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

The WG will be updating the MedicationDispense resource to adjust each affected resource to align with the workflow pattern (see workflow.html).

Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.

A code specifying the state of the set of dispense events.

Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. Note: do not use Medication.name to describe the dispensed medication. When the only available information is a text description of the medication, Medication.code.text should be used.

A link to a resource representing the person to whom the medication will be given.

SubstanceAdministration->subject->Patient.

Additional information that supports the medication being dispensed.

The individual responsible for dispensing the medication.

The organizaation responsible for the dispense of the medication.

Indicates the medication order that is being dispensed against.

Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.

The amount of medication that has been dispensed. Includes unit of measure.

The amount of medication expressed as a timing amount.

The time when the dispensed product was packaged and reviewed.

The time the dispensed product was provided to the patient or their representative.

Identification of the facility/location where the medication was shipped to, as part of the dispense event.

Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.

Extra information about the dispense that could not be conveyed in the other attributes.

Indicates how the medication is to be used by the patient. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.

When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.

Indicates whether or not substitution was made as part of the dispense. In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why.

A code signifying whether a different drug was dispensed from what was prescribed.

Indicates the reason for the substitution of (or lack of substitution) from what was prescribed.

The person or organization that has primary responsibility for the substitution.

A summary of the events of interest that have occurred, such as when the dispense was verified.

See usage notes in Request pattern in request history.