MedicationDispense

This topic describes information for the MedicationDispense resource.

To interact with the REST endpoints in the MedicationDispense resource, see MedicationDispense.

Overview

The MedicationDispense resource indicates that a medication product is to be or has been dispensed for a named person or patient. This information includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.

Note:

The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

The following fields are returned if valued:

• MedicationDispense ID

• Status

• Status Reason

• Category

• Medication

• Subject

• Context

• Performer

  • Actor

• Location

• AuthorizingPrescription

• Type

• Quantity

• DaysSupply

• WhenPrepared

• WhenHandedOver

• Dosage Instruction

  • Text

  • Timing

  • asNeeded

  • Route

  • DoseAndRate

• Substitution

  • wasSubstituted

MedicationDispense.medication may be a reference to a contained medication when the medication cannot be represented by a CodeableConcept because it contains a unique combination of ingredients. Medications in the system exist in the context of a medication dispense and cannot be referenced independently.

Terminology Bindings

• MedicationDispense.status

  Description: The medication dispense status.

  Details: MedicationDispense Status

  System: http://terminology.hl7.org/CodeSystem/medication-dispense-status

• MedicationDispense.statusReasonCodeableConcept

  Description: A code indicating why the dispense was not performed.

  • Details: MedicationDispense Status Reason Codes

    System: http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-status-reason

  • Details: For more information, see Code Set 4031 Reason for Medication under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4031

• MedicationDispense.medicationCodeableConcept

  Description: A code that defines the medication that was dispensed.

  Details: RxNorm

  System: http://www.nlm.nih.gov/research/umls/rxnorm

• MedicationDispense.category

  Description: A code that indicates the type of medication dispense.

  • Details: MedicationDispense Category Codes

    System: http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category

  • Details: For more information, see Code Set 4500 Pharmacy Types under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4500

• MedicationDispense.type

  Description: A code that indicates the type of dispensing event that is performed.

  Details: ActPharmacySupplyType

  System: http://terminology.hl7.org/CodeSystem/v3-ActCode

• MedicationDispense.dosageInstruction.timing.code

  Description: A code for a known or defined timing pattern.

  • Details: TimingAbbreviation

    System: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation

  • Details: SNOMED CT

    System: http://snomed.info/sct

  • Details: For more information, see Code Set 4003 Frequency under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4003

• MedicationDispense.dosageInstruction.asNeeded[x]

  Description: Indicates whether the medication is only taken when needed or the preconditions for taking the medication.

  • Details: SNOMED CT

    System: http://snomed.info/sct

  • Details: For more information, see Code Set 4005 Reason for Medication under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4005

• MedicationDispense.dosageInstruction.route

  Description: The route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

  • Details: SNOMED CT

    System: http://snomed.info/sct

  • Details: For more information, see Code Set 4001 Medication Administration Route under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4001

Contained Medication Bindings

• Medication.code

  Description: A code that defines the medication.

  Details: RxNorm

  System: http://www.nlm.nih.gov/research/umls/rxnorm

• Medication.form

  Description: A code that describes the form of the item (powder, tablets, capsule, and so on).

  • Details: SNOMEDCTFormCodes

    System: http://hl7.org/fhir/ValueSet/medication-form-codes

  • Details: For more information, see Code Set 4002 Form under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/4002