l: ch-emed-ext-pharmaceuticaladvice
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: MedicationDispense.extension:treatmentPlan
path:
  v: MedicationDispense.extension
slice name:
  v: treatmentPlan
short:
  v: CH EMED Extension
definition:
  v: An Extension
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
    l: ch-emed-ext-treatmentplan
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: MedicationDispense.modifierExtension
path:
  v: MedicationDispense.modifierExtension
short:
  v: Extension
definition:
  v: An Extension
comment:
  v: ...All modifiers SHALL be documented in the profile, in order to be usable.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false

id:
  v: MedicationDispense.identifier
path:
  v: MedicationDispense.identifier
short:
  v: MedicationDispense Identifier
definition:
  v: Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
comment:
  v: This is a business identifier, not a resource identifier.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
  profile:
    v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-uuid-identifier
    l: ch-emed-uuid-identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.id

id:
  v: MedicationDispense.partOf
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.partOf
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.partOf
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Procedure
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.partOf
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]

id:
  v: MedicationDispense.status
path:
  v: MedicationDispense.status
short:
  v: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
definition:
  v: A code specifying the state of the set of dispense events.
comment:
  v: This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
fixed: Code
  v: completed
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationDispenseStatus
  strength:
    v: required
  description:
    v: A coded concept specifying the state of the dispense event.
  value set:
    v: http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/medicationdispense-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: .statusCode
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.SupplyEvent.statusCode

id:
  v: MedicationDispense.statusReason[x]
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.statusReason[x]
short:
  v: ✕ This is only meaningful when the dispense was not performed
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.statusReason[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DetectedIssue|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DetectedIssue
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationDispenseStatusReason
  strength:
    v: example
  description:
    v: A code describing why a dispense was not performed.
  value set:
    v: http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|4.0.1
    l: http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
mapping:
  identity:
    v: workflow
  map:
    v: Event.statusReason
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="not done reason"].value

id:
  v: MedicationDispense.category
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.category
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.category
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationDispenseCategory
  strength:
    v: preferred
  description:
    v: A code describing where the dispensed medication is expected to be consumed or administered.
  value set:
    v: http://hl7.org/fhir/ValueSet/medicationdispense-category|4.0.1
    l: http://hl7.org/fhir/ValueSet/medicationdispense-category
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication dispense"].value

id:
  v: MedicationDispense.medication[x]
path:
  v: MedicationDispense.medication[x]
slicing:
  discriminator:
    type:
      v: type
    path:
      v: $this
  ordered:
    v: false
  rules:
    v: closed
short:
  v: What medication was supplied
definition:
  v: Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
comment:
  v: If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication
    l: ch-core-medication
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: RXD-2-Dispense/Give Code
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRD].role
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationRequest.component1.AdministrationRequest.consumable

id:
  v: MedicationDispense.medication[x]:medicationReference
path:
  v: MedicationDispense.medication[x]
slice name:
  v: medicationReference
short:
  v: Reference to the contained medication
definition:
  v: Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
comment:
  v: If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication-medicationdispense
    l: ch-emed-epr-medication-medicationdispense
  aggregation:
    v: contained
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: RXD-2-Dispense/Give Code
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRD].role
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationRequest.component1.AdministrationRequest.consumable

id:
  v: MedicationDispense.subject
path:
  v: MedicationDispense.subject
short:
  v: Patient
definition:
  v: A link to a resource representing the person or the group to whom the medication will be given.
comment:
  v: SubstanceAdministration->subject->Patient.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient
    l: ch-emed-epr-patient
  aggregation:
    v: referenced
  aggregation:
    v: bundled
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role[classCode=PAT]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: MedicationDispense.subject.id
path:
  v: MedicationDispense.subject.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.subject.extension
path:
  v: MedicationDispense.subject.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.subject.reference
path:
  v: MedicationDispense.subject.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.subject.type
path:
  v: MedicationDispense.subject.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    l: http://hl7.org/fhir/ValueSet/resource-types
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.subject.identifier
path:
  v: MedicationDispense.subject.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationDispense.subject.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationDispense.subject.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.context
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.context
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Encounter
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.context
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]

id:
  v: MedicationDispense.supportingInformation
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.supportingInformation
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.supportingInformation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Resource
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]

id:
  v: MedicationDispense.performer
path:
  v: MedicationDispense.performer
short:
  v: Who performed event
definition:
  v: Indicates who or what performed the event.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: MedicationDispense.performer.id
path:
  v: MedicationDispense.performer.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.performer.extension
path:
  v: MedicationDispense.performer.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.performer.modifierExtension
path:
  v: MedicationDispense.performer.modifierExtension
short:
  v: Extension
definition:
  v: An Extension
comment:
  v: ...All modifiers SHALL be documented in the profile, in order to be usable.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true

id:
  v: MedicationDispense.performer.function
path:
  v: MedicationDispense.performer.function
short:
  v: Who performed the dispense and what they did
definition:
  v: Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.
requirements:
  v: Allows disambiguation of the types of involvement of different performers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.performer.function
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationDispensePerformerFunction
  strength:
    v: example
  description:
    v: A code describing the role an individual played in dispensing a medication.
  value set:
    v: http://hl7.org/fhir/ValueSet/medicationdispense-performer-function|4.0.1
    l: http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=PRF].functionCode

id:
  v: MedicationDispense.performer.actor
path:
  v: MedicationDispense.performer.actor
short:
  v: The author of the medical decision, see also 'Guidance - Authorship'
definition:
  v: The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.performer.actor
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole
    l: ch-emed-practitionerrole
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: rim
  map:
    v: .role

id:
  v: MedicationDispense.performer.actor.id
path:
  v: MedicationDispense.performer.actor.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.performer.actor.extension
path:
  v: MedicationDispense.performer.actor.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.performer.actor.reference
path:
  v: MedicationDispense.performer.actor.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.performer.actor.type
path:
  v: MedicationDispense.performer.actor.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    l: http://hl7.org/fhir/ValueSet/resource-types
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.performer.actor.identifier
path:
  v: MedicationDispense.performer.actor.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationDispense.performer.actor.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationDispense.performer.actor.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationDispense.location
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.location
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.location
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Location|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Location
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=LOC].role

id:
  v: MedicationDispense.authorizingPrescription
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.authorizingPrescription
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: Maps to basedOn in Event logical model.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.authorizingPrescription
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/MedicationRequest
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: v2
  map:
    v: ORC-2 Placer Order Number
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.inFulfillmentOf

id:
  v: MedicationDispense.type
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.type
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationDispenseType
  strength:
    v: example
  description:
    v: Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
    l: v3-ActPharmacySupplyType
mapping:
  identity:
    v: v2
  map:
    v: RXD-33-Dispense Type
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.SupplyEvent.code

id:
  v: MedicationDispense.quantity
path:
  v: MedicationDispense.quantity
short:
  v: Number of packages
definition:
  v: The amount of medication that has been dispensed. Includes unit of measure.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.quantity
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
    l: Quantity
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity
    l: ch-emed-epr-amount-quantity
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
mapping:
  identity:
    v: rim
  map:
    v: .quantity
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.SupplyEvent.quantity

id:
  v: MedicationDispense.daysSupply
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.daysSupply
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.daysSupply
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
    l: Quantity
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-time-quantity
    l: ch-emed-epr-time-quantity
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: TQ1.6 Timing/Quantity Segment Service Duration. Prior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string, first character for the time unit (e.g., D=days), followed by the value. For example, “D14” represents “14 days supply” From v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^ For backwards compatibility, ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6
mapping:
  identity:
    v: rim
  map:
    v: effectiveUseTime

id:
  v: MedicationDispense.whenPrepared
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.whenPrepared
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.whenPrepared
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: RXD-3-Date/Time Dispensed
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime[xmi:type=IVL_TS].low
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.SupplyEvent.effectiveTime

id:
  v: MedicationDispense.whenHandedOver
path:
  v: MedicationDispense.whenHandedOver
short:
  v: When product was given out
definition:
  v: The time the dispensed product was provided to the patient or their representative.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.whenHandedOver
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: v2
  map:
    v: RXD-3-Date/Time Dispensed
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime[xmi:type=IVL_TS].high
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.SupplyEvent.effectiveTime

id:
  v: MedicationDispense.destination
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.destination
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.destination
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Location|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Location
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=DST].role
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.SupplyEvent.destination

id:
  v: MedicationDispense.receiver
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.receiver
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.receiver
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=RCV].role
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.SupplyEvent.receiver

id:
  v: MedicationDispense.note
path:
  v: MedicationDispense.note
short:
  v: Information about the dispense
definition:
  v: Extra information about the dispense that could not be conveyed in the other attributes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: v2
  map:
    v: RXD-9 Dispense Notes
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]

id:
  v: MedicationDispense.note.id
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.id
representation:
  v: xmlAttr
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.note.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: MedicationDispense.note.author[x]
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.author[x]
short:
  v: ✕ The note author is ignored, as it cannot be different than the document and/or entry's author
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: Organization is used when there's no need for specific attribution as to who made the comment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Annotation.author[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Organization
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.participant[typeCode=AUT].role

id:
  v: MedicationDispense.note.time
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.time
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Annotation.time
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.effectiveTime

id:
  v: MedicationDispense.note.text
path:
  v: MedicationDispense.note.text
short:
  v: The annotation text content (as raw text, no markdown allowed).
definition:
  v: The text of the annotation in markdown format.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Annotation.text
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: markdown
    l: markdown
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.text

id:
  v: MedicationDispense.dosageInstruction
path:
  v: MedicationDispense.dosageInstruction
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: $this
  rules:
    v: closed
short:
  v: How the medication should be taken
definition:
  v: Indicates how the medication is to be used by the patient.
comment:
  v: When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.
min:
  v: 1
max:
  v: *
base:
  path:
    v: MedicationDispense.dosageInstruction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Dosage
    l: Dosage
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-dosage
    l: ch-core-dosage
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]

id:
  v: MedicationDispense.dosageInstruction:baseEntry
path:
  v: MedicationDispense.dosageInstruction
slice name:
  v: baseEntry
short:
  v: Base entry of the dosage instruction
definition:
  v: Indicates how the medication is to be used by the patient.
comment:
  v: When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.dosageInstruction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Dosage
    l: Dosage
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage
    l: ch-emed-epr-dosage
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]

id:
  v: MedicationDispense.dosageInstruction:additionalEntry
path:
  v: MedicationDispense.dosageInstruction
slice name:
  v: additionalEntry
short:
  v: Additional entry of the dosage instruction
definition:
  v: Indicates how the medication is to be used by the patient.
comment:
  v: When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.dosageInstruction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Dosage
    l: Dosage
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split
    l: ch-emed-epr-dosage-split
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]

id:
  v: MedicationDispense.substitution
path:
  v: MedicationDispense.substitution
short:
  v: Whether a substitution was performed on the dispense
definition:
  v: Indicates whether or not substitution was made as part of the dispense. In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.substitution
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ch-meddis-1
  severity:
    v: warning
  human:
    v: If no substitution was performed, no type is expected.
  expression:
    v: wasSubstituted = true or (wasSubstituted = false and type.exists().not())
  source:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medicationdispense
    l: ch-core-medicationdispense
constraint:
  key:
    v: ch-emed-dis-1
  severity:
    v: error
  human:
    v: If no substitution was performed, no type is expected.
  expression:
    v: wasSubstituted = true or (wasSubstituted = false and type.exists().not())
  source:
    v: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense
    l: ch-emed-medicationdispense
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.substitutionMade

id:
  v: MedicationDispense.substitution.id
path:
  v: MedicationDispense.substitution.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.substitution.extension
path:
  v: MedicationDispense.substitution.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.substitution.modifierExtension
path:
  v: MedicationDispense.substitution.modifierExtension
short:
  v: Extension
definition:
  v: An Extension
comment:
  v: ...All modifiers SHALL be documented in the profile, in order to be usable.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: BackboneElement.modifierExtension
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    v: 0
  max:
    v: *
type:
  code:
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    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true

id:
  v: MedicationDispense.substitution.wasSubstituted
path:
  v: MedicationDispense.substitution.wasSubstituted
short:
  v: Whether a substitution was (true) or was not (false) performed on the dispense
definition:
  v: True if the dispenser dispensed a different drug or product from what was prescribed.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationDispense.substitution.wasSubstituted
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .actionNegationInd

id:
  v: MedicationDispense.substitution.type
path:
  v: MedicationDispense.substitution.type
short:
  v: If 'wasSubstituted = true', the type can be defined in addition (optional). If 'wasSubstituted = false', no type is expected.
definition:
  v: A code signifying whether a different drug was dispensed from what was prescribed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationDispense.substitution.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: required
  value set:
    v: http://fhir.ch/ig/ch-term/ValueSet/ActSubstanceAdminSubstitutionCode
    l: ActSubstanceAdminSubstitutionCode
mapping:
  identity:
    v: v2
  map:
    v: RXO-9-Allow Substitutions / RXE-9-Substitution Status
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.substitutionMade.code

id:
  v: MedicationDispense.substitution.type.id
path:
  v: MedicationDispense.substitution.type.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.substitution.type.extension
path:
  v: MedicationDispense.substitution.type.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationDispense.substitution.type.coding
path:
  v: MedicationDispense.substitution.type.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
pattern: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
    l: v3-substanceAdminSubstitution
  code:
    v: E
  display:
    v: equivalent
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: MedicationDispense.substitution.type.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationDispense.substitution.type.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: MedicationDispense.substitution.reason
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.substitution.reason
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.substitution.reason
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationIntendedSubstitutionReason
  strength:
    v: example
  description:
    v: A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason
    l: v3-SubstanceAdminSubstitutionReason
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.substitutionMade.reasonCode

id:
  v: MedicationDispense.substitution.responsibleParty
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.substitution.responsibleParty
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.substitution.responsibleParty
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PFM].role[classCode=ASSIGN]
mapping:
  identity:
    v: rx-dispense-rmim
  map:
    v: CombinedMedicationDispense.substitutionMade.ResponsibleParty

id:
  v: MedicationDispense.detectedIssue
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.detectedIssue
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.
alias:
  v: Contraindication
alias:
  v: Drug Utilization Review (DUR)
alias:
  v: Alert
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.detectedIssue
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DetectedIssue|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DetectedIssue
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value

id:
  v: MedicationDispense.eventHistory
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.eventHistory
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
comment:
  v: This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationDispense.eventHistory
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Provenance
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

element:
  id:
    v: MedicationDispense
  path:
    v: MedicationDispense
  constraint:
    key:
      v: split-dosage-instruction-unit-must-match-base-dosage-instruction
    severity:
      v: error
    human:
      v: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
    expression:
      v: (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1
    source:
      v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationdispense
      l: ch-emed-epr-medicationdispense
element:
  id:
    v: MedicationDispense.meta.extension
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.meta.extension
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.meta.versionId
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.meta.versionId
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.meta.lastUpdated
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.meta.lastUpdated
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.meta.source
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.meta.source
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.meta.security
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.meta.security
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.meta.tag
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.meta.tag
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.implicitRules
  path:
    v: MedicationDispense.implicitRules
  comment:
    v: ...All modifiers SHALL be documented in the profile, in order to be usable.
  max:
    v: 0
element:
  id:
    v: MedicationDispense.extension
  path:
    v: MedicationDispense.extension
  min:
    v: 1
element:
  id:
    v: MedicationDispense.extension:prescription
  path:
    v: MedicationDispense.extension
  slice name:
    v: prescription
  short:
    v: Reference to te medication prescription. This item is mandantory if the treatment has already been prescribed.
element:
  id:
    v: MedicationDispense.extension:pharmaceuticalAdvice
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.extension
  slice name:
    v: pharmaceuticalAdvice
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.extension:treatmentPlan
  path:
    v: MedicationDispense.extension
  slice name:
    v: treatmentPlan
  min:
    v: 1
element:
  id:
    v: MedicationDispense.modifierExtension
  path:
    v: MedicationDispense.modifierExtension
  comment:
    v: ...All modifiers SHALL be documented in the profile, in order to be usable.
  max:
    v: 0
element:
  id:
    v: MedicationDispense.partOf
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.partOf
  short:
    v: ✕ This element is not supported
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.statusReason[x]
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code
      v: draft
  path:
    v: MedicationDispense.statusReason[x]
  short:
    v: ✕ This is only meaningful when the dispense was not performed
  definition:
    v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
element:
  id:
    v: MedicationDispense.category
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
      l: structuredefinition-standards-status
    value: Code

Code
v: draft

v: MedicationDispense.category

v: ✕ This element is not supported

v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.medication[x]
path:
  v: MedicationDispense.medication[x]
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication
    l: ch-core-medication

id:
  v: MedicationDispense.medication[x]:medicationReference
path:
  v: MedicationDispense.medication[x]
slice name:
  v: medicationReference
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication-medicationdispense
    l: ch-emed-epr-medication-medicationdispense
  aggregation:
    v: contained

id:
  v: MedicationDispense.subject
path:
  v: MedicationDispense.subject
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient
    l: ch-emed-epr-patient
  aggregation:
    v: referenced
  aggregation:
    v: bundled

id:
  v: MedicationDispense.context
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.context
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.supportingInformation
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.supportingInformation
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.performer.modifierExtension
path:
  v: MedicationDispense.performer.modifierExtension
comment:
  v: ...All modifiers SHALL be documented in the profile, in order to be usable.
max:
  v: 0

id:
  v: MedicationDispense.location
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.location
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.authorizingPrescription
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.authorizingPrescription
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.type
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.type
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.quantity
path:
  v: MedicationDispense.quantity
type:
  code:
    v: Quantity
    l: Quantity
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity
    l: ch-emed-epr-amount-quantity

id:
  v: MedicationDispense.daysSupply
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.daysSupply
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.
type:
  code:
    v: Quantity
    l: Quantity
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-time-quantity
    l: ch-emed-epr-time-quantity

id:
  v: MedicationDispense.whenPrepared
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.whenPrepared
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.destination
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.destination
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.receiver
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.receiver
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.note.id
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.id
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.note.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.extension
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.note.author[x]
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.author[x]
short:
  v: ✕ The note author is ignored, as it cannot be different than the document and/or entry's author
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.note.time
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.note.time
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.note.text
path:
  v: MedicationDispense.note.text
short:
  v: The annotation text content (as raw text, no markdown allowed).

id:
  v: MedicationDispense.dosageInstruction:baseEntry
path:
  v: MedicationDispense.dosageInstruction
slice name:
  v: baseEntry
type:
  code:
    v: Dosage
    l: Dosage
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage
    l: ch-emed-epr-dosage

id:
  v: MedicationDispense.dosageInstruction:additionalEntry
path:
  v: MedicationDispense.dosageInstruction
slice name:
  v: additionalEntry
type:
  code:
    v: Dosage
    l: Dosage
  profile:
    v: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split
    l: ch-emed-epr-dosage-split

id:
  v: MedicationDispense.substitution.modifierExtension
path:
  v: MedicationDispense.substitution.modifierExtension
comment:
  v: ...All modifiers SHALL be documented in the profile, in order to be usable.
max:
  v: 0

id:
  v: MedicationDispense.substitution.type.coding
path:
  v: MedicationDispense.substitution.type.coding
pattern: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
    l: v3-substanceAdminSubstitution
  code:
    v: E
  display:
    v: equivalent

id:
  v: MedicationDispense.substitution.reason
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.substitution.reason
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.substitution.responsibleParty
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.substitution.responsibleParty
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.detectedIssue
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.detectedIssue
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.

id:
  v: MedicationDispense.eventHistory
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
path:
  v: MedicationDispense.eventHistory
short:
  v: ✕ This element is not supported
definition:
  v: Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile.