Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: NZ Medication Dispense

Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/NzPharmacyMedicationDispense | Version: 0.0.1
Draft as of 2026-03-03 | Computable Name: NzPharmacyMedicationDispense

A FHIR profile for NZ Medication Dispense, including extensions for NZePS script number.

Usages:

- CapabilityStatements using this Profile: Shared Care FHIR Server Capability Statement
- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nzepsScriptNoLocal |  | 0..1 | string | NZePS Script Number Local URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x] | Σ | 1..1 |  | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
authorizingPrescription |  | 1..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
whenPrepared | Σ | 1..1 | dateTime | When product was packaged and reviewed
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationDispense.status | required | MedicationDispense Status Codes `http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1` From the FHIR Standard
MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` From the FHIR Standard

#### 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 |

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | Dispensing a medication to a named patient
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nzepsScriptNoLocal |  | 0..1 | string | NZePS Script Number Local URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local
identifier |  | 1..* | Identifier | External identifier
authorizingPrescription |  | 1..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
whenPrepared |  | 1..1 | dateTime | When product was packaged and reviewed
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nzepsScriptNoLocal |  | 0..1 | string | NZePS Script Number Local URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
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 |  | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x] | Σ | 1..1 |  | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | Σ | 0..1 | Reference(Patient | Group) | 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 |  | 0..* | BackboneElement | Who performed event
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 |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription |  | 1..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
type |  | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. 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.
quantity |  | 0..1 | SimpleQuantity | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount
whenPrepared | Σ | 1..1 | dateTime | When product was packaged and reviewed
whenHandedOver |  | 0..1 | dateTime | When product was given out
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient | Practitioner) | Who collected the medication
note |  | 0..* | Annotation | Information about the dispense
dosageInstruction |  | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
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 | URI
MedicationDispense.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationDispense.status | required | MedicationDispense Status Codes `http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1` 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 |

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements

Extensions

This structure refers to these extensions:

- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nzepsScriptNoLocal |  | 0..1 | string | NZePS Script Number Local URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x] | Σ | 1..1 |  | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
authorizingPrescription |  | 1..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
whenPrepared | Σ | 1..1 | dateTime | When product was packaged and reviewed
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationDispense.status | required | MedicationDispense Status Codes `http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1` From the FHIR Standard
MedicationDispense.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` From the FHIR Standard

#### 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 |

Differential View

This structure is derived from MedicationDispense

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense |  | 0..* | MedicationDispense | Dispensing a medication to a named patient
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nzepsScriptNoLocal |  | 0..1 | string | NZePS Script Number Local URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local
identifier |  | 1..* | Identifier | External identifier
authorizingPrescription |  | 1..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
whenPrepared |  | 1..1 | dateTime | When product was packaged and reviewed
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient Constraints: mdd-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nzepsScriptNoLocal |  | 0..1 | string | NZePS Script Number Local URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
partOf |  | 0..* | Reference(Procedure) | Event that dispense is part of
status | ?!Σ | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
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 |  | 0..1 | CodeableConcept | Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
medication[x] | Σ | 1..1 |  | What medication was supplied Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | Σ | 0..1 | Reference(Patient | Group) | 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 |  | 0..* | BackboneElement | Who performed event
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 |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was performing
location |  | 0..1 | Reference(Location) | Where the dispense occurred
authorizingPrescription |  | 1..* | Reference(MedicationRequest) | Medication order that authorizes the dispense
type |  | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. 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.
quantity |  | 0..1 | SimpleQuantity | Amount dispensed
daysSupply |  | 0..1 | SimpleQuantity | Amount of medication expressed as a timing amount
whenPrepared | Σ | 1..1 | dateTime | When product was packaged and reviewed
whenHandedOver |  | 0..1 | dateTime | When product was given out
destination |  | 0..1 | Reference(Location) | Where the medication was sent
receiver |  | 0..* | Reference(Patient | Practitioner) | Who collected the medication
note |  | 0..* | Annotation | Information about the dispense
dosageInstruction |  | 0..* | Dosage | How the medication is to be used by the patient or administered by the caregiver
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 | URI
MedicationDispense.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationDispense.status | required | MedicationDispense Status Codes `http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1` 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 |

This structure is derived from MedicationDispense

Summary

Mandatory: 3 elements

Extensions

This structure refers to these extensions:

- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/nzeps-scriptno-local

Other representations of profile: CSV, Excel, Schematron