MedicationDispense

Key: = Must support, = QICore-defined extension, = Is-Modifier

Field	Card.	Type and Description
authorizingPrescription	`0..*`	`List<Reference>` Indicates the medication order that is being dispensed against.
category	`0..1`	`Concept` Indicates type of medication dispense and where the medication is expected to be consumed or administered. Binding: MedicationDispenseCategory (Preferred)
context	`0..1`	`Reference` The encounter or episode of care that establishes the context for this event.
daysSupply	`0..1`	`Quantity` The amount of medication expressed as a timing amount.
destination	`0..1`	`Reference` Identification of the facility/location where the medication was shipped to, as part of the dispense event.
detectedIssue	`0..*`	`List<Reference>` Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.
dosageInstruction	`0..*`	`List<Dosage>` Indicates how the medication is to be used by the patient.
doseType	`0..1`	`Extension` The type of dose, e.g., initial, maintenance, loading.
eventHistory	`0..*`	`List<Reference>` A summary of the events of interest that have occurred, such as when the dispense was verified.
identifier	`0..*`	`List<Identifier>` Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.
infuseOver	`0..1`	`Extension` For infused medications, the length of time the infusion process, as a duration. Note the difference between infuseOver and duration of treatment (specified in administrationFrequency). An order may call for infusing a patient TID for an hour each time over a duration of 5 days.
maxDeliveryRate	`0..1`	`Extension` The maximum rate of substance administration. For volume medications, the maximum rate is to be expressed as a volume per time period. This value may be used as a stopping condition when a deliveryRateIncrement is specified without a count.
maxDeliveryVolume	`0..1`	`Extension` The maximum volume of fluid to administer to a patient.
medication[x]	`1..1`	`Concept \| Reference` 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. Binding: value set (Preferred)
minDosePerPeriod	`0..1`	`Extension` The minimum total quantity of a therapeutic substance that may be administered to a subject over the period of time. E.g., 10 mg in 24 hours.
notDone	`0..1`	`Boolean` True if the dispense was not performed for some reason.
notDoneReason[x]	`0..1`	`Concept \| Reference` Indicates the reason why a dispense was not performed.
note	`0..*`	`List<Annotation>` Extra information about the dispense that could not be conveyed in the other attributes.
partOf	`0..*`	`List<Reference>` The procedure that the dispense is done because of.
performer	`0..*`	`List<Performer>` Indicates who or what performed the event. It should be assumed that the performer is the dispenser of the medication.
quantity	`0..1`	`Quantity` The amount of medication that has been dispensed. Includes unit of measure.
rateGoal	`0..1`	`Extension` The target rate to reach for this infusion. Note that deliveryRateGoal is typically less than the maximum delivery rate which is the rate not to exceed. For enteral feeding orders, a target tube feeding rate of 75ml/hour may be specified.
rateIncrement	`0..1`	`Extension` Change in the dosing rate applied each rateIncrementInterval, e.g., 20 mL/hour. The rate increment is usually an increase for a patient who is initiating tube feeding. The increase is continued until the maxDeliveryRate or rateGoal is reached.
rateIncrementInterval	`0..1`	`Extension` Period of time after which the rate increment should be attempted, e.g., 4 hours.
receiver	`0..*`	`List<Reference>` Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.
refillsRemaining	`0..1`	`Extension` Number of refills allowed or remaining after a dispensing event.
status	`0..1`	`String` A code specifying the state of the set of dispense events. Binding: MedicationDispenseStatus (Required)
subject	`0..1`	`Reference` A link to a resource representing the person or the group to whom the medication will be given.
substitution	`0..1`	`Substitution` 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.
supportingInformation	`0..*`	`List<Reference>` Additional information that supports the medication being dispensed.
type	`0..1`	`Concept` Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. (Example)
validityPeriod	`0..1`	`Extension` The time interval when the medication must be administered. The start and end times must be expressed as dateTimes, not times relative to the dispensing time (e.g. use within 24 hours).
whenHandedOver	`0..1`	`DateTime` The time the dispensed product was provided to the patient or their representative.
whenPrepared	`0..1`	`DateTime` The time when the dispensed product was packaged and reviewed.

Key: = Must support, = QICore-defined extension, = Is-Modifier