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{
  "resourceType": "StructureDefinition",
  "id": "England-MedicationDispense",
  "url": "https://fhir.nhs.uk/StructureDefinition/England-MedicationDispense",
  "version": "1.0.0",
  "name": "EnglandMedicationDispense",
  "title": "England MedicationDispense",
  "status": "draft",
  "date": "2023-08-18",
  "publisher": "NHS England",
  "contact": [
    {
      "name": "NHS England",
      "telecom": [
        {
          "system": "email",
          "value": "interoperabilityteam@nhs.net",
          "use": "work",
          "rank": 1
        }
      ]
    }
  ],
  "description": "This profile defines the NHS England constraints and extensions on the FHIR UK Core resource [UK Core MedicationDispense](https://simplifier.net/hl7fhirukcorer4/ukcore-MedicationDispense).",
  "purpose": "Dispensing a medication to a named patient. 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.",
  "copyright": "Copyright © 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \\\"License\\\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \\\"AS IS\\\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationDispense",
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationDispense.extension",
        "path": "MedicationDispense.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "MedicationDispense.extension:prescriptionStatus",
        "path": "MedicationDispense.extension",
        "sliceName": "prescriptionStatus",
        "short": "This is the overall status of the `prescription-order`",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/StructureDefinition/Extension-England-EPSTaskBusinessStatus"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.extension:prescriptionNonDispensingReason",
        "path": "MedicationDispense.extension",
        "sliceName": "prescriptionNonDispensingReason",
        "short": "This is the non dispensing reason for the overall prescription",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/StructureDefinition/Extension-England-DMPrescriptionNonDispensingReason"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.extension:repeatInformation",
        "path": "MedicationDispense.extension",
        "sliceName": "repeatInformation",
        "short": "Repeat Prescribing and Dispensing",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/StructureDefinition/Extension-England-EPSRepeatInformation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.extension:supplyHeaderIdentifier",
        "path": "MedicationDispense.extension",
        "sliceName": "supplyHeaderIdentifier",
        "short": "Identifier for the SupplyHeader",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/StructureDefinition/Extension-England-EPSSupplyHeaderIdentifier"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.identifier",
        "path": "MedicationDispense.identifier",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.identifier.system",
        "path": "MedicationDispense.identifier.system",
        "min": 1
      },
      {
        "id": "MedicationDispense.identifier.value",
        "path": "MedicationDispense.identifier.value",
        "min": 1
      },
      {
        "id": "MedicationDispense.status",
        "path": "MedicationDispense.status",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.statusReason[x]",
        "path": "MedicationDispense.statusReason[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.statusReason[x].coding",
        "path": "MedicationDispense.statusReason[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "MedicationDispense.statusReason[x].coding.system",
        "path": "MedicationDispense.statusReason[x].coding.system",
        "min": 1
      },
      {
        "id": "MedicationDispense.statusReason[x].coding.code",
        "path": "MedicationDispense.statusReason[x].coding.code",
        "min": 1
      },
      {
        "id": "MedicationDispense.statusReason[x].coding:notDispensedStatusReason",
        "path": "MedicationDispense.statusReason[x].coding",
        "sliceName": "notDispensedStatusReason",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.nhs.uk/ValueSet/England-DMMedicationDispenseStatusReason"
        }
      },
      {
        "id": "MedicationDispense.statusReason[x].coding:notDispensedStatusReason.system",
        "path": "MedicationDispense.statusReason[x].coding.system",
        "fixedUri": "https://fhir.nhs.uk/ValueSet/England-DMMedicationDispenseStatusReason"
      },
      {
        "id": "MedicationDispense.statusReason[x].coding:amendmentStatusReason",
        "path": "MedicationDispense.statusReason[x].coding",
        "sliceName": "amendmentStatusReason",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.nhs.uk/ValueSet/England-DMTaskReasonCode"
        }
      },
      {
        "id": "MedicationDispense.statusReason[x].coding:amendmentStatusReason.system",
        "path": "MedicationDispense.statusReason[x].coding.system",
        "fixedUri": "https://fhir.nhs.uk/CodeSystem/England-EPSTaskDispenseWithdrawReason"
      },
      {
        "id": "MedicationDispense.category.coding.system",
        "path": "MedicationDispense.category.coding.system",
        "min": 1
      },
      {
        "id": "MedicationDispense.category.coding.code",
        "path": "MedicationDispense.category.coding.code",
        "min": 1
      },
      {
        "id": "MedicationDispense.medication[x]",
        "path": "MedicationDispense.medication[x]",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/CodeableConcept"
            ]
          },
          {
            "code": "Reference",
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://fhir.nhs.uk/ValueSet/England-MedicationCode"
        }
      },
      {
        "id": "MedicationDispense.subject",
        "path": "MedicationDispense.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "aggregation": [
              "referenced",
              "bundled"
            ]
          }
        ],
        "constraint": [
          {
            "key": "nhse-mdd-001",
            "severity": "warning",
            "human": "subject - An identifier reference or resource reference must be provided",
            "expression": "(reference.exists() or (identifier.exists()))"
          },
          {
            "key": "nhse-mdd-002",
            "severity": "error",
            "human": "Length of the supplied NHS Number is wrong.",
            "expression": "identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists().not() or (identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists()  and identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').value.matches('^([0-9]{10})$'))",
            "source": "https://fhir.nhs.uk/StructureDefinition/England-Claim"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.subject.identifier.system",
        "path": "MedicationDispense.subject.identifier.system",
        "min": 1,
        "fixedUri": "https://fhir.nhs.uk/Id/nhs-number"
      },
      {
        "id": "MedicationDispense.subject.identifier.value",
        "path": "MedicationDispense.subject.identifier.value",
        "min": 1
      },
      {
        "id": "MedicationDispense.performer",
        "path": "MedicationDispense.performer",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.performer.actor",
        "path": "MedicationDispense.performer.actor",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Reference"
            ],
            "aggregation": [
              "contained"
            ]
          }
        ],
        "constraint": [
          {
            "key": "nhse-mdd-003",
            "severity": "error",
            "human": "An identifier reference or resource reference must be provided",
            "expression": "(reference.exists() or identifier.exists())"
          }
        ]
      },
      {
        "id": "MedicationDispense.location.identifier.system",
        "path": "MedicationDispense.location.identifier.system",
        "min": 1
      },
      {
        "id": "MedicationDispense.location.identifier.value",
        "path": "MedicationDispense.location.identifier.value",
        "min": 1
      },
      {
        "id": "MedicationDispense.location.display",
        "path": "MedicationDispense.location.display",
        "min": 1
      },
      {
        "id": "MedicationDispense.authorizingPrescription",
        "path": "MedicationDispense.authorizingPrescription",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "aggregation": [
              "contained",
              "referenced"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.authorizingPrescription.reference",
        "path": "MedicationDispense.authorizingPrescription.reference",
        "min": 1
      },
      {
        "id": "MedicationDispense.type",
        "path": "MedicationDispense.type",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "A ValueSet to identify the type of medication item status.",
          "valueSet": "https://fhir.nhs.uk/ValueSet/England-DMMedicationDispenseType"
        }
      },
      {
        "id": "MedicationDispense.type.coding.system",
        "path": "MedicationDispense.type.coding.system",
        "min": 1
      },
      {
        "id": "MedicationDispense.type.coding.code",
        "path": "MedicationDispense.type.coding.code",
        "min": 1
      },
      {
        "id": "MedicationDispense.quantity",
        "path": "MedicationDispense.quantity",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.quantity.extension",
        "path": "MedicationDispense.quantity.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "MedicationDispense.quantity.extension:runningTotal",
        "path": "MedicationDispense.quantity.extension",
        "sliceName": "runningTotal",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/StructureDefinition/Extension-England-DMRunningTotal"
            ]
          }
        ]
      },
      {
        "id": "MedicationDispense.quantity.value",
        "path": "MedicationDispense.quantity.value",
        "min": 1
      },
      {
        "id": "MedicationDispense.quantity.unit",
        "path": "MedicationDispense.quantity.unit",
        "min": 1
      },
      {
        "id": "MedicationDispense.quantity.system",
        "path": "MedicationDispense.quantity.system",
        "min": 1
      },
      {
        "id": "MedicationDispense.quantity.code",
        "path": "MedicationDispense.quantity.code",
        "min": 1
      },
      {
        "id": "MedicationDispense.daysSupply",
        "path": "MedicationDispense.daysSupply",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.whenPrepared",
        "path": "MedicationDispense.whenPrepared",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.whenHandedOver",
        "path": "MedicationDispense.whenHandedOver",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.receiver",
        "path": "MedicationDispense.receiver",
        "max": "1"
      },
      {
        "id": "MedicationDispense.dosageInstruction",
        "path": "MedicationDispense.dosageInstruction",
        "type": [
          {
            "code": "Dosage",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Dosage"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}

name : EnglandMedicationDispense

{

}