Page Status: updated 2024-10-28

NLLDispensePaperPrescription (MedicationDispense)

Page index

Introduction
Overview
- Contained resources
Details
Supported operations

Introduction

The MedicationDispense resource, shown in the profile NLLDispensePaperPrescription, is used when a dispense is made based on a paper prescription; i.e. the dispense is authorized by a prescription that currently is NOT electronically registered in the Swedish National Medication List.

Note that one major difference between the profiles NLLMedicationDispense (used for dispenses where the prescription is electronically registered in the National Medication List) and NLLDispensePaperPrescription is how data about the authorizing prescription is provided. NLLMedicationDispense has a reference to the prescription, whilst NLLDispensePaperPrescription has a set of attributes that contain prescription details.

Regarding information about how the "must support"-property is used in the Swedish National MedicationList, please refer to the page Resources

Overview

NLLDispensePaperPrescription (MedicationDispense)	I		MedicationDispense	Element id MedicationDispense Short description A medication dispense to a specific patient authorzied by a paper prescription Definition A dispense for a paper prescription is a medication dispense where the authorizing prescription is not registererd in the National Swedish Medication List but is instead made based on a prescription in paper format. Data type MedicationDispense Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() mdd-1: whenHandedOver cannot be before whenPrepared `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared` Mappings rim: Entity. Role, or Act workflow: Event rim: Supply[moodCode=EVN]
id	S Σ	0..1	string	Element id MedicationDispense.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. This id is identified by the URI http://electronichealth.se/identifier/nllmedicationdispenseid in documentation and external systems. Data type string Mappings EHM: Logiskt id för uttag pappersrecept
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element id MedicationDispense.meta Short description Metadata about the resource Definition 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
versionId	S Σ	0..1	id	Element id MedicationDispense.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments 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. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings EHM: Uttagsversion för uttag pappersrecept
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id MedicationDispense.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments 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 interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source	Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationDispense.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile	Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id MedicationDispense.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments 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. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
security	S Σ	0..*	CodingBinding	Element id MedicationDispense.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments 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. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. security-labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.meta.security.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.meta.security.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationDispense.meta.security.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.meta.security.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	code	There are no (further) constraints on this element Element id MedicationDispense.meta.security.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.meta.security.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationDispense.meta.security.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id MedicationDispense.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments 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. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id MedicationDispense.implicitRules Short description A set of rules under which this content was created Definition 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. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id MedicationDispense.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id MedicationDispense.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition 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. Comments 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id MedicationDispense.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition 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. Comments 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. Data type Resource Mappings rim: N/A
extension	I	1..*	Extension	Element id MedicationDispense.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
nllDispatchId	S I	0..1	Extension(string)	Element id MedicationDispense.extension:nllDispatchId Short description The identifier of the dispatch in which the dispense was made Alternate names extensions, user content Definition Value is treated as an integer, i.e the String can only contain numbers. May be entered by the pharmacy, otherwise it is calculated by the Swedish E-health Agency . Comments 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. Data type Extension(string) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLDispatchId Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Expeditions-id
nllNumberOfPackagesDispensed	S I	0..1	Extension(positiveInt)	Element id MedicationDispense.extension:nllNumberOfPackagesDispensed Short description Number of packages dspensed Alternate names extensions, user content Definition Number of packages dspensed Comments 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. Data type Extension(positiveInt) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesDispensed Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Antal expedierade förpackningar
nllActorDispatchId	S I	0..1	Extension(string)	Element id MedicationDispense.extension:nllActorDispatchId Short description The identifier of the actors dispatch in which the dispense was made Alternate names extensions, user content Definition The identifier of the actors dispatch in which the dispense was made. Mandatory when creating a dispense for a paper prescription. Not present in all legacy data. Comments Maximum string length: 12 Data type Extension(string) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLActorDispatchId Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Aktörens expeditions-id
nllDispatchRowNo	S I	0..1	Extension(decimal)	Element id MedicationDispense.extension:nllDispatchRowNo Short description Identier for MedicationDispense within dispatch Alternate names extensions, user content Definition Used when communicationg an error or warning for a MedicationDispense within a dispatch. The DispatchRowNo (ExpeditionsRadNummer) uniquely identifies a MediationDispense within a dispatch. Mandatory when creating a detached dispense. Comments 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. Data type Extension(decimal) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLDispatchRowNo Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Aktörens expeditionsradnummer
nllBenefitChoiceCode	S I	0..1	Extension(code)Binding	Element id MedicationDispense.extension:nllBenefitChoiceCode Short description Benefit choice Alternate names extensions, user content Definition Type of benefit for the dispense. Only used for validation (input only). Comments 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. Data type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLBenefitChoiceCode Binding benefit-choices (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Förmånsval
nllPrescriptionDetails	S I	1..1	Extension(Complex)	Element id MedicationDispense.extension:nllPrescriptionDetails Short description Information from the authorizing prescription Alternate names extensions, user content Definition Information from the authorizing prescription Comments 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. Data type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionDetails Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	1..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
nllPrescriptionDate	S I	0..1	Extension	Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate Short description Date when prescription was initially authored Alternate names extensions, user content Definition Date when prescription was initially authored. <br> Only used for validation (input only). Comments _ Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Utfärdandedatum
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nllPrescriptionDate Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDateTime			dateTime	There are no (further) constraints on this element Data type dateTime
nllPrescriber	S I	1..1	Extension	Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber Short description Prescriber Alternate names extensions, user content Definition The prescriber as a contained Practitioner resource (confirming to the NLLPractitioner profile). Comments _ Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Utfärdande förskrivare
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nllPrescriber Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueReference			Reference(NLLPractitioner)	There are no (further) constraints on this element Data type Reference(NLLPractitioner) Allowed aggregation: contained
nllRegistrationBasis	S I	0..1	ExtensionBinding	Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis Short description PAPER \| PHONE Alternate names extensions, user content Definition Original format of the prescription. Only used for validation. Input only. For a detached dispense the allowed values are PAPER or PHONE. Comments _ Data type Extension Binding registration-basis (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Typ av registeringsunderlag
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nllRegistrationBasis Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCode			code	There are no (further) constraints on this element Data type code
nllCountryCode	S I	0..1	Extension	Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode Short description Deprecated. Country code Alternate names extensions, user content Definition NB! Deprecated, Practitioner.address.country should be used. Country code, as defined on the authorizing prescription ISO 3166-1 alpha-2 Example: NO (Norway) Comments Maximum string length: 2 Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Landskod
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nllCountryCode Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCode			code	There are no (further) constraints on this element Data type code
nllSubstitutionAllowed	S I	0..1	Extension	Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed Short description Indicates if medication may be substituted Alternate names extensions, user content Definition Indicates if medication may be substituted (sv: generisk substitution tillåten) <br> Only used for validation (input only). Comments _ Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Substitution tillåten
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nllSubstitutionAllowed Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueBoolean			boolean	There are no (further) constraints on this element Data type boolean
nllFirstDispenseBefore	S I	0..1	Extension	Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore Short description First dispense must occur before Alternate names extensions, user content Definition Not used for dose dispensed prescriptions The first dispense must occur before this date. If not, the prescription is invalidated.<br> Only used for validation (input only). Comments _ Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Första uttag före
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nllFirstDispenseBefore Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
nllPrescriberCostCenter	S I	0..1	Extension	Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter Short description The prescribers cost center Alternate names extensions, user content Definition The prescribers cost center code when making the prescription. Used for benefit billing within the regions. Comments Minimum string length: 3 Maximum string length: 13 Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Kostnadsställe (arbetsplatskod)
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nllPrescriberCostCenter Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueIdentifier			Identifier	There are no (further) constraints on this element Data type Identifier
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.5 rim: Role.code or implied by context
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].system Short description Cost center (sv arbetsplatskod) Definition The cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/identifier/arbetsplatskod Mappings v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].value Short description Cost center (sv arbetsplatskod) value Definition The value of the cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ	0..1	Period	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionDetails Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id MedicationDispense.extension:nllPrescriptionDetails.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
nllDispenseCrediting	S I	0..1	Extension(Complex)	Element id MedicationDispense.extension:nllDispenseCrediting Short description Crediting details Alternate names extensions, user content Definition Crediting details for a dispense. Only used when crediting a dispense. Comments 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. Data type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLDispenseCrediting Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	2..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
creditDate	S I	1..1	Extension	Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDate Short description Credit date Alternate names extensions, user content Definition The date when the dispense was credited. Comments _ Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Krediteringstidpunkt
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value creditDate Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDateTime			dateTime	There are no (further) constraints on this element Data type dateTime
creditDispatchId	S I	1..1	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId Short description Credit dispatch id Alternate names extensions, user content Definition The id of the crediting dispatch. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Krediterande expeditions-id
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value creditDispatchId Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
creditDispatchRowNo	S I	0..1	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo Short description Credit dispatch row number Alternate names extensions, user content Definition NB! New attribute planned in release 21.9. Display only. The row number of the crediting dispatch. Identifier for a dispense within a credited dispatch. The crediting row number is submitted in the attribute 'MedicationDispense.extension:nllDispatchRowNo', but will be displayed in 'creditDispatchRowNo'. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Aktörens krediterande expeditionsradnummer
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value creditDispatchRowNo Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueBase64Binary			base64Binary	There are no (further) constraints on this element Data type base64Binary
valueBoolean			boolean	There are no (further) constraints on this element Data type boolean
valueCanonical			canonical()	There are no (further) constraints on this element Data type canonical()
valueCode			code	There are no (further) constraints on this element Data type code
valueDate			date	There are no (further) constraints on this element Data type date
valueDateTime			dateTime	There are no (further) constraints on this element Data type dateTime
valueDecimal			decimal	There are no (further) constraints on this element Data type decimal
valueId			id	There are no (further) constraints on this element Data type id
valueInstant			instant	There are no (further) constraints on this element Data type instant
valueInteger			integer	There are no (further) constraints on this element Data type integer
valueMarkdown			markdown	There are no (further) constraints on this element Data type markdown
valueOid			oid	There are no (further) constraints on this element Data type oid
valuePositiveInt			positiveInt	There are no (further) constraints on this element Data type positiveInt
valueString			string	There are no (further) constraints on this element Data type string
valueTime			time	There are no (further) constraints on this element Data type time
valueUnsignedInt			unsignedInt	There are no (further) constraints on this element Data type unsignedInt
valueUri			uri	There are no (further) constraints on this element Data type uri
valueUrl			url	There are no (further) constraints on this element Data type url
valueUuid			uuid	There are no (further) constraints on this element Data type uuid
valueAddress			Address	There are no (further) constraints on this element Data type Address
valueAge			Age	There are no (further) constraints on this element Data type Age
valueAnnotation			Annotation	There are no (further) constraints on this element Data type Annotation
valueAttachment			Attachment	There are no (further) constraints on this element Data type Attachment
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
valueCoding			Coding	There are no (further) constraints on this element Data type Coding
valueContactPoint			ContactPoint	There are no (further) constraints on this element Data type ContactPoint
valueCount			Count	There are no (further) constraints on this element Data type Count
valueDistance			Distance	There are no (further) constraints on this element Data type Distance
valueDuration			Duration	There are no (further) constraints on this element Data type Duration
valueHumanName			HumanName	There are no (further) constraints on this element Data type HumanName
valueIdentifier			Identifier	There are no (further) constraints on this element Data type Identifier
valueMoney			Money	There are no (further) constraints on this element Data type Money
valuePeriod			Period	There are no (further) constraints on this element Data type Period
valueQuantity			Quantity	There are no (further) constraints on this element Data type Quantity
valueRange			Range	There are no (further) constraints on this element Data type Range
valueRatio			Ratio	There are no (further) constraints on this element Data type Ratio
valueSampledData			SampledData	There are no (further) constraints on this element Data type SampledData
valueSignature			Signature	There are no (further) constraints on this element Data type Signature
valueTiming			Timing	There are no (further) constraints on this element Data type Timing
valueContactDetail			ContactDetail	There are no (further) constraints on this element Data type ContactDetail
valueContributor			Contributor	There are no (further) constraints on this element Data type Contributor
valueDataRequirement			DataRequirement	There are no (further) constraints on this element Data type DataRequirement
valueExpression			Expression	There are no (further) constraints on this element Data type Expression
valueParameterDefinition			ParameterDefinition	There are no (further) constraints on this element Data type ParameterDefinition
valueRelatedArtifact			RelatedArtifact	There are no (further) constraints on this element Data type RelatedArtifact
valueTriggerDefinition			TriggerDefinition	There are no (further) constraints on this element Data type TriggerDefinition
valueUsageContext			UsageContext	There are no (further) constraints on this element Data type UsageContext
valueDosage			Dosage	There are no (further) constraints on this element Data type Dosage
valueMeta			Meta	There are no (further) constraints on this element Data type Meta
valueReference			Reference()	There are no (further) constraints on this element Data type Reference()
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLDispenseCrediting Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id MedicationDispense.extension:nllDispenseCrediting.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
identifier		0..*	Identifier	There are no (further) constraints on this element Element id MedicationDispense.identifier Short description External identifier Definition 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. Comments This is a business identifier, not a resource identifier. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.identifier w5: FiveWs.identifier rim: .id rx-dispense-rmim: CombinedMedicationDispense.id
partOf		0..*	Reference(Procedure)	There are no (further) constraints on this element Element id MedicationDispense.partOf Short description Event that dispense is part of Definition The procedure that trigger the dispense. Data type Reference(Procedure) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.partOf rim: .outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]
status	S Σ ?!	1..1	codeBinding	Element id MedicationDispense.status Short description cancelled \| completed Definition Note! Used in NLL when a dispense is cancelled (sv: uttaget backat eller krediterat). Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data type code Binding A coded concept specifying the state of the dispense event. medication-dispense-status (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.status w5: FiveWs.status rim: .statusCode rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.statusCode EHM: Uttagsstatus
statusReason[x]		0..1		There are no (further) constraints on this element Element id MedicationDispense.statusReason[x] Short description Why a dispense was not performed Definition Indicates the reason why a dispense was not performed. Binding A code describing why a dispense was not performed. MedicationDispense Status Reason Codes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.statusReason rim: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="not done reason"].value
statusReasonCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
statusReasonReference			Reference(DetectedIssue)	There are no (further) constraints on this element Data type Reference(DetectedIssue)
category		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id MedicationDispense.category Short description Type of medication dispense Definition Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). Comments 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. Data type CodeableConcept Binding A code describing where the dispensed medication is expected to be consumed or administered. MedicationDispense Category Codes (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication dispense"].value
medication[x]	S Σ	1..1	Binding	Element id MedicationDispense.medication[x] Short description Dispensed medication Definition Identifies the medical product being prescribed. The codes used are Swedish NplId from medical product, NplPackId for medicine packages and Varunr for reimbursed consumables. For a medicine package, both the NplId and the NplPackId shall be provided. Varunr is not allowed to use when prescribing a medication. For a reimbursed consumable, only Varunr shall be provided. Comments _ Binding Swedish medicine packages and reimbursed consumables. http://electronichealth.se/fhir/ValueSet/medicines-consumables (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.code w5: FiveWs.what[x] v2: RXD-2-Dispense/Give Code rim: .participation[typeCode=PRD].role rx-dispense-rmim: CombinedMedicationRequest.component1.AdministrationRequest.consumable
medicationCodeableConcept			CodeableConcept	Data type CodeableConcept
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.medication[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..*	Coding	Element id MedicationDispense.medication[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Sliced: Unordered, Open, by system(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
nplid	S Σ	0..1	Coding	Element id MedicationDispense.medication[x].coding:nplid Short description NPL-id Definition A unique identifier of a medical product according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-id
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplid.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplid.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriFixed Value	Element id MedicationDispense.medication[x].coding:nplid.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/fhir/NamingSystem/nplid Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplid.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id MedicationDispense.medication[x].coding:nplid.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Maximum string length: 14 Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplid.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplid.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
nplpackid	S Σ	0..1	Coding	Element id MedicationDispense.medication[x].coding:nplpackid Short description NPL-pack-id Definition A unique identifier of a medical product package according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-pack-id
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplpackid.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplpackid.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriFixed Value	Element id MedicationDispense.medication[x].coding:nplpackid.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/fhir/NamingSystem/nplpackid Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplpackid.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id MedicationDispense.medication[x].coding:nplpackid.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Maximum string length: 14 Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplpackid.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:nplpackid.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
varunr	S Σ	0..1	Coding	Element id MedicationDispense.medication[x].coding:varunr Short description Varunummer Definition A unique identifier of a medical consumable according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Also a non-unique identifier of a medical product package. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: Varunummer
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:varunr.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:varunr.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriFixed Value	Element id MedicationDispense.medication[x].coding:varunr.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/fhir/NamingSystem/varunr Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:varunr.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id MedicationDispense.medication[x].coding:varunr.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Minimum string length: 6 Maximum string length: 6 Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:varunr.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationDispense.medication[x].coding:varunr.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.medication[x].text Short description Plain text representation of the concept Definition 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. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	S Σ	1..1	Reference(NLLPatient)	Element id MedicationDispense.subject Short description Which patient the dispense is for Definition A patient with personal identification number (sv: personnummer) must be referenced, other cases must be handled by containing the patient resource. Comments SubstanceAdministration->subject->Patient. Data type Reference(NLLPatient) Allowed aggregation: contained, referenced Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.subject w5: FiveWs.subject[x] v2: PID-3-Patient ID List rim: .participation[typeCode=SBJ].role[classCode=PAT] w5: FiveWs.subject EHM: Patient EHM: Patientreferens
context		0..1	Reference(Encounter \| EpisodeOfCare)	There are no (further) constraints on this element Element id MedicationDispense.context Short description Encounter / Episode associated with event Definition The encounter or episode of care that establishes the context for this event. Data type Reference(Encounter \| EpisodeOfCare) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.context rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
supportingInformation		0..*	Reference(Resource)	There are no (further) constraints on this element Element id MedicationDispense.supportingInformation Short description Information that supports the dispensing of the medication Definition Additional information that supports the medication being dispensed. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.context rim: .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)]
performer		0..*	BackboneElement	There are no (further) constraints on this element Element id MedicationDispense.performer Short description Who performed event Definition Indicates who or what performed the event. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.performer rim: .participation[typeCode=PRF]
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.performer.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.performer.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.performer.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
function		0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.performer.function Short description Who performed the dispense and what they did Definition Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker. Requirements Allows disambiguation of the types of involvement of different performers. Data type CodeableConcept Binding A code describing the role an individual played in dispensing a medication. MedicationDispense Performer Function Codes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: participation[typeCode=PRF].functionCode
actor		1..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element id MedicationDispense.performer.actor Short description Individual who was performing Definition The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication. Data type Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.performer.actor rim: .role
location		0..1	Reference(Location)	There are no (further) constraints on this element Element id MedicationDispense.location Short description Where the dispense occurred Definition The principal physical location where the dispense was performed. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .participation[typeCode=LOC].role
authorizingPrescription		0..0	Reference(MedicationRequest)	Element id MedicationDispense.authorizingPrescription Short description Medication order that authorizes the dispense Definition Indicates the medication order that is being dispensed against. In this profile, the authorizing prescription is always in paper form (current format) and/or there is no electronic presecription in NLL to refer to (sv: uttag där underlaget är ett papper eller ett utländskt e-recept) Comments Maps to basedOn in Event logical model. Data type Reference(MedicationRequest) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.basedOn v2: ORC-2 Placer Order Number rim: .outboundRelationship[typeCode=FLFS].target[moodCode=RQO] rx-dispense-rmim: CombinedMedicationDispense.inFulfillmentOf
type	S	1..1	CodeableConceptBinding	Element id MedicationDispense.type Short description Standard packing fill, Dose dispensed fill or Trial fill Definition Type is used for specifing if the dispense was a "Standard packing fill", "Trial fill" (startförpackning) or "Dose dispensed fill" in the Swedish National Medication List. (Trial fill is not used for dose dispensed fills). Dose dispensed fill can no longer occur for a dispense of a paper prescription. The code DD will be removed from the value set used by this profile in a future release. Data type CodeableConcept Binding Indicates the type of dispensing event that is performed, e.g. Standard packing fill, Trial fill or Dose dispense refill dispense-types (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXD-33-Dispense Type rim: .code rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.code EHM: Uttagstyp
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.type.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.type.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..1	Coding	There are no (further) constraints on this element Element id MedicationDispense.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.type.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.type.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationDispense.type.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.type.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationDispense.type.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.type.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationDispense.type.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.type.text Short description Plain text representation of the concept Definition 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. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
quantity	S	0..1	SimpleQuantity	Element id MedicationDispense.quantity Short description Amount dispensed Definition The amount of medication that has been dispensed. Includes unit of measure. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system rim: .quantity rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.quantity EHM: Expedierad mängd
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.quantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.quantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationDispense.quantity.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationDispense.quantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.quantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationDispense.quantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element id MedicationDispense.quantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
daysSupply		0..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationDispense.daysSupply Short description Amount of medication expressed as a timing amount Definition The amount of medication expressed as a timing amount. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: 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 rim: effectiveUseTime
whenPrepared	Σ	0..1	dateTime	There are no (further) constraints on this element Element id MedicationDispense.whenPrepared Short description When product was packaged and reviewed Definition The time when the dispensed product was packaged and reviewed. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXD-3-Date/Time Dispensed rim: .effectiveTime[xmi:type=IVL_TS].low rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.effectiveTime
whenHandedOver	S	1..1	dateTime	Element id MedicationDispense.whenHandedOver Short description When product was given out Definition The time the dispensed product was provided to the patient or their representative. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.occurrence[x] v2: RXD-3-Date/Time Dispensed rim: .effectiveTime[xmi:type=IVL_TS].high rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.effectiveTime EHM: Expedieringstidpunkt
destination		0..1	Reference(Location)	There are no (further) constraints on this element Element id MedicationDispense.destination Short description Where the medication was sent Definition Identification of the facility/location where the medication was shipped to, as part of the dispense event. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address rim: .participation[typeCode=DST].role rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.destination
receiver		0..*	Reference(Patient \| Practitioner)	There are no (further) constraints on this element Element id MedicationDispense.receiver Short description Who collected the medication Definition 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. Data type Reference(Patient \| Practitioner) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .participation[typeCode=RCV].role rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.receiver
note		0..*	Annotation	There are no (further) constraints on this element Element id MedicationDispense.note Short description Information about the dispense Definition Extra information about the dispense that could not be conveyed in the other attributes. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.note v2: RXD-9 Dispense Notes rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]
dosageInstruction	S	0..1	Dosage	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction Short description How the medication is to be used by the patient or administered by the caregiver Definition Indicates how the medication is to be used by the patient. Comments 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. Data type Dosage Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
sequence	Σ	0..1	integer	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.sequence Short description The order of the dosage instructions Definition Indicates the order in which the dosage instructions should be applied or interpreted. Requirements If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. Data type integer Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: TQ1-1 rim: .text
text	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.text Short description Free text dosage instructions e.g. SIG Definition Free text dosage instructions e.g. SIG. Requirements Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-6; RXE-21 rim: .text
additionalInstruction	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.additionalInstruction Short description Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Definition Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Requirements Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. Comments Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text. Data type CodeableConcept Binding A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMEDCTAdditionalDosageInstructions (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-7 rim: .text
patientInstruction	S Σ	1..1	string	Element id MedicationDispense.dosageInstruction.patientInstruction Short description Patient or consumer oriented instructions Definition Instructions in terms that are understood by the patient or consumer. Comments Maximum string length: 1016 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-7 rim: .text EHM: Doseringsinstruktion
timing	Σ	0..1	Timing	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.timing Short description When medication should be administered Definition When medication should be administered. Requirements The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. Data type Timing Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
asNeeded[x]	Σ	0..1		There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.asNeeded[x] Short description Take "as needed" (for x) Definition Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Comments Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". Binding A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. SNOMEDCTMedicationAsNeededReasonCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: TQ1-9 rim: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
asNeededBoolean			boolean	There are no (further) constraints on this element Data type boolean
asNeededCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
site	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.site Short description Body site to administer to Definition Body site to administer to. Requirements A coded specification of the anatomic site where the medication first enters the body. Comments If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Data type CodeableConcept Binding A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXR-2 rim: .approachSiteCode
route	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.route Short description How drug should enter body Definition How drug should enter body. Requirements A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. Data type CodeableConcept Binding A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXR-1 rim: .routeCode
method	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.method Short description Technique for administering medication Definition Technique for administering medication. Requirements A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. Comments Terminologies used often pre-coordinate this term with the route and or form of administration. Data type CodeableConcept Binding A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXR-4 rim: .doseQuantity
doseAndRate	Σ	0..*	Element	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.doseAndRate Short description Amount of medication administered Definition The amount of medication administered. Data type Element Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: TQ1-2
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.doseAndRate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.doseAndRate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
type	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.doseAndRate.type Short description The kind of dose or rate specified Definition The kind of dose or rate specified, for example, ordered or calculated. Requirements If the type is not populated, assume to be "ordered". Data type CodeableConcept Binding The kind of dose or rate specified. DoseAndRateType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-21; RXE-23
dose[x]	Σ	0..1		There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.doseAndRate.dose[x] Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-2, RXE-3 rim: .doseQuantity
doseRange			Range	There are no (further) constraints on this element Data type Range
doseQuantity			SimpleQuantity	There are no (further) constraints on this element Data type SimpleQuantity
rate[x]	Σ	0..1		There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.doseAndRate.rate[x] Short description Amount of medication per unit of time Definition Amount of medication per unit of time. Requirements Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXE22, RXE23, RXE-24 rim: .rateQuantity
rateRatio			Ratio	There are no (further) constraints on this element Data type Ratio
rateRange			Range	There are no (further) constraints on this element Data type Range
rateQuantity			SimpleQuantity	There are no (further) constraints on this element Data type SimpleQuantity
maxDosePerPeriod	Σ	0..1	Ratio	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.maxDosePerPeriod Short description Upper limit on medication per unit of time Definition Upper limit on medication per unit of time. Requirements The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. Comments This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". Data type Ratio Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-23, RXE-19 rim: .maxDoseQuantity
maxDosePerAdministration	Σ	0..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.maxDosePerAdministration Short description Upper limit on medication per administration Definition Upper limit on medication per administration. Requirements The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. Comments This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: not supported
maxDosePerLifetime	Σ	0..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationDispense.dosageInstruction.maxDosePerLifetime Short description Upper limit on medication per lifetime of the patient Definition Upper limit on medication per lifetime of the patient. Requirements The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: not supported
substitution	S	0..1	BackboneElement	There are no (further) constraints on this element Element id MedicationDispense.substitution Short description Whether a substitution was performed on the dispense Definition 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. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN] rx-dispense-rmim: CombinedMedicationDispense.substitutionMade
id		0..1	string	There are no (further) constraints on this element Element id MedicationDispense.substitution.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.substitution.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationDispense.substitution.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
wasSubstituted	S	1..1	boolean	Element id MedicationDispense.substitution.wasSubstituted Short description Whether a substitution was or was not performed on the dispense Definition True if the dispenser dispensed a different drug or product from what was prescribed. Only used for validation (input only). Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actionNegationInd EHM: Generikautbyte utfört
type		0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.substitution.type Short description Code signifying whether a different drug was dispensed from what was prescribed Definition A code signifying whether a different drug was dispensed from what was prescribed. Data type CodeableConcept Binding A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. v3.ActSubstanceAdminSubstitutionCode (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-9-Allow Substitutions / RXE-9-Substitution Status rim: .code rx-dispense-rmim: CombinedMedicationDispense.substitutionMade.code
reason		0..*	CodeableConcept	There are no (further) constraints on this element Element id MedicationDispense.substitution.reason Short description Why was substitution made Definition Indicates the reason for the substitution (or lack of substitution) from what was prescribed. Data type CodeableConcept Binding A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. v3.SubstanceAdminSubstitutionReason (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .reasonCode rx-dispense-rmim: CombinedMedicationDispense.substitutionMade.reasonCode
responsibleParty		0..*	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element id MedicationDispense.substitution.responsibleParty Short description Who is responsible for the substitution Definition The person or organization that has primary responsibility for the substitution. Data type Reference(Practitioner \| PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .participation[typeCode=PFM].role[classCode=ASSIGN] rx-dispense-rmim: CombinedMedicationDispense.substitutionMade.ResponsibleParty
detectedIssue	S	0..*	Reference(NLLDetectedIssue)	Element id MedicationDispense.detectedIssue Short description Automatic Format and Constitution Control warning (AFF varning) Alternate names Contraindication, Drug Utilization Review (DUR), Alert Definition FOR FUTURE USE, SHOULD NOT BE USED! Accepted warnings can be provided when creating a MedicationDispense. Automatic Format and Constitution Control (AFF) accepted by the pharmacist. NB! The DetectedIssues are never saved by the Swedish eHealth Agency. Comments 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. Data type Reference(NLLDetectedIssue) Allowed aggregation: contained Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value EHM: Accepterade varningar
eventHistory		0..*	Reference(Provenance)	There are no (further) constraints on this element Element id MedicationDispense.eventHistory Short description A list of relevant lifecycle events Definition A summary of the events of interest that have occurred, such as when the dispense was verified. Comments 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.). Data type Reference(Provenance) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

MedicationDispense
Definition	A dispense for a paper prescription is a medication dispense where the authorizing prescription is not registererd in the National Swedish Medication List but is instead made based on a prescription in paper format.
Cardinality	0...*
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() mdd-1: whenHandedOver cannot be before whenPrepared `whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`
Mappings	rim: Entity. Role, or Act workflow: Event rim: Supply[moodCode=EVN]
MedicationDispense.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	The only time that a resource does not have an id is when it is being submitted to the server using a create operation. This id is identified by the URI http://electronichealth.se/identifier/nllmedicationdispenseid in documentation and external systems.
Mappings	EHM: Logiskt id för uttag pappersrecept
MedicationDispense.meta
Definition	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.
Cardinality	0...1
Type	Meta
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.meta.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.meta.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.meta.versionId
Definition	The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality	0...1
Type	id
Must Support	True
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	EHM: Uttagsversion för uttag pappersrecept
MedicationDispense.meta.lastUpdated
Definition	When the resource last changed - e.g. when the version changed.
Cardinality	0...1
Type	instant
Summary	True
Comments	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 interaction.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.meta.source
Definition	A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality	0...1
Type	uri
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.meta.profile
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	0...*
Type	canonical(StructureDefinition)
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.meta.security
Definition	Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality	0...*
Type	Coding
Binding	Security Labels from the Healthcare Privacy and Security Classification System. security-labels (extensible)
Must Support	True
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.meta.security.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.meta.security.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.meta.security.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationDispense.meta.security.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationDispense.meta.security.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	0...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationDispense.meta.security.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationDispense.meta.security.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationDispense.meta.tag
Definition	Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality	0...*
Type	Coding
Binding	Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.implicitRules
Definition	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.
Cardinality	0...1
Type	uri
Modifier	True
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.language
Definition	The base language in which the resource is written.
Cardinality	0...1
Type	code
Binding	A human language. CommonLanguages (preferred)
Comments	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).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationDispense.text
Definition	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.
Cardinality	0...1
Type	Narrative
Alias	narrative, html, xhtml, display
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.text?
MedicationDispense.contained
Definition	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.
Cardinality	0...*
Type	Resource
Alias	inline resources, anonymous resources, contained resources
Comments	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.
Mappings	rim: N/A
MedicationDispense.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. 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.
Cardinality	1...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationDispense.extension:nllDispatchId
Definition	Value is treated as an integer, i.e the String can only contain numbers. May be entered by the pharmacy, otherwise it is calculated by the Swedish E-health Agency .
Cardinality	0...1
Type	Extension(string)
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Expeditions-id
MedicationDispense.extension:nllNumberOfPackagesDispensed
Definition	Number of packages dspensed
Cardinality	0...1
Type	Extension(positiveInt)
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Antal expedierade förpackningar
MedicationDispense.extension:nllActorDispatchId
Definition	The identifier of the actors dispatch in which the dispense was made. Mandatory when creating a dispense for a paper prescription. Not present in all legacy data.
Cardinality	0...1
Type	Extension(string)
Must Support	True
Alias	extensions, user content
Comments	Maximum string length: 12
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Aktörens expeditions-id
MedicationDispense.extension:nllDispatchRowNo
Definition	Used when communicationg an error or warning for a MedicationDispense within a dispatch. The DispatchRowNo (ExpeditionsRadNummer) uniquely identifies a MediationDispense within a dispatch. Mandatory when creating a detached dispense.
Cardinality	0...1
Type	Extension(decimal)
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Aktörens expeditionsradnummer
MedicationDispense.extension:nllBenefitChoiceCode
Definition	Type of benefit for the dispense. Only used for validation (input only).
Cardinality	0...1
Type	Extension(code)
Binding	benefit-choices (required)
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Förmånsval
MedicationDispense.extension:nllPrescriptionDetails
Definition	Information from the authorizing prescription
Cardinality	1...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension
Definition	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.
Cardinality	1...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate
Definition	Date when prescription was initially authored. Only used for validation (input only).
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Utfärdandedatum
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nllPrescriptionDate
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber
Definition	The prescriber as a contained Practitioner resource (confirming to the NLLPractitioner profile).
Cardinality	1...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Utfärdande förskrivare
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nllPrescriber
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	Reference(NLLPractitioner)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis
Definition	Original format of the prescription. Only used for validation. Input only. For a detached dispense the allowed values are PAPER or PHONE.
Cardinality	0...1
Type	Extension
Binding	registration-basis (required)
Must Support	True
Alias	extensions, user content
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Typ av registeringsunderlag
MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nllRegistrationBasis
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	code
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode
Definition	NB! Deprecated, Practitioner.address.country should be used. Country code, as defined on the authorizing prescription ISO 3166-1 alpha-2 Example: NO (Norway)
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	Maximum string length: 2
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Landskod
MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nllCountryCode
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	code
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed
Definition	Indicates if medication may be substituted (sv: generisk substitution tillåten) Only used for validation (input only).
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Substitution tillåten
MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nllSubstitutionAllowed
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	boolean
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore
Definition	Not used for dose dispensed prescriptions The first dispense must occur before this date. If not, the prescription is invalidated. Only used for validation (input only).
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Första uttag före
MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nllFirstDispenseBefore
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter
Definition	The prescribers cost center code when making the prescription. Used for benefit billing within the regions.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	Minimum string length: 3 Maximum string length: 13
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Kostnadsställe (arbetsplatskod)
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nllPrescriberCostCenter
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	Identifier
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].use
Definition	The purpose of this identifier.
Cardinality	0...1
Type	code
Binding	Identifies the purpose for this identifier, if known . IdentifierUse (required)
Modifier	True
Summary	True
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Comments	Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Role.code or implied by context
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].type
Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)
Summary	True
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Comments	This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.5 rim: Role.code or implied by context
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].system
Definition	The cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments	Identifier.system is always case sensitive.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/identifier/arbetsplatskod
Mappings	v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].value
Definition	The value of the cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency.
Cardinality	1...1
Type	string
Must Support	True
Summary	True
Comments	If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	General 123456
Mappings	v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].period
Definition	Time period during which identifier is/was valid for use.
Cardinality	0...1
Type	Period
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter.value[x].assigner
Definition	Organization that issued/manages the identifier.
Cardinality	0...1
Type	Reference(Organization)
Summary	True
Comments	The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
MedicationDispense.extension:nllPrescriptionDetails.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionDetails
Mappings	rim: N/A
MedicationDispense.extension:nllPrescriptionDetails.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting
Definition	Crediting details for a dispense. Only used when crediting a dispense.
Cardinality	0...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a
MedicationDispense.extension:nllDispenseCrediting.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension
Definition	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.
Cardinality	2...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension:creditDate
Definition	The date when the dispense was credited.
Cardinality	1...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Krediteringstidpunkt
MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	creditDate
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting.extension:creditDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId
Definition	The id of the crediting dispatch.
Cardinality	1...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Krediterande expeditions-id
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	creditDispatchId
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo
Definition	NB! New attribute planned in release 21.9. Display only. The row number of the crediting dispatch. Identifier for a dispense within a credited dispatch. The crediting row number is submitted in the attribute 'MedicationDispense.extension:nllDispatchRowNo', but will be displayed in 'creditDispatchRowNo'.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Aktörens krediterande expeditionsradnummer
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	creditDispatchRowNo
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLDispenseCrediting
Mappings	rim: N/A
MedicationDispense.extension:nllDispenseCrediting.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationDispense.identifier
Definition	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.
Cardinality	0...*
Type	Identifier
Comments	This is a business identifier, not a resource identifier.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.identifier w5: FiveWs.identifier rim: .id rx-dispense-rmim: CombinedMedicationDispense.id
MedicationDispense.partOf
Definition	The procedure that trigger the dispense.
Cardinality	0...*
Type	Reference(Procedure)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.partOf rim: .outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]
MedicationDispense.status
Definition	Note! Used in NLL when a dispense is cancelled (sv: uttaget backat eller krediterat).
Cardinality	1...1
Type	code
Binding	A coded concept specifying the state of the dispense event. medication-dispense-status (required)
Must Support	True
Modifier	True
Summary	True
Comments	This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.status w5: FiveWs.status rim: .statusCode rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.statusCode EHM: Uttagsstatus
MedicationDispense.statusReason[x]
Definition	Indicates the reason why a dispense was not performed.
Cardinality	0...1
Type	CodeableConcept
Binding	A code describing why a dispense was not performed. MedicationDispense Status Reason Codes (example)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.statusReason rim: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="not done reason"].value
MedicationDispense.category
Definition	Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
Cardinality	0...1
Type	CodeableConcept
Binding	A code describing where the dispensed medication is expected to be consumed or administered. MedicationDispense Category Codes (preferred)
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication dispense"].value
MedicationDispense.medication[x]
Definition	Identifies the medical product being prescribed. The codes used are Swedish NplId from medical product, NplPackId for medicine packages and Varunr for reimbursed consumables. For a medicine package, both the NplId and the NplPackId shall be provided. Varunr is not allowed to use when prescribing a medication. For a reimbursed consumable, only Varunr shall be provided.
Cardinality	1...1
Type	CodeableConcept
Binding	Swedish medicine packages and reimbursed consumables. http://electronichealth.se/fhir/ValueSet/medicines-consumables (required)
Must Support	True
Summary	True
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.code w5: FiveWs.what[x] v2: RXD-2-Dispense/Give Code rim: .participation[typeCode=PRD].role rx-dispense-rmim: CombinedMedicationRequest.component1.AdministrationRequest.consumable
MedicationDispense.medication[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.medication[x].extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.medication[x].coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...*
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	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.
Slicing	Unordered, Open, by system(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationDispense.medication[x].coding:nplid
Definition	A unique identifier of a medical product according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-id
MedicationDispense.medication[x].coding:nplid.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.medication[x].coding:nplid.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.medication[x].coding:nplid.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/fhir/NamingSystem/nplid
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationDispense.medication[x].coding:nplid.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationDispense.medication[x].coding:nplid.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	Maximum string length: 14
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationDispense.medication[x].coding:nplid.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationDispense.medication[x].coding:nplid.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationDispense.medication[x].coding:nplpackid
Definition	A unique identifier of a medical product package according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-pack-id
MedicationDispense.medication[x].coding:nplpackid.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.medication[x].coding:nplpackid.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.medication[x].coding:nplpackid.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/fhir/NamingSystem/nplpackid
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationDispense.medication[x].coding:nplpackid.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationDispense.medication[x].coding:nplpackid.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	Maximum string length: 14
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationDispense.medication[x].coding:nplpackid.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationDispense.medication[x].coding:nplpackid.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationDispense.medication[x].coding:varunr
Definition	A unique identifier of a medical consumable according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Also a non-unique identifier of a medical product package.
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: Varunummer
MedicationDispense.medication[x].coding:varunr.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.medication[x].coding:varunr.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.medication[x].coding:varunr.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/fhir/NamingSystem/varunr
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationDispense.medication[x].coding:varunr.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationDispense.medication[x].coding:varunr.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	Minimum string length: 6 Maximum string length: 6
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationDispense.medication[x].coding:varunr.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationDispense.medication[x].coding:varunr.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationDispense.medication[x].text
Definition	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.
Cardinality	0...1
Type	string
Summary	True
Requirements	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.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
MedicationDispense.subject
Definition	A patient with personal identification number (sv: personnummer) must be referenced, other cases must be handled by containing the patient resource.
Cardinality	1...1
Type	Reference(NLLPatient)
Must Support	True
Summary	True
Comments	SubstanceAdministration->subject->Patient.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.subject w5: FiveWs.subject[x] v2: PID-3-Patient ID List rim: .participation[typeCode=SBJ].role[classCode=PAT] w5: FiveWs.subject EHM: Patient EHM: Patientreferens
MedicationDispense.context
Definition	The encounter or episode of care that establishes the context for this event.
Cardinality	0...1
Type	Reference(Encounter \| EpisodeOfCare)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.context rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
MedicationDispense.supportingInformation
Definition	Additional information that supports the medication being dispensed.
Cardinality	0...*
Type	Reference(Resource)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.context rim: .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)]
MedicationDispense.performer
Definition	Indicates who or what performed the event.
Cardinality	0...*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.performer rim: .participation[typeCode=PRF]
MedicationDispense.performer.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.performer.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.performer.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationDispense.performer.function
Definition	Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.
Cardinality	0...1
Type	CodeableConcept
Binding	A code describing the role an individual played in dispensing a medication. MedicationDispense Performer Function Codes (example)
Requirements	Allows disambiguation of the types of involvement of different performers.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: participation[typeCode=PRF].functionCode
MedicationDispense.performer.actor
Definition	The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.
Cardinality	1...1
Type	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.performer.actor rim: .role
MedicationDispense.location
Definition	The principal physical location where the dispense was performed.
Cardinality	0...1
Type	Reference(Location)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .participation[typeCode=LOC].role
MedicationDispense.authorizingPrescription
Definition	Indicates the medication order that is being dispensed against. In this profile, the authorizing prescription is always in paper form (current format) and/or there is no electronic presecription in NLL to refer to (sv: uttag där underlaget är ett papper eller ett utländskt e-recept)
Cardinality	0...0
Type	Reference(MedicationRequest)
Comments	Maps to basedOn in Event logical model.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.basedOn v2: ORC-2 Placer Order Number rim: .outboundRelationship[typeCode=FLFS].target[moodCode=RQO] rx-dispense-rmim: CombinedMedicationDispense.inFulfillmentOf
MedicationDispense.authorizingPrescription.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.authorizingPrescription.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.authorizingPrescription.reference
Definition	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.
Cardinality	0...0
Type	string
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.authorizingPrescription.type
Definition	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).
Cardinality	0...1
Type	uri
Binding	Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.authorizingPrescription.identifier
Definition	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.
Cardinality	0...0
Type	Identifier
Summary	True
Comments	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).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .identifier
MedicationDispense.authorizingPrescription.display
Definition	Plain text narrative that identifies the resource in addition to the resource reference.
Cardinality	0...1
Type	string
Summary	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationDispense.type
Definition	Type is used for specifing if the dispense was a "Standard packing fill", "Trial fill" (startförpackning) or "Dose dispensed fill" in the Swedish National Medication List. (Trial fill is not used for dose dispensed fills). Dose dispensed fill can no longer occur for a dispense of a paper prescription. The code DD will be removed from the value set used by this profile in a future release.
Cardinality	1...1
Type	CodeableConcept
Binding	Indicates the type of dispensing event that is performed, e.g. Standard packing fill, Trial fill or Dose dispense refill dispense-types (required)
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXD-33-Dispense Type rim: .code rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.code EHM: Uttagstyp
MedicationDispense.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.type.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.type.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationDispense.type.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.type.coding.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.type.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationDispense.type.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationDispense.type.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationDispense.type.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationDispense.type.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationDispense.type.text
Definition	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.
Cardinality	0...1
Type	string
Summary	True
Requirements	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.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
MedicationDispense.quantity
Definition	The amount of medication that has been dispensed. Includes unit of measure.
Cardinality	0...1
Type	SimpleQuantity
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system rim: .quantity rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.quantity EHM: Expedierad mängd
MedicationDispense.quantity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.quantity.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.quantity.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
MedicationDispense.quantity.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationDispense.quantity.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationDispense.quantity.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationDispense.quantity.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	0...1
Type	code
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
MedicationDispense.daysSupply
Definition	The amount of medication expressed as a timing amount.
Cardinality	0...1
Type	SimpleQuantity
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: 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 rim: effectiveUseTime
MedicationDispense.whenPrepared
Definition	The time when the dispensed product was packaged and reviewed.
Cardinality	0...1
Type	dateTime
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXD-3-Date/Time Dispensed rim: .effectiveTime[xmi:type=IVL_TS].low rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.effectiveTime
MedicationDispense.whenHandedOver
Definition	The time the dispensed product was provided to the patient or their representative.
Cardinality	1...1
Type	dateTime
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.occurrence[x] v2: RXD-3-Date/Time Dispensed rim: .effectiveTime[xmi:type=IVL_TS].high rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.effectiveTime EHM: Expedieringstidpunkt
MedicationDispense.destination
Definition	Identification of the facility/location where the medication was shipped to, as part of the dispense event.
Cardinality	0...1
Type	Reference(Location)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address rim: .participation[typeCode=DST].role rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.destination
MedicationDispense.receiver
Definition	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.
Cardinality	0...*
Type	Reference(Patient \| Practitioner)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .participation[typeCode=RCV].role rx-dispense-rmim: CombinedMedicationDispense.SupplyEvent.receiver
MedicationDispense.note
Definition	Extra information about the dispense that could not be conveyed in the other attributes.
Cardinality	0...*
Type	Annotation
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.note v2: RXD-9 Dispense Notes rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]
MedicationDispense.dosageInstruction
Definition	Indicates how the medication is to be used by the patient.
Cardinality	0...1
Type	Dosage
Must Support	True
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
MedicationDispense.dosageInstruction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.dosageInstruction.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.dosageInstruction.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationDispense.dosageInstruction.sequence
Definition	Indicates the order in which the dosage instructions should be applied or interpreted.
Cardinality	0...1
Type	integer
Summary	True
Requirements	If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: TQ1-1 rim: .text
MedicationDispense.dosageInstruction.text
Definition	Free text dosage instructions e.g. SIG.
Cardinality	0...1
Type	string
Summary	True
Requirements	Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-6; RXE-21 rim: .text
MedicationDispense.dosageInstruction.additionalInstruction
Definition	Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
Cardinality	0...*
Type	CodeableConcept
Binding	A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMEDCTAdditionalDosageInstructions (example)
Summary	True
Requirements	Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.
Comments	Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-7 rim: .text
MedicationDispense.dosageInstruction.patientInstruction
Definition	Instructions in terms that are understood by the patient or consumer.
Cardinality	1...1
Type	string
Must Support	True
Summary	True
Comments	Maximum string length: 1016
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-7 rim: .text EHM: Doseringsinstruktion
MedicationDispense.dosageInstruction.timing
Definition	When medication should be administered.
Cardinality	0...1
Type	Timing
Summary	True
Requirements	The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Comments	This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .effectiveTime
MedicationDispense.dosageInstruction.asNeeded[x]
Definition	Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).
Cardinality	0...1
Type	boolean
Binding	A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. SNOMEDCTMedicationAsNeededReasonCodes (example)
Summary	True
Comments	Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: TQ1-9 rim: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
MedicationDispense.dosageInstruction.site
Definition	Body site to administer to.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
Summary	True
Requirements	A coded specification of the anatomic site where the medication first enters the body.
Comments	If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXR-2 rim: .approachSiteCode
MedicationDispense.dosageInstruction.route
Definition	How drug should enter body.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example)
Summary	True
Requirements	A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXR-1 rim: .routeCode
MedicationDispense.dosageInstruction.method
Definition	Technique for administering medication.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example)
Summary	True
Requirements	A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.
Comments	Terminologies used often pre-coordinate this term with the route and or form of administration.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXR-4 rim: .doseQuantity
MedicationDispense.dosageInstruction.doseAndRate
Definition	The amount of medication administered.
Cardinality	0...*
Type	Element
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: TQ1-2
MedicationDispense.dosageInstruction.doseAndRate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.dosageInstruction.doseAndRate.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.dosageInstruction.doseAndRate.type
Definition	The kind of dose or rate specified, for example, ordered or calculated.
Cardinality	0...1
Type	CodeableConcept
Binding	The kind of dose or rate specified. DoseAndRateType (example)
Summary	True
Requirements	If the type is not populated, assume to be "ordered".
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-21; RXE-23
MedicationDispense.dosageInstruction.doseAndRate.dose[x]
Definition	Amount of medication per dose.
Cardinality	0...1
Type	Range
Summary	True
Requirements	The amount of therapeutic or other substance given at one administration event.
Comments	Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-2, RXE-3 rim: .doseQuantity
MedicationDispense.dosageInstruction.doseAndRate.rate[x]
Definition	Amount of medication per unit of time.
Cardinality	0...1
Type	Ratio
Summary	True
Requirements	Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Comments	It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXE22, RXE23, RXE-24 rim: .rateQuantity
MedicationDispense.dosageInstruction.maxDosePerPeriod
Definition	Upper limit on medication per unit of time.
Cardinality	0...1
Type	Ratio
Summary	True
Requirements	The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
Comments	This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-23, RXE-19 rim: .maxDoseQuantity
MedicationDispense.dosageInstruction.maxDosePerAdministration
Definition	Upper limit on medication per administration.
Cardinality	0...1
Type	SimpleQuantity
Summary	True
Requirements	The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Comments	This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: not supported
MedicationDispense.dosageInstruction.maxDosePerLifetime
Definition	Upper limit on medication per lifetime of the patient.
Cardinality	0...1
Type	SimpleQuantity
Summary	True
Requirements	The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: not supported
MedicationDispense.substitution
Definition	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.
Cardinality	0...1
Type	BackboneElement
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN] rx-dispense-rmim: CombinedMedicationDispense.substitutionMade
MedicationDispense.substitution.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationDispense.substitution.extension
Definition	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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationDispense.substitution.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationDispense.substitution.wasSubstituted
Definition	True if the dispenser dispensed a different drug or product from what was prescribed. Only used for validation (input only).
Cardinality	1...1
Type	boolean
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .actionNegationInd EHM: Generikautbyte utfört
MedicationDispense.substitution.type
Definition	A code signifying whether a different drug was dispensed from what was prescribed.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. v3.ActSubstanceAdminSubstitutionCode (example)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-9-Allow Substitutions / RXE-9-Substitution Status rim: .code rx-dispense-rmim: CombinedMedicationDispense.substitutionMade.code
MedicationDispense.substitution.reason
Definition	Indicates the reason for the substitution (or lack of substitution) from what was prescribed.
Cardinality	0...*
Type	CodeableConcept
Binding	A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. v3.SubstanceAdminSubstitutionReason (example)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .reasonCode rx-dispense-rmim: CombinedMedicationDispense.substitutionMade.reasonCode
MedicationDispense.substitution.responsibleParty
Definition	The person or organization that has primary responsibility for the substitution.
Cardinality	0...*
Type	Reference(Practitioner \| PractitionerRole)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .participation[typeCode=PFM].role[classCode=ASSIGN] rx-dispense-rmim: CombinedMedicationDispense.substitutionMade.ResponsibleParty
MedicationDispense.detectedIssue
Definition	FOR FUTURE USE, SHOULD NOT BE USED! Accepted warnings can be provided when creating a MedicationDispense. Automatic Format and Constitution Control (AFF) accepted by the pharmacist. NB! The DetectedIssues are never saved by the Swedish eHealth Agency.
Cardinality	0...*
Type	Reference(NLLDetectedIssue)
Must Support	True
Alias	Contraindication, Drug Utilization Review (DUR), Alert
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value EHM: Accepterade varningar
MedicationDispense.eventHistory
Definition	A summary of the events of interest that have occurred, such as when the dispense was verified.
Cardinality	0...*
Type	Reference(Provenance)
Comments	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.).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="http://electronichealth.se/fhir/StructureDefinition/NLLDispensePaperPrescription" />
    <version value="1.2.0" />
    <name value="NLLDispensePaperPrescription" />
    <status value="active" />
    <date value="2024-08-28" />
    <publisher value="Swedish eHealth Agency" />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="EHM" />
        <uri value="http://ehalsomyndigheten.se" />
        <name value="E-h&#228;lsomyndighetens internal model" />
    </mapping>
    <mapping>
        <identity value="workflow" />
        <uri value="http://hl7.org/fhir/workflow" />
        <name value="Workflow Pattern" />
    </mapping>
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <mapping>
        <identity value="w5" />
        <uri value="http://hl7.org/fhir/fivews" />
        <name value="FiveWs Pattern Mapping" />
    </mapping>
    <mapping>
        <identity value="rx-dispense-rmim" />
        <uri value="http://www.hl7.org/v3/PORX_RM020070UV" />
        <name value="V3 Pharmacy Dispense RMIM" />
    </mapping>
    <mapping>
        <identity value="v2" />
        <uri value="http://hl7.org/v2" />
        <name value="HL7 v2 Mapping" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="MedicationDispense" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationDispense" />
    <derivation value="constraint" />
    <differential>
        <element id="MedicationDispense">
            <path value="MedicationDispense" />
            <short value="A medication dispense to a specific patient authorzied by a paper prescription" />
            <definition value="A dispense for a paper prescription is a medication dispense where the authorizing prescription is not registererd in the National Swedish Medication List but is instead made based on a prescription in paper format." />
        </element>
        <element id="MedicationDispense.id">
            <path value="MedicationDispense.id" />
            <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation.\nThis id is identified by the URI http://electronichealth.se/identifier/nllmedicationdispenseid in documentation and external systems." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Logiskt id f&#246;r uttag pappersrecept" />
            </mapping>
        </element>
        <element id="MedicationDispense.meta">
            <path value="MedicationDispense.meta" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.meta.versionId">
            <path value="MedicationDispense.meta.versionId" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Uttagsversion f&#246;r uttag pappersrecept" />
            </mapping>
        </element>
        <element id="MedicationDispense.meta.security">
            <path value="MedicationDispense.meta.security" />
            <mustSupport value="true" />
            <binding>
                <strength value="extensible" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/security-labels" />
            </binding>
        </element>
        <element id="MedicationDispense.meta.security.system">
            <path value="MedicationDispense.meta.security.system" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.meta.security.version">
            <path value="MedicationDispense.meta.security.version" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.meta.security.code">
            <path value="MedicationDispense.meta.security.code" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension">
            <path value="MedicationDispense.extension" />
            <min value="1" />
        </element>
        <element id="MedicationDispense.extension:nllDispatchId">
            <path value="MedicationDispense.extension" />
            <sliceName value="nllDispatchId" />
            <short value="The identifier of the dispatch in which the dispense was made" />
            <definition value="Value is treated as an integer, i.e the String can only contain numbers.\nMay be entered by the pharmacy, otherwise it is calculated by the Swedish E-health Agency ." />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLDispatchId" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Expeditions-id" />
            </mapping>
        </element>
        <element id="MedicationDispense.extension:nllNumberOfPackagesDispensed">
            <path value="MedicationDispense.extension" />
            <sliceName value="nllNumberOfPackagesDispensed" />
            <short value="Number of packages dspensed" />
            <definition value="Number of packages dspensed" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesDispensed" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Antal expedierade f&#246;rpackningar" />
            </mapping>
        </element>
        <element id="MedicationDispense.extension:nllActorDispatchId">
            <path value="MedicationDispense.extension" />
            <sliceName value="nllActorDispatchId" />
            <short value="The identifier of the actors dispatch in which the dispense was made" />
            <definition value="The identifier of the actors dispatch in which the dispense was made. Mandatory when creating a dispense for a paper prescription. Not present in all legacy data." />
            <comment value="Maximum string length: 12" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLActorDispatchId" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Akt&#246;rens expeditions-id" />
            </mapping>
        </element>
        <element id="MedicationDispense.extension:nllDispatchRowNo">
            <path value="MedicationDispense.extension" />
            <sliceName value="nllDispatchRowNo" />
            <short value="Identier for MedicationDispense within dispatch" />
            <definition value="Used when communicationg an error or warning for a MedicationDispense within a dispatch. The DispatchRowNo (ExpeditionsRadNummer) uniquely identifies a MediationDispense within a dispatch.\nMandatory when creating a detached dispense." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLDispatchRowNo" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Akt&#246;rens expeditionsradnummer" />
            </mapping>
        </element>
        <element id="MedicationDispense.extension:nllBenefitChoiceCode">
            <path value="MedicationDispense.extension" />
            <sliceName value="nllBenefitChoiceCode" />
            <short value="Benefit choice" />
            <definition value="Type of benefit for the dispense. Only used for validation (input only)." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLBenefitChoiceCode" />
            </type>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/benefit-choices" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rm&#229;nsval" />
            </mapping>
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails">
            <path value="MedicationDispense.extension" />
            <sliceName value="nllPrescriptionDetails" />
            <short value="Information from the authorizing prescription" />
            <definition value="Information from the authorizing prescription" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionDetails" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="nllPrescriptionDate" />
            <definition value="Date when prescription was initially authored. &lt;br&gt;\nOnly used for validation (input only)." />
            <comment value="_" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="nllPrescriber" />
            <short value="Prescriber" />
            <definition value="The prescriber as a contained Practitioner resource (confirming to the NLLPractitioner profile)." />
            <comment value="_" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="nllRegistrationBasis" />
            <comment value="_" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="nllCountryCode" />
            <short value="Deprecated. Country code" />
            <definition value="NB! Deprecated, Practitioner.address.country should be used.\n\nCountry code, as defined on the authorizing prescription\nISO 3166-1 alpha-2\nExample: NO (Norway)" />
            <comment value="Maximum string length: 2" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="nllSubstitutionAllowed" />
            <definition value="Indicates if medication may be substituted (sv: generisk substitution till&#229;ten) &lt;br&gt;\nOnly used for validation (input only)." />
            <comment value="_" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="nllFirstDispenseBefore" />
            <definition value="Not used for dose dispensed prescriptions\nThe first dispense must occur before this date. If not, the prescription is invalidated.&lt;br&gt;\nOnly used for validation (input only)." />
            <comment value="_" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="nllPrescriberCostCenter" />
            <short value="The prescribers cost center" />
            <definition value="The prescribers cost center code when making the prescription. Used for benefit billing within the regions." />
            <comment value="Minimum string length: 3\nMaximum string length: 13" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllDispenseCrediting">
            <path value="MedicationDispense.extension" />
            <sliceName value="nllDispenseCrediting" />
            <definition value="Crediting details for a dispense. Only used when crediting a dispense." />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLDispenseCrediting" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllDispenseCrediting.extension:creditDate">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="creditDate" />
            <comment value="_" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="creditDispatchId" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo">
            <path value="MedicationDispense.extension.extension" />
            <sliceName value="creditDispatchRowNo" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.status">
            <path value="MedicationDispense.status" />
            <short value="cancelled | completed" />
            <definition value="Note! Used in NLL when a dispense is cancelled (sv: uttaget backat eller krediterat)." />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/medication-dispense-status" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Uttagsstatus" />
            </mapping>
        </element>
        <element id="MedicationDispense.medication[x]">
            <path value="MedicationDispense.medication[x]" />
            <short value="Dispensed medication" />
            <definition value="Identifies the medical product being prescribed. The codes used are Swedish NplId from medical product, NplPackId for medicine packages and Varunr for reimbursed consumables. \nFor a medicine package, both the NplId and the NplPackId shall be provided. Varunr is not allowed to use when prescribing a medication.\nFor a reimbursed consumable, only Varunr shall be provided." />
            <comment value="_" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <description value="Swedish medicine packages and reimbursed consumables." />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/medicines-consumables" />
            </binding>
        </element>
        <element id="MedicationDispense.medication[x].coding">
            <path value="MedicationDispense.medication[x].coding" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.medication[x].coding:nplid">
            <path value="MedicationDispense.medication[x].coding" />
            <sliceName value="nplid" />
            <short value="NPL-id" />
            <definition value="A unique identifier of a medical product according to &quot;Nationellt produktregister f&#246;r l&#228;kemedel&quot; provided by the Swedish Medical Products Agency (sv L&#228;kemedelsverket)" />
            <max value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="NPL-id" />
            </mapping>
        </element>
        <element id="MedicationDispense.medication[x].coding:nplid.system">
            <path value="MedicationDispense.medication[x].coding.system" />
            <min value="1" />
            <fixedUri value="http://electronichealth.se/fhir/NamingSystem/nplid" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.medication[x].coding:nplid.code">
            <path value="MedicationDispense.medication[x].coding.code" />
            <comment value="Maximum string length: 14" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.medication[x].coding:nplpackid">
            <path value="MedicationDispense.medication[x].coding" />
            <sliceName value="nplpackid" />
            <short value="NPL-pack-id" />
            <definition value="A unique identifier of a medical product package according to &quot;Nationellt produktregister f&#246;r l&#228;kemedel&quot; provided by the Swedish Medical Products Agency (sv L&#228;kemedelsverket)" />
            <max value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="NPL-pack-id" />
            </mapping>
        </element>
        <element id="MedicationDispense.medication[x].coding:nplpackid.system">
            <path value="MedicationDispense.medication[x].coding.system" />
            <min value="1" />
            <fixedUri value="http://electronichealth.se/fhir/NamingSystem/nplpackid" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.medication[x].coding:nplpackid.code">
            <path value="MedicationDispense.medication[x].coding.code" />
            <comment value="Maximum string length: 14" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.medication[x].coding:varunr">
            <path value="MedicationDispense.medication[x].coding" />
            <sliceName value="varunr" />
            <short value="Varunummer" />
            <definition value="A unique identifier of a medical consumable according to &quot;Nationellt produktregister f&#246;r l&#228;kemedel&quot; provided by the Swedish Medical Products Agency (sv L&#228;kemedelsverket)\nAlso a non-unique identifier of a medical product package." />
            <max value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Varunummer" />
            </mapping>
        </element>
        <element id="MedicationDispense.medication[x].coding:varunr.system">
            <path value="MedicationDispense.medication[x].coding.system" />
            <min value="1" />
            <fixedUri value="http://electronichealth.se/fhir/NamingSystem/varunr" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.medication[x].coding:varunr.code">
            <path value="MedicationDispense.medication[x].coding.code" />
            <comment value="Minimum string length: 6\nMaximum string length: 6" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.subject">
            <path value="MedicationDispense.subject" />
            <short value="Which patient the dispense is for" />
            <definition value="A patient with personal identification number (sv: personnummer) must be referenced, other cases must be handled by containing the patient resource." />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLPatient" />
                <aggregation value="contained" />
                <aggregation value="referenced" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Patient" />
            </mapping>
            <mapping>
                <identity value="EHM" />
                <map value="Patientreferens" />
            </mapping>
        </element>
        <element id="MedicationDispense.authorizingPrescription">
            <path value="MedicationDispense.authorizingPrescription" />
            <definition value="Indicates the medication order that is being dispensed against. In this profile, the authorizing prescription is always in paper form (current format)  and/or there is no electronic presecription in NLL to refer to (sv: uttag d&#228;r underlaget &#228;r ett papper eller ett utl&#228;ndskt e-recept)" />
            <max value="0" />
        </element>
        <element id="MedicationDispense.authorizingPrescription.reference">
            <path value="MedicationDispense.authorizingPrescription.reference" />
            <max value="0" />
        </element>
        <element id="MedicationDispense.authorizingPrescription.identifier">
            <path value="MedicationDispense.authorizingPrescription.identifier" />
            <max value="0" />
        </element>
        <element id="MedicationDispense.type">
            <path value="MedicationDispense.type" />
            <short value="Standard packing fill, Dose dispensed fill or Trial fill" />
            <definition value="Type is used for specifing if the dispense was a &quot;Standard packing fill&quot;, &quot;Trial fill&quot; (startf&#246;rpackning) or &quot;Dose dispensed fill&quot; in the Swedish National Medication List. (Trial fill is not used for dose dispensed fills).\nDose dispensed fill can no longer occur for a dispense of a paper prescription. The code DD will be removed from the value set used by this profile in a future release." />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <description value="Indicates the type of dispensing event that is performed, e.g. Standard packing fill, Trial fill or Dose dispense refill" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/dispense-types" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Uttagstyp" />
            </mapping>
        </element>
        <element id="MedicationDispense.type.coding">
            <path value="MedicationDispense.type.coding" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.type.coding.system">
            <path value="MedicationDispense.type.coding.system" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.type.coding.version">
            <path value="MedicationDispense.type.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.type.coding.code">
            <path value="MedicationDispense.type.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.quantity">
            <path value="MedicationDispense.quantity" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Expedierad m&#228;ngd" />
            </mapping>
        </element>
        <element id="MedicationDispense.quantity.value">
            <path value="MedicationDispense.quantity.value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.whenHandedOver">
            <path value="MedicationDispense.whenHandedOver" />
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Expedieringstidpunkt" />
            </mapping>
        </element>
        <element id="MedicationDispense.dosageInstruction">
            <path value="MedicationDispense.dosageInstruction" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.dosageInstruction.patientInstruction">
            <path value="MedicationDispense.dosageInstruction.patientInstruction" />
            <comment value="Maximum string length: 1016" />
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Doseringsinstruktion" />
            </mapping>
        </element>
        <element id="MedicationDispense.substitution">
            <path value="MedicationDispense.substitution" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationDispense.substitution.wasSubstituted">
            <path value="MedicationDispense.substitution.wasSubstituted" />
            <definition value="True if the dispenser dispensed a different drug or product from what was prescribed.\nOnly used for validation (input only)." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Generikautbyte utf&#246;rt" />
            </mapping>
        </element>
        <element id="MedicationDispense.detectedIssue">
            <path value="MedicationDispense.detectedIssue" />
            <short value="Automatic Format and Constitution Control warning (AFF varning)" />
            <definition value="FOR FUTURE USE, SHOULD NOT BE USED!\nAccepted warnings can be provided when creating a MedicationDispense.\nAutomatic Format and Constitution Control (AFF) accepted by the pharmacist.\nNB! The DetectedIssues are never saved by the Swedish eHealth Agency." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLDetectedIssue" />
                <aggregation value="contained" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Accepterade varningar" />
            </mapping>
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "url": "http://electronichealth.se/fhir/StructureDefinition/NLLDispensePaperPrescription",
    "version": "1.2.0",
    "name": "NLLDispensePaperPrescription",
    "status": "active",
    "date": "2024-08-28",
    "publisher": "Swedish eHealth Agency",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "EHM",
            "uri": "http://ehalsomyndigheten.se",
            "name": "E-hälsomyndighetens internal model"
        },
        {
            "identity": "workflow",
            "uri": "http://hl7.org/fhir/workflow",
            "name": "Workflow Pattern"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        },
        {
            "identity": "rx-dispense-rmim",
            "uri": "http://www.hl7.org/v3/PORX_RM020070UV",
            "name": "V3 Pharmacy Dispense RMIM"
        },
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "MedicationDispense",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "MedicationDispense",
                "path": "MedicationDispense",
                "short": "A medication dispense to a specific patient authorzied by a paper prescription",
                "definition": "A dispense for a paper prescription is a medication dispense where the authorizing prescription is not registererd in the National Swedish Medication List but is instead made based on a prescription in paper format."
            },
            {
                "id": "MedicationDispense.id",
                "path": "MedicationDispense.id",
                "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.\nThis id is identified by the URI http://electronichealth.se/identifier/nllmedicationdispenseid in documentation and external systems.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Logiskt id för uttag pappersrecept"
                    }
                ]
            },
            {
                "id": "MedicationDispense.meta",
                "path": "MedicationDispense.meta",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.meta.versionId",
                "path": "MedicationDispense.meta.versionId",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Uttagsversion för uttag pappersrecept"
                    }
                ]
            },
            {
                "id": "MedicationDispense.meta.security",
                "path": "MedicationDispense.meta.security",
                "mustSupport": true,
                "binding": {
                    "strength": "extensible",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/security-labels"
                }
            },
            {
                "id": "MedicationDispense.meta.security.system",
                "path": "MedicationDispense.meta.security.system",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.meta.security.version",
                "path": "MedicationDispense.meta.security.version",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.meta.security.code",
                "path": "MedicationDispense.meta.security.code",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension",
                "path": "MedicationDispense.extension",
                "min": 1
            },
            {
                "id": "MedicationDispense.extension:nllDispatchId",
                "path": "MedicationDispense.extension",
                "sliceName": "nllDispatchId",
                "short": "The identifier of the dispatch in which the dispense was made",
                "definition": "Value is treated as an integer, i.e the String can only contain numbers.\nMay be entered by the pharmacy, otherwise it is calculated by the Swedish E-health Agency .",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDispatchId"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Expeditions-id"
                    }
                ]
            },
            {
                "id": "MedicationDispense.extension:nllNumberOfPackagesDispensed",
                "path": "MedicationDispense.extension",
                "sliceName": "nllNumberOfPackagesDispensed",
                "short": "Number of packages dspensed",
                "definition": "Number of packages dspensed",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesDispensed"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Antal expedierade förpackningar"
                    }
                ]
            },
            {
                "id": "MedicationDispense.extension:nllActorDispatchId",
                "path": "MedicationDispense.extension",
                "sliceName": "nllActorDispatchId",
                "short": "The identifier of the actors dispatch in which the dispense was made",
                "definition": "The identifier of the actors dispatch in which the dispense was made. Mandatory when creating a dispense for a paper prescription. Not present in all legacy data.",
                "comment": "Maximum string length: 12",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLActorDispatchId"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Aktörens expeditions-id"
                    }
                ]
            },
            {
                "id": "MedicationDispense.extension:nllDispatchRowNo",
                "path": "MedicationDispense.extension",
                "sliceName": "nllDispatchRowNo",
                "short": "Identier for MedicationDispense within dispatch",
                "definition": "Used when communicationg an error or warning for a MedicationDispense within a dispatch. The DispatchRowNo (ExpeditionsRadNummer) uniquely identifies a MediationDispense within a dispatch.\nMandatory when creating a detached dispense.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDispatchRowNo"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Aktörens expeditionsradnummer"
                    }
                ]
            },
            {
                "id": "MedicationDispense.extension:nllBenefitChoiceCode",
                "path": "MedicationDispense.extension",
                "sliceName": "nllBenefitChoiceCode",
                "short": "Benefit choice",
                "definition": "Type of benefit for the dispense. Only used for validation (input only).",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLBenefitChoiceCode"
                        ]
                    }
                ],
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/benefit-choices"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förmånsval"
                    }
                ]
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails",
                "path": "MedicationDispense.extension",
                "sliceName": "nllPrescriptionDetails",
                "short": "Information from the authorizing prescription",
                "definition": "Information from the authorizing prescription",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionDetails"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriptionDate",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "nllPrescriptionDate",
                "definition": "Date when prescription was initially authored. <br>\nOnly used for validation (input only).",
                "comment": "_",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriber",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "nllPrescriber",
                "short": "Prescriber",
                "definition": "The prescriber as a contained Practitioner resource (confirming to the NLLPractitioner profile).",
                "comment": "_",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails.extension:nllRegistrationBasis",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "nllRegistrationBasis",
                "comment": "_",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails.extension:nllCountryCode",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "nllCountryCode",
                "short": "Deprecated. Country code",
                "definition": "NB! Deprecated, Practitioner.address.country should be used.\n\nCountry code, as defined on the authorizing prescription\nISO 3166-1 alpha-2\nExample: NO (Norway)",
                "comment": "Maximum string length: 2",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails.extension:nllSubstitutionAllowed",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "nllSubstitutionAllowed",
                "definition": "Indicates if medication may be substituted (sv: generisk substitution tillåten) <br>\nOnly used for validation (input only).",
                "comment": "_",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails.extension:nllFirstDispenseBefore",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "nllFirstDispenseBefore",
                "definition": "Not used for dose dispensed prescriptions\nThe first dispense must occur before this date. If not, the prescription is invalidated.<br>\nOnly used for validation (input only).",
                "comment": "_",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllPrescriptionDetails.extension:nllPrescriberCostCenter",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "nllPrescriberCostCenter",
                "short": "The prescribers cost center",
                "definition": "The prescribers cost center code when making the prescription. Used for benefit billing within the regions.",
                "comment": "Minimum string length: 3\nMaximum string length: 13",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllDispenseCrediting",
                "path": "MedicationDispense.extension",
                "sliceName": "nllDispenseCrediting",
                "definition": "Crediting details for a dispense. Only used when crediting a dispense.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDispenseCrediting"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllDispenseCrediting.extension:creditDate",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "creditDate",
                "comment": "_",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchId",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "creditDispatchId",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.extension:nllDispenseCrediting.extension:creditDispatchRowNo",
                "path": "MedicationDispense.extension.extension",
                "sliceName": "creditDispatchRowNo",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.status",
                "path": "MedicationDispense.status",
                "short": "cancelled | completed",
                "definition": "Note! Used in NLL when a dispense is cancelled (sv: uttaget backat eller krediterat).",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/medication-dispense-status"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Uttagsstatus"
                    }
                ]
            },
            {
                "id": "MedicationDispense.medication[x]",
                "path": "MedicationDispense.medication[x]",
                "short": "Dispensed medication",
                "definition": "Identifies the medical product being prescribed. The codes used are Swedish NplId from medical product, NplPackId for medicine packages and Varunr for reimbursed consumables. \nFor a medicine package, both the NplId and the NplPackId shall be provided. Varunr is not allowed to use when prescribing a medication.\nFor a reimbursed consumable, only Varunr shall be provided.",
                "comment": "_",
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "description": "Swedish medicine packages and reimbursed consumables.",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/medicines-consumables"
                }
            },
            {
                "id": "MedicationDispense.medication[x].coding",
                "path": "MedicationDispense.medication[x].coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.medication[x].coding:nplid",
                "path": "MedicationDispense.medication[x].coding",
                "sliceName": "nplid",
                "short": "NPL-id",
                "definition": "A unique identifier of a medical product according to \"Nationellt produktregister för läkemedel\" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)",
                "max": "1",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "NPL-id"
                    }
                ]
            },
            {
                "id": "MedicationDispense.medication[x].coding:nplid.system",
                "path": "MedicationDispense.medication[x].coding.system",
                "min": 1,
                "fixedUri": "http://electronichealth.se/fhir/NamingSystem/nplid",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.medication[x].coding:nplid.code",
                "path": "MedicationDispense.medication[x].coding.code",
                "comment": "Maximum string length: 14",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.medication[x].coding:nplpackid",
                "path": "MedicationDispense.medication[x].coding",
                "sliceName": "nplpackid",
                "short": "NPL-pack-id",
                "definition": "A unique identifier of a medical product package according to \"Nationellt produktregister för läkemedel\" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)",
                "max": "1",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "NPL-pack-id"
                    }
                ]
            },
            {
                "id": "MedicationDispense.medication[x].coding:nplpackid.system",
                "path": "MedicationDispense.medication[x].coding.system",
                "min": 1,
                "fixedUri": "http://electronichealth.se/fhir/NamingSystem/nplpackid",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.medication[x].coding:nplpackid.code",
                "path": "MedicationDispense.medication[x].coding.code",
                "comment": "Maximum string length: 14",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.medication[x].coding:varunr",
                "path": "MedicationDispense.medication[x].coding",
                "sliceName": "varunr",
                "short": "Varunummer",
                "definition": "A unique identifier of a medical consumable according to \"Nationellt produktregister för läkemedel\" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)\nAlso a non-unique identifier of a medical product package.",
                "max": "1",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Varunummer"
                    }
                ]
            },
            {
                "id": "MedicationDispense.medication[x].coding:varunr.system",
                "path": "MedicationDispense.medication[x].coding.system",
                "min": 1,
                "fixedUri": "http://electronichealth.se/fhir/NamingSystem/varunr",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.medication[x].coding:varunr.code",
                "path": "MedicationDispense.medication[x].coding.code",
                "comment": "Minimum string length: 6\nMaximum string length: 6",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.subject",
                "path": "MedicationDispense.subject",
                "short": "Which patient the dispense is for",
                "definition": "A patient with personal identification number (sv: personnummer) must be referenced, other cases must be handled by containing the patient resource.",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPatient"
                        ],
                        "aggregation":  [
                            "contained",
                            "referenced"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Patient"
                    },
                    {
                        "identity": "EHM",
                        "map": "Patientreferens"
                    }
                ]
            },
            {
                "id": "MedicationDispense.authorizingPrescription",
                "path": "MedicationDispense.authorizingPrescription",
                "definition": "Indicates the medication order that is being dispensed against. In this profile, the authorizing prescription is always in paper form (current format)  and/or there is no electronic presecription in NLL to refer to (sv: uttag där underlaget är ett papper eller ett utländskt e-recept)",
                "max": "0"
            },
            {
                "id": "MedicationDispense.authorizingPrescription.reference",
                "path": "MedicationDispense.authorizingPrescription.reference",
                "max": "0"
            },
            {
                "id": "MedicationDispense.authorizingPrescription.identifier",
                "path": "MedicationDispense.authorizingPrescription.identifier",
                "max": "0"
            },
            {
                "id": "MedicationDispense.type",
                "path": "MedicationDispense.type",
                "short": "Standard packing fill, Dose dispensed fill or Trial fill",
                "definition": "Type is used for specifing if the dispense was a \"Standard packing fill\", \"Trial fill\" (startförpackning) or \"Dose dispensed fill\" in the Swedish National Medication List. (Trial fill is not used for dose dispensed fills).\nDose dispensed fill can no longer occur for a dispense of a paper prescription. The code DD will be removed from the value set used by this profile in a future release.",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "description": "Indicates the type of dispensing event that is performed, e.g. Standard packing fill, Trial fill or Dose dispense refill",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/dispense-types"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Uttagstyp"
                    }
                ]
            },
            {
                "id": "MedicationDispense.type.coding",
                "path": "MedicationDispense.type.coding",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.type.coding.system",
                "path": "MedicationDispense.type.coding.system",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.type.coding.version",
                "path": "MedicationDispense.type.coding.version",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.type.coding.code",
                "path": "MedicationDispense.type.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.quantity",
                "path": "MedicationDispense.quantity",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Expedierad mängd"
                    }
                ]
            },
            {
                "id": "MedicationDispense.quantity.value",
                "path": "MedicationDispense.quantity.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.whenHandedOver",
                "path": "MedicationDispense.whenHandedOver",
                "min": 1,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Expedieringstidpunkt"
                    }
                ]
            },
            {
                "id": "MedicationDispense.dosageInstruction",
                "path": "MedicationDispense.dosageInstruction",
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.dosageInstruction.patientInstruction",
                "path": "MedicationDispense.dosageInstruction.patientInstruction",
                "comment": "Maximum string length: 1016",
                "min": 1,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Doseringsinstruktion"
                    }
                ]
            },
            {
                "id": "MedicationDispense.substitution",
                "path": "MedicationDispense.substitution",
                "mustSupport": true
            },
            {
                "id": "MedicationDispense.substitution.wasSubstituted",
                "path": "MedicationDispense.substitution.wasSubstituted",
                "definition": "True if the dispenser dispensed a different drug or product from what was prescribed.\nOnly used for validation (input only).",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Generikautbyte utfört"
                    }
                ]
            },
            {
                "id": "MedicationDispense.detectedIssue",
                "path": "MedicationDispense.detectedIssue",
                "short": "Automatic Format and Constitution Control warning (AFF varning)",
                "definition": "FOR FUTURE USE, SHOULD NOT BE USED!\nAccepted warnings can be provided when creating a MedicationDispense.\nAutomatic Format and Constitution Control (AFF) accepted by the pharmacist.\nNB! The DetectedIssues are never saved by the Swedish eHealth Agency.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDetectedIssue"
                        ],
                        "aggregation":  [
                            "contained"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Accepterade varningar"
                    }
                ]
            }
        ]
    }
}

MedicationDispense		..
MedicationDispense.id		..
MedicationDispense.meta		..
MedicationDispense.meta.versionId		..
MedicationDispense.meta.security		..
MedicationDispense.meta.security.system		..
MedicationDispense.meta.security.version		..
MedicationDispense.meta.security.code		..
MedicationDispense.extension		1..
MedicationDispense.extension	Extension	..
MedicationDispense.extension	Extension	..1
MedicationDispense.extension	Extension	..
MedicationDispense.extension	Extension	..1
MedicationDispense.extension	Extension	..1
MedicationDispense.extension	Extension	..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.extension	Extension	..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.extension.extension		..
MedicationDispense.status		..
MedicationDispense.medication[x]	CodeableConcept	..
MedicationDispense.medication[x].coding		1..
MedicationDispense.medication[x].coding		..1
MedicationDispense.medication[x].coding.system		1..
MedicationDispense.medication[x].coding.code		1..
MedicationDispense.medication[x].coding		..1
MedicationDispense.medication[x].coding.system		1..
MedicationDispense.medication[x].coding.code		1..
MedicationDispense.medication[x].coding		..1
MedicationDispense.medication[x].coding.system		1..
MedicationDispense.medication[x].coding.code		1..
MedicationDispense.subject	Reference(NLLPatient)	1..
MedicationDispense.authorizingPrescription		..0
MedicationDispense.authorizingPrescription.reference		..0
MedicationDispense.authorizingPrescription.identifier		..0
MedicationDispense.type		1..
MedicationDispense.type.coding		1..1
MedicationDispense.type.coding.system		..
MedicationDispense.type.coding.version		..
MedicationDispense.type.coding.code		1..
MedicationDispense.quantity		..
MedicationDispense.quantity.value		1..
MedicationDispense.whenHandedOver		1..
MedicationDispense.dosageInstruction		..1
MedicationDispense.dosageInstruction.patientInstruction		1..
MedicationDispense.substitution		..
MedicationDispense.substitution.wasSubstituted		..
MedicationDispense.detectedIssue	Reference(NLLDetectedIssue)	..

Contained resources

References to other resources are based on contained resources in the following cases.

Element	Resource	Case
subject	Patient	When a patient is identified by name and birthdate only
nllPrescriptionDetails.nllPrescriber	Practitioner	Allways

For more information about references and contained resources see Resources - References.

Details

Description of all elements can be found here, Element descriptions.

Mapping of FHIR element names to the National Medication List names can be found here, Element language mappings.

Dosage

For a dispense authorized by a paper prescription the dosageInstruction is limited to only one element, patientInstruction.

General information on how to use the elements in dosageInstruction (the BackBoneElement Dosage) is described on the page Dosage and in the Handbok för vård- och apotekstjänster. Message examples for dosages are available on the page Dosage - Create

Medication dispense statuses

The following statuses are used within NLL for dispenses.

ValueSet medication-dispense-status

Parameter	Comment
Completed	The dispensed product has been picked up (sv: Expedierat).
Cancelled	The dispensed product is not picked up by the patient (sv: Borttaget).

Medication dispense types

The following types are used within NLL for dispenses.

ValueSet dispense-types

Code	Display
DD	Dose dispensed fill (sv: Dosdispenserat uttag).
SP	Standard packing fill (sv: Helförpackningsuttag).
TF	Trial fill (sv: Startförpackning).

Supported operations

HTTP methods

Operation	Supported	Comment
Search (GET, POST)	yes	See below for supported search options.
Insert (POST)	yes	Create a new dispense. NB! When dispatching more than one dispense at the same occasion, a Bundle conforming to the NLLDispatch profile must be used.
Update (PUT)	yes	Change a dispense. Only a very limited set of attributes can be updated.
Delete (DEL)	no
Operation (GET, POST)	yes	See below for supported extended operations.

When interacting with this resource a set of HTTP-headers must be included in the request, see HTTP Header and Authorization.

Query operations

Supported queries

Note that a search for MedicationDispense may return both dispenses authorized by electronic prescriptions and dispenses authorized by paper prescriptions. The recommended way to distinguish between the two is to examine the authorizingPrescription attribute, which will contain a reference to a prescription in the first scenario, but be empty in the second scenaio.

The following query alternatives are available for this resource.

../nllDispatchId/[id]
../MedicationDispense/[id]
../MedicationDispense/[id]/_history{/[vid]}
../MedicationDispense?[parameters]
Parameter chain:

patient._id=[id]
{&hasAuthorizingPrescription=false}
{&nllDispatchId=[string]}
{&whenhandedover=ge[date]}

Compartment searches

Supported searches on a compartment. This kind of search returns a bundle with the related resources.

../MedicationDispense/[id]/Provenance returns all related provenances.

Include & reverse includes

Supported usage of include and revinclude. This kind of search returns a bundle of both the base resource and the related resources specified in the parameter.

../MedicationDispense?[parameters]&_revinclude=Provenance:target:MedicationDispense returns one or more MedicationDispenses together with their Provenances. The Provenance returned is the one pointing at the returned version of the MedicationDispense. See above for a list of valid parameters.

Example: ../MedicationDispense?patient._id=<uuid>&whenhandedover=ge[date]&_revinclude=Provenance:target:MedicationDispense returns the patient's medication dispenses made on or after the selected date including one provenance per medication dispense.

For generic information about how to search in FHIR look here.

Search parameters

The table below shows all supported search parameters.

Parameter	Description	Comment
MedicationDispense/[id]	A read based on the logical ID (UUID) of a detached dispense `../MedicationDispense/<uuid>`
_history	A vread to get all versions of a medication dispense `../MedicationDispense/<uuid>/_history`
_history/[vid]	A vread to get a specific version of a medication dispense `../MedicationDispense/<uuid>/_history/3`
patient._id	UUID of the patient `..?patient._id=<uuid>`
hasAuthorizingPrescription	Dispenses related to a paper-based prescription `..&hasAuthorizingPrescription=false`	If not specified all type of dispenses are returned
nllDispatchId	Id of a dispatch `..&nllDispatchId=123`
whenhandedover	Date, greater than or equal, when the medication was dispensed at the pharmacy `..&whenhandedover=ge2021-08-31`	Required prefix: ge

Other operations

Operation Comment

$verify
NLLVerify

Invocations

URL: [base]/$verify
URL: [base]/MedicationRequest/$verify
URL: [base]/MedicationDispense/$verify

This operation does NOT change content

Parameters (In)

Name	Cardinality	Type	Documentation
resource	0..1	MedicationRequest(NLLMedicationRequest)	The MedicationRequest to be verified. This type of verification must be directed to the medication request end-point [base]/MedicationRequest/$verify.
resource	0..1	MedicationDispense(NLLMedicationDispense)	The MedicationDispense to be verified. This type of verification must be directed to the medication dispense end-point [base]/MedicationDispense/$verify.
resource	0..1	MedicationDispense(NLLDispensePaperPrescription)	The MedicationDispense to be verified. This type of verification must be directed to the medication dispense end-point [base]/MedicationDispense/$verify.
resource	0..1	Bundle(NLLDispatch)	A Bundle containing the MedicationDispenses to be verified. This type of verification must be directed to the service base end-point [base]/$verify.
resource	0..1	Bundle(NLLTransactionBundle)	A Bundle containing the resources to be verified. NB! Only MedicationDispenses to be verified according to the Automatic Format and Constitution Control (sv. Automatiska format- och författningskontroller AFF-kontroller). This type of verification must be directed to the service base end-point [base]/$verify.

Return Values (Out)

Name	Cardinality	Type	Documentation
detectedIssues	1..1	boolean	Has the value 'true' if any AFF errors or warnings are detected, otherwise 'false'
issues	0..1	OperationOutcome(NLLOperationOutcome)	The OperationOutcome resource, shown in the profile NLLOperationOutcome is a collection of error, warning, or information messages. If the Automatic Format and Constitution Control (sv. Automatiska format- och författningskontroller AFF-kontroller) returns any errors or warnings, these are displayed as DetectedIssues in an OperationOutcome. No OperationOutcome will be returened if there are no issues.

Must be invoked with a HTTP POST. This operation is invoked on MedicationDispense and MedicationRequest resources to verify them according to the Automatic Format and Constitution Control (sv. Automatiska format- och författningskontroller AFF-kontroller). It is also possible to verify a set of MedicationDispenses by using $verify on the service base and providing a Bundle according to NLLDispatch or NLLTransactionBundle. NB! When providing a Bundle only MedicationDispenses will be verified accroding to the Automatic Format and Constitution Control. It is important that the content of the resource parameter matches the end-point of the request.

A Provenance object must be included in the HTTP header X-Provenance.