Polaris Core MedicationDispense Profile

Overview

The Polaris Core MedicationDispense profile represents medication dispensing events within primary care and pharmacy systems. This profile captures the actual provision of medications to patients, tracking what was dispensed, when, by whom, and in what quantity across the Polaris ecosystem.

Key Features

• Medication Tracking: Supports DIN, RxNorm, and source EMR medication codes
• Dispense Documentation: Records quantity, days supply, and dispensing dates
• Performer Attribution: Tracks pharmacist or organization performing dispense
• Prescription Linkage: Connects to authorizing MedicationRequest
• Status Management: Tracks preparation, completion, and cancellation states

Dispense Workflow

Common dispense states include:

• Preparation: Medication being prepared
• In-progress: Dispensing underway
• On-hold: Temporarily suspended
• Completed: Successfully dispensed to patient
• Cancelled: Dispense cancelled before completion
• Entered-in-error: Erroneous entry to be ignored
• Stopped: Dispense terminated

Clinical Components

Essential dispense elements:

• Medication Details: What was dispensed (name, code, strength)
• Quantity: Amount provided to patient
• Days Supply: Expected duration of dispensed quantity
• When Handed Over: Actual dispense date (CII N2 mapping)
• Dosage Instructions: How patient should take medication

Pharmacy Integration

The profile supports:

• Retail pharmacy dispensing
• Hospital pharmacy workflows
• Mail-order pharmacy processes
• Partial fills and refills
• Medication synchronization programs

Quality and Safety

Enables tracking of:

• Medication adherence patterns
• Refill compliance
• Days supply calculations
• Dispensing patterns
• Medication therapy management

Relationships

MedicationDispense connects to:

• MedicationRequest: The prescription being filled
• Patient: Who received the medication
• Practitioner/Organization: Who dispensed
• Location: Where dispensing occurred
• Encounter: Related clinical visit

Future Considerations

Potential enhancements being evaluated:

• Substitution documentation
• Insurance and payment information
• Counseling documentation
• Delivery method tracking
• Compound medication details
• Lot numbers and expiration dates

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Polaris Medication Dispense Core Constraints: mdd-1, medicationdispense-has-polaris-id
meta	Σ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	Business identifier(s) for medicationdispense Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris MedicationDispense ID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	Polaris medicationdispense identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris medicationdispense ID value: unique in source system Example General: 123456
identifier:rawCode	S	0..*	Identifier	Source EMR medicationdispense identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped Binding: MedicationDispense Status Codes (required)
category	S	0..1	CodeableConcept	Dispense category with raw code support Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense category code
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense category code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-category-raw-code
code	Σ	1..1	code	EMR-specific dispense category code
display	Σ	1..1	string	EMR's display text for this category
medication[x]	SΣ	1..1	CodeableConcept	Medication with raw code support Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard medication code (DIN, RxNorm)
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR medication code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-medication-raw-code
code	Σ	1..1	code	EMR-specific medication code
display	Σ	1..1	string	EMR's display text for this medication
text	SΣ	1..1	string	Human-readable medication name (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the dispense is for
performer	S	0..*	BackboneElement	Who performed the dispense
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	S	1..1	Reference(Polaris PractitionerRole Core | Polaris Organization Core)	Individual or organization who performed dispense
authorizingPrescription	S	0..*	Reference(Polaris MedicationRequest Profile Core)	Prescription that authorized this dispense
type	S	0..1	CodeableConcept	Dispense type with raw code support Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense type code
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense type code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-type-raw-code
code	Σ	1..1	code	EMR-specific dispense type code
display	Σ	1..1	string	EMR's display text for this type
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication for period of time
whenPrepared	Σ	0..1	dateTime	When product was prepared
whenHandedOver	S	1..1	dateTime	When product was given - Maps to CII N2 Medication_Dispensed_Date
note		0..*	Annotation	Additional information about dispense
dosageInstruction		0..*	Dosage	How medication should be taken
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
medicationdispense-has-polaris-id	error	MedicationDispense	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-medicationdispense-identifier$'))

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Polaris Medication Dispense Core Constraints: medicationdispense-has-polaris-id
meta
source	S	0..1	uri	Identifies EMR instance & pipeline version the resource came from
text	S	0..1	Narrative	Narrative
Slices for identifier	S	1..*	Identifier	Business identifier(s) for medicationdispense Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris MedicationDispense ID
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	Polaris medicationdispense identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-identifier
value		1..1	string	The actual Polaris medicationdispense ID value: unique in source system
identifier:rawCode	S	0..*	Identifier	Source EMR medicationdispense identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-raw-code
value		1..1	string	The value that is unique
status	S	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped Binding: MedicationDispense Status Codes (required)
category	S	0..1	CodeableConcept	Dispense category with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard dispense category code
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR dispense category code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-category-raw-code
code		1..1	code	EMR-specific dispense category code
display		1..1	string	EMR's display text for this category
medication[x]	S	1..1	CodeableConcept	Medication with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard medication code (DIN, RxNorm)
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR medication code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-medication-raw-code
code		1..1	code	EMR-specific medication code
display		1..1	string	EMR's display text for this medication
text	S	1..1	string	Human-readable medication name (required)
subject	S	1..1	Reference(Polaris Patient Core)	Who the dispense is for
performer	S	0..*	BackboneElement	Who performed the dispense
actor	S	1..1	Reference(Polaris PractitionerRole Core | Polaris Organization Core)	Individual or organization who performed dispense
authorizingPrescription	S	0..*	Reference(Polaris MedicationRequest Profile Core)	Prescription that authorized this dispense
type	S	0..1	CodeableConcept	Dispense type with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard dispense type code
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR dispense type code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-type-raw-code
code		1..1	code	EMR-specific dispense type code
display		1..1	string	EMR's display text for this type
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication for period of time
whenPrepared		0..1	dateTime	When product was prepared
whenHandedOver	S	1..1	dateTime	When product was given - Maps to CII N2 Medication_Dispensed_Date
note		0..*	Annotation	Additional information about dispense
dosageInstruction		0..*	Dosage	How medication should be taken
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationdispense-has-polaris-id	error	MedicationDispense	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-medicationdispense-identifier$'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Polaris Medication Dispense Core Constraints: mdd-1, medicationdispense-has-polaris-id
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	Business identifier(s) for medicationdispense Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris MedicationDispense ID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Polaris medicationdispense identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris medicationdispense ID value: unique in source system Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:rawCode	S	0..*	Identifier	Source EMR medicationdispense identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped Binding: MedicationDispense Status Codes (required)
statusReason[x]		0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category	S	0..1	CodeableConcept	Dispense category with raw code support Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense category code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense category code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-category-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific dispense category code
display	Σ	1..1	string	EMR's display text for this category
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
medication[x]	SΣ	1..1	CodeableConcept	Medication with raw code support Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard medication code (DIN, RxNorm)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR medication code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-medication-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific medication code
display	Σ	1..1	string	EMR's display text for this medication
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Human-readable medication name (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the dispense is for
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	S	0..*	BackboneElement	Who performed the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	S	1..1	Reference(Polaris PractitionerRole Core | Polaris Organization Core)	Individual or organization who performed dispense
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	S	0..*	Reference(Polaris MedicationRequest Profile Core)	Prescription that authorized this dispense
type	S	0..1	CodeableConcept	Dispense type with raw code support Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense type code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense type code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-type-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific dispense type code
display	Σ	1..1	string	EMR's display text for this type
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication for period of time
whenPrepared	Σ	0..1	dateTime	When product was prepared
whenHandedOver	S	1..1	dateTime	When product was given - Maps to CII N2 Medication_Dispensed_Date
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Additional information about dispense
dosageInstruction		0..*	Dosage	How medication should be taken
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationDispense.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier:polarisId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier:rawCode.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
medicationdispense-has-polaris-id	error	MedicationDispense	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-medicationdispense-identifier$'))

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Polaris Medication Dispense Core Constraints: mdd-1, medicationdispense-has-polaris-id
meta	Σ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	Business identifier(s) for medicationdispense Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris MedicationDispense ID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	Polaris medicationdispense identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris medicationdispense ID value: unique in source system Example General: 123456
identifier:rawCode	S	0..*	Identifier	Source EMR medicationdispense identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped Binding: MedicationDispense Status Codes (required)
category	S	0..1	CodeableConcept	Dispense category with raw code support Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense category code
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense category code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-category-raw-code
code	Σ	1..1	code	EMR-specific dispense category code
display	Σ	1..1	string	EMR's display text for this category
medication[x]	SΣ	1..1	CodeableConcept	Medication with raw code support Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard medication code (DIN, RxNorm)
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR medication code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-medication-raw-code
code	Σ	1..1	code	EMR-specific medication code
display	Σ	1..1	string	EMR's display text for this medication
text	SΣ	1..1	string	Human-readable medication name (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the dispense is for
performer	S	0..*	BackboneElement	Who performed the dispense
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	S	1..1	Reference(Polaris PractitionerRole Core | Polaris Organization Core)	Individual or organization who performed dispense
authorizingPrescription	S	0..*	Reference(Polaris MedicationRequest Profile Core)	Prescription that authorized this dispense
type	S	0..1	CodeableConcept	Dispense type with raw code support Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense type code
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense type code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-type-raw-code
code	Σ	1..1	code	EMR-specific dispense type code
display	Σ	1..1	string	EMR's display text for this type
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication for period of time
whenPrepared	Σ	0..1	dateTime	When product was prepared
whenHandedOver	S	1..1	dateTime	When product was given - Maps to CII N2 Medication_Dispensed_Date
note		0..*	Annotation	Additional information about dispense
dosageInstruction		0..*	Dosage	How medication should be taken
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
medicationdispense-has-polaris-id	error	MedicationDispense	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-medicationdispense-identifier$'))

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Polaris Medication Dispense Core Constraints: medicationdispense-has-polaris-id
meta
source	S	0..1	uri	Identifies EMR instance & pipeline version the resource came from
text	S	0..1	Narrative	Narrative
Slices for identifier	S	1..*	Identifier	Business identifier(s) for medicationdispense Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris MedicationDispense ID
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	Polaris medicationdispense identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-identifier
value		1..1	string	The actual Polaris medicationdispense ID value: unique in source system
identifier:rawCode	S	0..*	Identifier	Source EMR medicationdispense identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-raw-code
value		1..1	string	The value that is unique
status	S	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped Binding: MedicationDispense Status Codes (required)
category	S	0..1	CodeableConcept	Dispense category with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard dispense category code
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR dispense category code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-category-raw-code
code		1..1	code	EMR-specific dispense category code
display		1..1	string	EMR's display text for this category
medication[x]	S	1..1	CodeableConcept	Medication with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard medication code (DIN, RxNorm)
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR medication code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-medication-raw-code
code		1..1	code	EMR-specific medication code
display		1..1	string	EMR's display text for this medication
text	S	1..1	string	Human-readable medication name (required)
subject	S	1..1	Reference(Polaris Patient Core)	Who the dispense is for
performer	S	0..*	BackboneElement	Who performed the dispense
actor	S	1..1	Reference(Polaris PractitionerRole Core | Polaris Organization Core)	Individual or organization who performed dispense
authorizingPrescription	S	0..*	Reference(Polaris MedicationRequest Profile Core)	Prescription that authorized this dispense
type	S	0..1	CodeableConcept	Dispense type with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard dispense type code
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR dispense type code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-type-raw-code
code		1..1	code	EMR-specific dispense type code
display		1..1	string	EMR's display text for this type
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication for period of time
whenPrepared		0..1	dateTime	When product was prepared
whenHandedOver	S	1..1	dateTime	When product was given - Maps to CII N2 Medication_Dispensed_Date
note		0..*	Annotation	Additional information about dispense
dosageInstruction		0..*	Dosage	How medication should be taken
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationdispense-has-polaris-id	error	MedicationDispense	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-medicationdispense-identifier$'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispense	Polaris Medication Dispense Core Constraints: mdd-1, medicationdispense-has-polaris-id
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	Business identifier(s) for medicationdispense Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris MedicationDispense ID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Polaris medicationdispense identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris medicationdispense ID value: unique in source system Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:rawCode	S	0..*	Identifier	Source EMR medicationdispense identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped Binding: MedicationDispense Status Codes (required)
statusReason[x]		0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category	S	0..1	CodeableConcept	Dispense category with raw code support Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense category code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense category code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-category-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific dispense category code
display	Σ	1..1	string	EMR's display text for this category
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
medication[x]	SΣ	1..1	CodeableConcept	Medication with raw code support Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard medication code (DIN, RxNorm)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR medication code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-medication-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific medication code
display	Σ	1..1	string	EMR's display text for this medication
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Human-readable medication name (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the dispense is for
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	S	0..*	BackboneElement	Who performed the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	S	1..1	Reference(Polaris PractitionerRole Core | Polaris Organization Core)	Individual or organization who performed dispense
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	S	0..*	Reference(Polaris MedicationRequest Profile Core)	Prescription that authorized this dispense
type	S	0..1	CodeableConcept	Dispense type with raw code support Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard dispense type code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR dispense type code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-medicationdispense-type-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific dispense type code
display	Σ	1..1	string	EMR's display text for this type
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
quantity		0..1	SimpleQuantity	Amount dispensed
daysSupply		0..1	SimpleQuantity	Amount of medication for period of time
whenPrepared	Σ	0..1	dateTime	When product was prepared
whenHandedOver	S	1..1	dateTime	When product was given - Maps to CII N2 Medication_Dispensed_Date
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Additional information about dispense
dosageInstruction		0..*	Dosage	How medication should be taken
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationDispense.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationDispense.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier:polarisId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationDispense.identifier:rawCode.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status From the FHIR Standard
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes http://hl7.org/fhir/ValueSet/medicationdispense-status-reason From the FHIR Standard
MedicationDispense.category	preferred	MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category From the FHIR Standard
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function From the FHIR Standard
MedicationDispense.type	example	ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
medicationdispense-has-polaris-id	error	MedicationDispense	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-medicationdispense-identifier$'))

This structure is derived from MedicationDispense

Summary

Mandatory: 7 elements(17 nested mandatory elements)
Must-Support: 21 elements

Structures

This structure refers to these other structures:

• Polaris Patient Core (https://fhir.apps.health/StructureDefinition/polaris-core-patient)
• Polaris PractitionerRole Core (https://fhir.apps.health/StructureDefinition/polaris-core-practitionerrole)
• Polaris Organization Core (https://fhir.apps.health/StructureDefinition/polaris-core-organization)
• Polaris MedicationRequest Profile Core (https://fhir.apps.health/StructureDefinition/polaris-core-medicationrequest)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.identifier
• The element 1 is sliced based on the value of MedicationDispense.category.coding
• The element 1 is sliced based on the value of MedicationDispense.medication[x].coding
• The element 1 is sliced based on the value of MedicationDispense.type.coding