"Id","Path","Slice Name","Alias(s)","Label","Min","Max","Must Support?","Is Modifier?","Is Summary?","Type(s)","Short","Definition","Comments","Requirements","Default Value","Meaning When Missing","Fixed Value","Pattern","Example","Minimum Value","Maximum Value","Maximum Length","Binding Strength","Binding Description","Binding Value Set","Code","Slicing Discriminator","Slicing Description","Slicing Ordered","Slicing Rules","Base Path","Base Min","Base Max","Condition(s)","Constraint(s)","Mapping: Workflow Pattern","Mapping: RIM Mapping","Mapping: FiveWs Pattern Mapping","Mapping: V3 Pharmacy Dispense RMIM","Mapping: HL7 v2 Mapping"
"MedicationDispense","MedicationDispense","","","",0,*,"","","","null {[]} {[]}
","Dispensing a medication to a named patient","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.","","","","","","","","","",,,,,"",,,,"MedicationDispense",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}mdd-1:whenHandedOver cannot be before whenPrepared {whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared}","Event","Entity. Role, or Act","Supply[moodCode=EVN]"
"MedicationDispense.id","MedicationDispense.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"MedicationDispense.meta","MedicationDispense.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.implicitRules","MedicationDispense.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.language","MedicationDispense.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.text","MedicationDispense.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Act.text?"
"MedicationDispense.contained","MedicationDispense.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Recursos contidos (inline)","Esses recursos são usados para inclusão de informações adicionais referenciadas no recurso principal. Neste elemento, são incluidas fatias (slices) para representação: (1) do medicamento dispensado (Medication); (2) do profissional responsável pela dispensação (Practitioner); e (3) da organização responsável pela dispensação (Organization). Esses recursos são referenciados através de uma referência local. Para tanto, o elemento tem uma identificação local (inicia-se com '#'), isto é o ""id"" do recurso contido (contained) tem um valor único na representação do recurso principal. Para maiores informações sobre referências locais, veja a especificação FHIR em https://hl7.org/fhir/R4/references.html.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"","pattern:$this}
","",,"open","DomainResource.contained",0,*,"","","N/A"
"MedicationDispense.contained:organizationContained","MedicationDispense.contained","organizationContained","inline resources
anonymous resourcescontained resources","",0,1,"","","","Organization {[]} {[]}
","Organização que dispensou o medicamento","Organização que dispensou o medicamento.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"","","N/A"
"MedicationDispense.contained:organizationContained.id","MedicationDispense.contained.id","","","",1,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"MedicationDispense.contained:organizationContained.meta","MedicationDispense.contained.meta","","","",0,0,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.contained:organizationContained.implicitRules","MedicationDispense.contained.implicitRules","","","",0,0,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.contained:organizationContained.language","MedicationDispense.contained.language","","","",0,0,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.contained:organizationContained.text","MedicationDispense.contained.text","","narrative
htmlxhtmldisplay","",0,0,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Act.text?"
"MedicationDispense.contained:organizationContained.contained","MedicationDispense.contained.contained","","inline resources
anonymous resourcescontained resources","",0,0,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"","","N/A"
"MedicationDispense.contained:organizationContained.extension","MedicationDispense.contained.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.contained:organizationContained.modifierExtension","MedicationDispense.contained.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.contained:organizationContained.identifier","MedicationDispense.contained.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Identifies this organization  across multiple systems","Identifier for the organization that is used to identify the organization across multiple disparate systems.","","Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","","","","","","","",,,,,"",,,,"Organization.identifier",0,*,"org-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".scopes[Role](classCode=IDENT)","FiveWs.identifier","XON.10 / XON.3"
"MedicationDispense.contained:organizationContained.identifier.id","MedicationDispense.contained.identifier.id","","","",0,0,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.contained:organizationContained.identifier.extension","MedicationDispense.contained.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.contained:organizationContained.identifier.use","MedicationDispense.contained.identifier.use","","","",0,0,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","N/A"
"MedicationDispense.contained:organizationContained.identifier.type","MedicationDispense.contained.identifier.type","","","",0,0,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","CX.5"
"MedicationDispense.contained:organizationContained.identifier.system","MedicationDispense.contained.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identificador do namespace do CNES","Identificador do namespace do CNES","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.13.36""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.root or Role.id.root","CX.4 / EI-2-4"
"MedicationDispense.contained:organizationContained.identifier.value","MedicationDispense.contained.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","Número do CNES","Número do CNES da organização que dispensou o medicamento.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)","CX.1 / EI.1"
"MedicationDispense.contained:organizationContained.identifier.period","MedicationDispense.contained.identifier.period","","","",0,0,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.effectiveTime or implied by context","CX.7 + CX.8"
"MedicationDispense.contained:organizationContained.identifier.assigner","MedicationDispense.contained.identifier.assigner","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper","CX.4 / (CX.4,CX.9,CX.10)"
"MedicationDispense.contained:organizationContained.active","MedicationDispense.contained.active","","","",0,0,"","Y","Y","boolean {[]} {[]}
","Whether the organization's record is still in active use","Whether the organization's record is still in active use.","This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

This element is labeled as a modifier because it may be used to mark that the resource was created in error.","Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.","","This resource is generally assumed to be active if no value is provided for the active element","","","","","",,,,,"",,,,"Organization.active",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".status","FiveWs.status","No equivalent in HL7 v2"
"MedicationDispense.contained:organizationContained.type","MedicationDispense.contained.type","","","",0,0,"","","Y","CodeableConcept {[]} {[]}
","Kind of organization","The kind(s) of organization that this is.","Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

We expect that some jurisdictions will profile this optionality to be a single cardinality.","Need to be able to track the kind of organization that this is - different organization types have different uses.","","","","","","","",,"example","Used to categorize the organization.","http://hl7.org/fhir/ValueSet/organization-type","",,,,"Organization.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".code","FiveWs.class","No equivalent in v2"
"MedicationDispense.contained:organizationContained.name","MedicationDispense.contained.name","","","",0,1,"","","Y","string {[]} {[]}
","Nome da organização","A name associated with the organization.","If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.","Need to use the name as the label of the organization.","","","","","","","",,,,,"",,,,"Organization.name",0,1,"org-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".name","XON.1"
"MedicationDispense.contained:organizationContained.alias","MedicationDispense.contained.alias","","","",0,0,"","","","string {[]} {[]}
","A list of alternate names that the organization is known as, or was known as in the past","A list of alternate names that the organization is known as, or was known as in the past.","There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.","Over time locations and organizations go through many changes and can be known by different names.

For searching knowing previous names that the organization was known by can be very useful.","","","","","","","",,,,,"",,,,"Organization.alias",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".name"
"MedicationDispense.contained:organizationContained.telecom","MedicationDispense.contained.telecom","","","",0,0,"","","","ContactPoint {[]} {[]}
","A contact detail for the organization","A contact detail for the organization.","The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.","Human contact for the organization.","","","","","","","",,,,,"",,,,"Organization.telecom",0,*,"org-3
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
org-3:The telecom of an organization can never be of use 'home' {where(use = 'home').empty()}",".telecom","ORC-22?"
"MedicationDispense.contained:organizationContained.address","MedicationDispense.contained.address","","","",0,0,"","","","Address {[]} {[]}
","An address for the organization","An address for the organization.","Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.","May need to keep track of the organization's addresses for contacting, billing or reporting requirements.","","","","","","","",,,,,"",,,,"Organization.address",0,*,"org-2
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
org-2:An address of an organization can never be of use 'home' {where(use = 'home').empty()}",".address","ORC-23?"
"MedicationDispense.contained:organizationContained.partOf","MedicationDispense.contained.partOf","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","The organization of which this organization forms a part","The organization of which this organization forms a part.","","Need to be able to track the hierarchy of organizations within an organization.","","","","","","","",,,,,"",,,,"Organization.partOf",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".playedBy[classCode=Part].scoper","No equivalent in HL7 v2"
"MedicationDispense.contained:organizationContained.contact","MedicationDispense.contained.contact","","","",0,0,"","","","BackboneElement {[]} {[]}
","Contact for the organization for a certain purpose","Contact for the organization for a certain purpose.","Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.","Need to keep track of assigned contact points within bigger organization.","","","","","","","",,,,,"",,,,"Organization.contact",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".contactParty"
"MedicationDispense.contained:organizationContained.contact.id","MedicationDispense.contained.contact.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.contained:organizationContained.contact.extension","MedicationDispense.contained.contact.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.contained:organizationContained.contact.modifierExtension","MedicationDispense.contained.contact.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.contained:organizationContained.contact.purpose","MedicationDispense.contained.contact.purpose","","","",0,1,"","","","CodeableConcept {[]} {[]}
","The type of contact","Indicates a purpose for which the contact can be reached.","","Need to distinguish between multiple contact persons.","","","","","","","",,"extensible","The purpose for which you would contact a contact party.","http://hl7.org/fhir/ValueSet/contactentity-type","",,,,"Organization.contact.purpose",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./type"
"MedicationDispense.contained:organizationContained.contact.name","MedicationDispense.contained.contact.name","","","",0,1,"","","","HumanName {[]} {[]}
","A name associated with the contact","A name associated with the contact.","","Need to be able to track the person by name.","","","","","","","",,,,,"",,,,"Organization.contact.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./name","PID-5, PID-9"
"MedicationDispense.contained:organizationContained.contact.telecom","MedicationDispense.contained.contact.telecom","","","",0,*,"","","","ContactPoint {[]} {[]}
","Contact details (telephone, email, etc.)  for a contact","A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.","","People have (primary) ways to contact them in some way such as phone, email.","","","","","","","",,,,,"",,,,"Organization.contact.telecom",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./telecom","PID-13, PID-14"
"MedicationDispense.contained:organizationContained.contact.address","MedicationDispense.contained.contact.address","","","",0,1,"","","","Address {[]} {[]}
","Visiting or postal addresses for the contact","Visiting or postal addresses for the contact.","","May need to keep track of a contact party's address for contacting, billing or reporting requirements.","","","","","","","",,,,,"",,,,"Organization.contact.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./addr","PID-11"
"MedicationDispense.contained:organizationContained.endpoint","MedicationDispense.contained.endpoint","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Endpoint]]}
","Technical endpoints providing access to services operated for the organization","Technical endpoints providing access to services operated for the organization.","","Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.","","","","","","","",,,,,"",,,,"Organization.endpoint",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","n/a"
"MedicationDispense.contained:practitionerContained","MedicationDispense.contained","practitionerContained","inline resources
anonymous resourcescontained resources","",0,*,"","","","Practitioner {[]} {[]}
","Profissional que dispensou o medicamento","Profissional que dispensou o medicamento, identificado pelo seu CPF ou CNS.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"","","N/A"
"MedicationDispense.contained:practitionerContained.id","MedicationDispense.contained.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"MedicationDispense.contained:practitionerContained.meta","MedicationDispense.contained.meta","","","",0,0,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.contained:practitionerContained.implicitRules","MedicationDispense.contained.implicitRules","","","",0,0,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.contained:practitionerContained.language","MedicationDispense.contained.language","","","",0,0,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"MedicationDispense.contained:practitionerContained.text","MedicationDispense.contained.text","","narrative
htmlxhtmldisplay","",0,0,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Act.text?"
"MedicationDispense.contained:practitionerContained.contained","MedicationDispense.contained.contained","","inline resources
anonymous resourcescontained resources","",0,0,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"","","N/A"
"MedicationDispense.contained:practitionerContained.extension","MedicationDispense.contained.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.contained:practitionerContained.modifierExtension","MedicationDispense.contained.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.contained:practitionerContained.identifier","MedicationDispense.contained.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","An identifier for the person as this agent","An identifier that applies to this person in this role.","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"","pattern:$this}
","",,"open","Practitioner.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./id","FiveWs.identifier","PRD-7 (or XCN.1)"
"MedicationDispense.contained:practitionerContained.identifier:cns","MedicationDispense.contained.identifier","cns","","",0,1,"","","Y","Identifier {[]} {[]}
","An identifier for the person as this agent","An identifier that applies to this person in this role.","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"",,,,"Practitioner.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./id","FiveWs.identifier","PRD-7 (or XCN.1)"
"MedicationDispense.contained:practitionerContained.identifier:cns.id","MedicationDispense.contained.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.contained:practitionerContained.identifier:cns.extension","MedicationDispense.contained.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.contained:practitionerContained.identifier:cns.use","MedicationDispense.contained.identifier.use","","","",0,0,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","N/A"
"MedicationDispense.contained:practitionerContained.identifier:cns.type","MedicationDispense.contained.identifier.type","","","",0,0,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","CX.5"
"MedicationDispense.contained:practitionerContained.identifier:cns.system","MedicationDispense.contained.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.13.236""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.root or Role.id.root","CX.4 / EI-2-4"
"MedicationDispense.contained:practitionerContained.identifier:cns.value","MedicationDispense.contained.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","CNS do profissional","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)","CX.1 / EI.1"
"MedicationDispense.contained:practitionerContained.identifier:cns.period","MedicationDispense.contained.identifier.period","","","",0,0,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.effectiveTime or implied by context","CX.7 + CX.8"
"MedicationDispense.contained:practitionerContained.identifier:cns.assigner","MedicationDispense.contained.identifier.assigner","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper","CX.4 / (CX.4,CX.9,CX.10)"
"MedicationDispense.contained:practitionerContained.identifier:cpf","MedicationDispense.contained.identifier","cpf","","",0,1,"","","Y","Identifier {[]} {[]}
","An identifier for the person as this agent","An identifier that applies to this person in this role.","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"",,,,"Practitioner.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./id","FiveWs.identifier","PRD-7 (or XCN.1)"
"MedicationDispense.contained:practitionerContained.identifier:cpf.id","MedicationDispense.contained.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.contained:practitionerContained.identifier:cpf.extension","MedicationDispense.contained.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.contained:practitionerContained.identifier:cpf.use","MedicationDispense.contained.identifier.use","","","",0,0,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","N/A"
"MedicationDispense.contained:practitionerContained.identifier:cpf.type","MedicationDispense.contained.identifier.type","","","",0,0,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","CX.5"
"MedicationDispense.contained:practitionerContained.identifier:cpf.system","MedicationDispense.contained.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.13.237""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.root or Role.id.root","CX.4 / EI-2-4"
"MedicationDispense.contained:practitionerContained.identifier:cpf.value","MedicationDispense.contained.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","CPF do profissional","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)","CX.1 / EI.1"
"MedicationDispense.contained:practitionerContained.identifier:cpf.period","MedicationDispense.contained.identifier.period","","","",0,0,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.effectiveTime or implied by context","CX.7 + CX.8"
"MedicationDispense.contained:practitionerContained.identifier:cpf.assigner","MedicationDispense.contained.identifier.assigner","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper","CX.4 / (CX.4,CX.9,CX.10)"
"MedicationDispense.contained:practitionerContained.active","MedicationDispense.contained.active","","","",0,0,"","","Y","boolean {[]} {[]}
","Whether this practitioner's record is in active use","Whether this practitioner's record is in active use.","If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.","Need to be able to mark a practitioner record as not to be used because it was created in error.","","This resource is generally assumed to be active if no value is provided for the active element","","","","","",,,,,"",,,,"Practitioner.active",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./statusCode","FiveWs.status"
"MedicationDispense.contained:practitionerContained.name","MedicationDispense.contained.name","","","",0,*,"","","Y","HumanName {[]} {[]}
","The name(s) associated with the practitioner","The name(s) associated with the practitioner.","The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.  

In general, select the value to be used in the ResourceReference.display based on this:

1. There is more than 1 name
2. Use = usual
3. Period is current to the date of the usage
4. Use = official
5. Other order as decided by internal business rules.","The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.","","","","","","","",,,,,"",,,,"Practitioner.name",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./name","XCN Components"
"MedicationDispense.contained:practitionerContained.telecom","MedicationDispense.contained.telecom","","","",0,0,"","","Y","ContactPoint {[]} {[]}
","A contact detail for the practitioner (that apply to all roles)","A contact detail for the practitioner, e.g. a telephone number or an email address.","Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and to help with identification.  These typically will have home numbers, or mobile numbers that are not role specific.","Need to know how to reach a practitioner independent to any roles the practitioner may have.","","","","","","","",,,,,"",,,,"Practitioner.telecom",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./telecom","PRT-15, STF-10, ROL-12"
"MedicationDispense.contained:practitionerContained.address","MedicationDispense.contained.address","","","",0,0,"","","Y","Address {[]} {[]}
","Address(es) of the practitioner that are not role specific (typically home address)","Address(es) of the practitioner that are not role specific (typically home address). 
Work addresses are not typically entered in this property as they are usually role dependent.","The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).","The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.","","","","","","","",,,,,"",,,,"Practitioner.address",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./addr","ORC-24, STF-11, ROL-11, PRT-14"
"MedicationDispense.contained:practitionerContained.gender","MedicationDispense.contained.gender","","","",0,0,"","","Y","code {[]} {[]}
","male | female | other | unknown","Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.","","Needed to address the person correctly.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1","",,,,"Practitioner.gender",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./administrativeGender","STF-5"
"MedicationDispense.contained:practitionerContained.birthDate","MedicationDispense.contained.birthDate","","","",0,0,"","","Y","date {[]} {[]}
","The date  on which the practitioner was born","The date of birth for the practitioner.","","Needed for identification.","","","","","","","",,,,,"",,,,"Practitioner.birthDate",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./birthTime","STF-6"
"MedicationDispense.contained:practitionerContained.photo","MedicationDispense.contained.photo","","","",0,0,"","","","Attachment {[]} {[]}
","Image of the person","Image of the person.","","Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.","","","","","","","",,,,,"",,,,"Practitioner.photo",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./subjectOf/ObservationEvent[code=""photo""]/value"
"MedicationDispense.contained:practitionerContained.qualification","MedicationDispense.contained.qualification","","","",0,0,"","","","BackboneElement {[]} {[]}
","Certification, licenses, or training pertaining to the provision of care","The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner.  For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.","","","","","","","","","",,,,,"",,,,"Practitioner.qualification",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".playingEntity.playingRole[classCode=QUAL].code","CER?"
"MedicationDispense.contained:practitionerContained.qualification.id","MedicationDispense.contained.qualification.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.contained:practitionerContained.qualification.extension","MedicationDispense.contained.qualification.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.contained:practitionerContained.qualification.modifierExtension","MedicationDispense.contained.qualification.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.contained:practitionerContained.qualification.identifier","MedicationDispense.contained.qualification.identifier","","","",0,*,"","","","Identifier {[]} {[]}
","An identifier for this qualification for the practitioner","An identifier that applies to this person's qualification in this role.","","Often, specific identities are assigned for the qualification.","","","","","","","",,,,,"",,,,"Practitioner.qualification.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".playingEntity.playingRole[classCode=QUAL].id"
"MedicationDispense.contained:practitionerContained.qualification.code","MedicationDispense.contained.qualification.code","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Coded representation of the qualification","Coded representation of the qualification.","","","","","","","","","",,"example","Specific qualification the practitioner has to provide a service.","http://terminology.hl7.org/ValueSet/v2-2.7-0360","",,,,"Practitioner.qualification.code",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".playingEntity.playingRole[classCode=QUAL].code"
"MedicationDispense.contained:practitionerContained.qualification.period","MedicationDispense.contained.qualification.period","","","",0,1,"","","","Period {[]} {[]}
","Period during which the qualification is valid","Period during which the qualification is valid.","","Qualifications are often for a limited period of time, and can be revoked.","","","","","","","",,,,,"",,,,"Practitioner.qualification.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".playingEntity.playingRole[classCode=QUAL].effectiveTime"
"MedicationDispense.contained:practitionerContained.qualification.issuer","MedicationDispense.contained.qualification.issuer","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that regulates and issues the qualification","Organization that regulates and issues the qualification.","","","","","","","","","",,,,,"",,,,"Practitioner.qualification.issuer",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".playingEntity.playingRole[classCode=QUAL].scoper"
"MedicationDispense.contained:practitionerContained.communication","MedicationDispense.contained.communication","","","",0,0,"","","","CodeableConcept {[]} {[]}
","A language the practitioner can use in patient communication","A language the practitioner can use in patient communication.","The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","Knowing which language a practitioner speaks can help in facilitating communication with patients.","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Practitioner.communication",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./languageCommunication","PID-15, NK1-20, LAN-2"
"MedicationDispense.contained:medicationContained","MedicationDispense.contained","medicationContained","","",0,1,"","","","Medication {[CanonicalType[https://fhir.saude.go.gov.br/r4/core/StructureDefinition/medicamento-especializado]]} {[]}
","Definition of a Medication","This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"","","Entity. Role, or Act","ManufacturedProduct[classCode=ADMM]"
"MedicationDispense.extension","MedicationDispense.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.modifierExtension","MedicationDispense.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.identifier","MedicationDispense.identifier","","","",1,1,"","","","Identifier {[]} {[]}
","External identifier","Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.","This is a business identifier, not a resource identifier.","","","","","","","","",,,,,"","pattern:system}
","",,"open","MedicationDispense.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.identifier",".id","FiveWs.identifier","CombinedMedicationDispense.id"
"MedicationDispense.identifier:localIdentifier","MedicationDispense.identifier","localIdentifier","","",1,1,"","","","Identifier {[]} {[]}
","Identificador do registro no sistema de origem","Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.","This is a business identifier, not a resource identifier.","","","","","","","","",,,,,"",,,,"MedicationDispense.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.identifier",".id","FiveWs.identifier","CombinedMedicationDispense.id"
"MedicationDispense.identifier:localIdentifier.id","MedicationDispense.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.identifier:localIdentifier.extension","MedicationDispense.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.identifier:localIdentifier.use","MedicationDispense.identifier.use","","","",0,0,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","N/A"
"MedicationDispense.identifier:localIdentifier.type","MedicationDispense.identifier.type","","","",0,0,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","CX.5"
"MedicationDispense.identifier:localIdentifier.system","MedicationDispense.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identificador único do sistema de origem","URL ou OID da instância/sistema de origem - fornecido pela plataforma.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.root or Role.id.root","CX.4 / EI-2-4"
"MedicationDispense.identifier:localIdentifier.value","MedicationDispense.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","Identificador do registro no sistema de origem","Identificador do registro no sistema de origem","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)","CX.1 / EI.1"
"MedicationDispense.identifier:localIdentifier.period","MedicationDispense.identifier.period","","","",0,0,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.effectiveTime or implied by context","CX.7 + CX.8"
"MedicationDispense.identifier:localIdentifier.assigner","MedicationDispense.identifier.assigner","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper","CX.4 / (CX.4,CX.9,CX.10)"
"MedicationDispense.partOf","MedicationDispense.partOf","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]]}
","Event that dispense is part of","The procedure that trigger the dispense.","","","","","","","","","",,,,,"",,,,"MedicationDispense.partOf",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.partOf",".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"
"MedicationDispense.status","MedicationDispense.status","","","",1,1,"","Y","Y","code {[]} {[]}
","preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown","A code specifying the state of the set of dispense events.","This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","A coded concept specifying the state of the dispense event.","http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1","",,,,"MedicationDispense.status",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.status",".statusCode","FiveWs.status","CombinedMedicationDispense.SupplyEvent.statusCode"
"MedicationDispense.statusReason[x]","MedicationDispense.statusReason[x]","","","",0,0,"","","","CodeableConcept {[]} {[]}
Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/DetectedIssue]]}","Why a dispense was not performed","Indicates the reason why a dispense was not performed.","","","","","","","","","",,"example","A code describing why a dispense was not performed.","http://hl7.org/fhir/ValueSet/medicationdispense-status-reason","",,,,"MedicationDispense.statusReason[x]",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.statusReason",".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=""not done reason""].value"
"MedicationDispense.category","MedicationDispense.category","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Type of medication dispense","Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).","The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind.","","","","","","","","",,"preferred","","https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeFinanceira","",,,,"MedicationDispense.category",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=""type of medication dispense""].value"
"MedicationDispense.category.id","MedicationDispense.category.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.category.extension","MedicationDispense.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.category.coding","MedicationDispense.category.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for alternative encodings within a code system, and translations to other code systems.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","union(., ./translation)","C*E.1-8, C*E.10-22"
"MedicationDispense.category.text","MedicationDispense.category.text","","","",0,0,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./originalText[mediaType/code=""text/plain""]/data","C*E.9. But note many systems use C*E.2 for this"
"MedicationDispense.medication[x]","MedicationDispense.medication[x]","","","",1,1,"","","Y","CodeableConcept {[]} {[]}
Reference {[]} {[CanonicalType[https://fhir.saude.go.gov.br/r4/core/StructureDefinition/medicamento-especializado]]} (contained
)","What medication was supplied","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.  For example, if you require form or lot number, then you must reference the Medication resource.","","","","","","","","",,"example","A coded concept identifying which substance or product can be dispensed.","http://hl7.org/fhir/ValueSet/medication-codes","",,,,"MedicationDispense.medication[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.code",".participation[typeCode=PRD].role","FiveWs.what[x]","CombinedMedicationRequest.component1.AdministrationRequest.consumable","RXD-2-Dispense/Give Code"
"MedicationDispense.subject","MedicationDispense.subject","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[https://fhir.ipes.tech/fhir/StructureDefinition/PatientBRIPES]]}
","Who the dispense is for","A link to a resource representing the person or the group to whom the medication will be given.","SubstanceAdministration->subject->Patient.","","","","","","","","",,,,,"",,,,"MedicationDispense.subject",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.subject",".participation[typeCode=SBJ].role[classCode=PAT]","FiveWs.subject[x]","FiveWs.subject","PID-3-Patient ID List"
"MedicationDispense.subject.id","MedicationDispense.subject.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.subject.extension","MedicationDispense.subject.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.subject.reference","MedicationDispense.subject.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.subject.type","MedicationDispense.subject.type","","","",0,0,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.subject.identifier","MedicationDispense.subject.identifier","","","",0,0,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".identifier"
"MedicationDispense.subject.display","MedicationDispense.subject.display","","","",0,0,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.context","MedicationDispense.context","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Encounter], CanonicalType[http://hl7.org/fhir/StructureDefinition/EpisodeOfCare]]}
","Encounter / Episode associated with event","The encounter or episode of care that establishes the context for this event.","","","","","","","","","",,,,,"",,,,"MedicationDispense.context",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.context",".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=""type of encounter or episode""]"
"MedicationDispense.supportingInformation","MedicationDispense.supportingInformation","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Information that supports the dispensing of the medication","Additional information that supports the medication being dispensed.","","","","","","","","","",,,,,"",,,,"MedicationDispense.supportingInformation",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]","FiveWs.context"
"MedicationDispense.performer","MedicationDispense.performer","","","",0,*,"","","","BackboneElement {[]} {[]}
","Who performed event","Indicates who or what performed the event.","","","","","","","","","",,,,,"","pattern:actor.reference}
","",,"open","MedicationDispense.performer",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer",".participation[typeCode=PRF]"
"MedicationDispense.performer.id","MedicationDispense.performer.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer.extension","MedicationDispense.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer.modifierExtension","MedicationDispense.performer.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.performer.function","MedicationDispense.performer.function","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Who performed the dispense and what they did","Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.","","Allows disambiguation of the types of involvement of different performers.","","","","","","","",,"example","A code describing the role an individual played in dispensing a medication.","http://hl7.org/fhir/ValueSet/medicationdispense-performer-function","",,,,"MedicationDispense.performer.function",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","participation[typeCode=PRF].functionCode"
"MedicationDispense.performer.actor","MedicationDispense.performer.actor","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Individual who was performing","The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer.actor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer.actor",".role"
"MedicationDispense.performer:organization","MedicationDispense.performer","organization","","",0,1,"","","","BackboneElement {[]} {[]}
","Organização que dispensou o medicamento","Organização que dispensou o medicamento, identificada pelo seu número do CNES","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer",".participation[typeCode=PRF]"
"MedicationDispense.performer:organization.id","MedicationDispense.performer.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:organization.extension","MedicationDispense.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:organization.modifierExtension","MedicationDispense.performer.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.performer:organization.function","MedicationDispense.performer.function","","","",0,0,"","","","CodeableConcept {[]} {[]}
","Who performed the dispense and what they did","Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.","","Allows disambiguation of the types of involvement of different performers.","","","","","","","",,"example","A code describing the role an individual played in dispensing a medication.","http://hl7.org/fhir/ValueSet/medicationdispense-performer-function","",,,,"MedicationDispense.performer.function",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","participation[typeCode=PRF].functionCode"
"MedicationDispense.performer:organization.actor","MedicationDispense.performer.actor","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Individual who was performing","The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer.actor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer.actor",".role"
"MedicationDispense.performer:organization.actor.id","MedicationDispense.performer.actor.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:organization.actor.extension","MedicationDispense.performer.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:organization.actor.reference","MedicationDispense.performer.actor.reference","","","",0,1,"","","Y","string {[]} {[]}
","Organização que dispensou o medicamento","Referência literal e relativa para a organização que realizou a dispensação. A referência é feita no formato: ""reference"";""Organization/2.16.840.1.113883.13.36-{{cnes}}"".","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:organization.actor.type","MedicationDispense.performer.actor.type","","","",0,0,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:organization.actor.identifier","MedicationDispense.performer.actor.identifier","","","",0,0,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".identifier"
"MedicationDispense.performer:organization.actor.display","MedicationDispense.performer.actor.display","","","",0,0,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:organizationContained","MedicationDispense.performer","organizationContained","","",0,1,"","","","BackboneElement {[]} {[]}
","Organização que dispensou o medicamento","Indicates who or what performed the event.","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer",".participation[typeCode=PRF]"
"MedicationDispense.performer:organizationContained.id","MedicationDispense.performer.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:organizationContained.extension","MedicationDispense.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:organizationContained.modifierExtension","MedicationDispense.performer.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.performer:organizationContained.function","MedicationDispense.performer.function","","","",0,0,"","","","CodeableConcept {[]} {[]}
","Who performed the dispense and what they did","Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.","","Allows disambiguation of the types of involvement of different performers.","","","","","","","",,"example","A code describing the role an individual played in dispensing a medication.","http://hl7.org/fhir/ValueSet/medicationdispense-performer-function","",,,,"MedicationDispense.performer.function",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","participation[typeCode=PRF].functionCode"
"MedicationDispense.performer:organizationContained.actor","MedicationDispense.performer.actor","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Individual who was performing","The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer.actor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer.actor",".role"
"MedicationDispense.performer:organizationContained.actor.id","MedicationDispense.performer.actor.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:organizationContained.actor.extension","MedicationDispense.performer.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:organizationContained.actor.reference","MedicationDispense.performer.actor.reference","","","",1,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""#organization-1""/>","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:organizationContained.actor.type","MedicationDispense.performer.actor.type","","","",0,0,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:organizationContained.actor.identifier","MedicationDispense.performer.actor.identifier","","","",0,0,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".identifier"
"MedicationDispense.performer:organizationContained.actor.display","MedicationDispense.performer.actor.display","","","",0,0,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:practitioner","MedicationDispense.performer","practitioner","","",0,1,"","","","BackboneElement {[]} {[]}
","Profissional que dispensou o medicamento","Profissional que dispensou o medicamento, identificado pelo seu CPF ou CNS","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer",".participation[typeCode=PRF]"
"MedicationDispense.performer:practitioner.id","MedicationDispense.performer.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:practitioner.extension","MedicationDispense.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:practitioner.modifierExtension","MedicationDispense.performer.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.performer:practitioner.function","MedicationDispense.performer.function","","","",0,0,"","","","CodeableConcept {[]} {[]}
","Who performed the dispense and what they did","Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.","","Allows disambiguation of the types of involvement of different performers.","","","","","","","",,"example","A code describing the role an individual played in dispensing a medication.","http://hl7.org/fhir/ValueSet/medicationdispense-performer-function","",,,,"MedicationDispense.performer.function",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","participation[typeCode=PRF].functionCode"
"MedicationDispense.performer:practitioner.actor","MedicationDispense.performer.actor","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner]]}
","Individual who was performing","The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer.actor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer.actor",".role"
"MedicationDispense.performer:practitioner.actor.id","MedicationDispense.performer.actor.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:practitioner.actor.extension","MedicationDispense.performer.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:practitioner.actor.reference","MedicationDispense.performer.actor.reference","","","",0,1,"","","Y","string {[]} {[]}
","Profissional que dispensou o medicamento","Referência literal e relativa para o profissional que realizou a dispensação. A referência é feita no formato: ""reference"";""Practitioner/2.16.840.1.113883.13.236-{{cns}}"" ou ""reference"";""Practitioner/2.16.840.1.113883.13.236-{{cpf}}"".","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:practitioner.actor.type","MedicationDispense.performer.actor.type","","","",0,0,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:practitioner.actor.identifier","MedicationDispense.performer.actor.identifier","","","",0,0,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".identifier"
"MedicationDispense.performer:practitioner.actor.display","MedicationDispense.performer.actor.display","","","",0,0,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:practitionerContained","MedicationDispense.performer","practitionerContained","","",0,1,"","","","BackboneElement {[]} {[]}
","Who performed event","Indicates who or what performed the event.","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer",".participation[typeCode=PRF]"
"MedicationDispense.performer:practitionerContained.id","MedicationDispense.performer.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:practitionerContained.extension","MedicationDispense.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:practitionerContained.modifierExtension","MedicationDispense.performer.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.performer:practitionerContained.function","MedicationDispense.performer.function","","","",0,0,"","","","CodeableConcept {[]} {[]}
","Who performed the dispense and what they did","Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.","","Allows disambiguation of the types of involvement of different performers.","","","","","","","",,"example","A code describing the role an individual played in dispensing a medication.","http://hl7.org/fhir/ValueSet/medicationdispense-performer-function","",,,,"MedicationDispense.performer.function",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","participation[typeCode=PRF].functionCode"
"MedicationDispense.performer:practitionerContained.actor","MedicationDispense.performer.actor","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Individual who was performing","The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.","","","","","","","","","",,,,,"",,,,"MedicationDispense.performer.actor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer.actor",".role"
"MedicationDispense.performer:practitionerContained.actor.id","MedicationDispense.performer.actor.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.performer:practitionerContained.actor.extension","MedicationDispense.performer.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.performer:practitionerContained.actor.reference","MedicationDispense.performer.actor.reference","","","",0,1,"","","Y","string {[]} {[]}
","Profissional que dispensou o medicamento","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:practitionerContained.actor.type","MedicationDispense.performer.actor.type","","","",0,0,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.performer:practitionerContained.actor.identifier","MedicationDispense.performer.actor.identifier","","","",0,0,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".identifier"
"MedicationDispense.performer:practitionerContained.actor.display","MedicationDispense.performer.actor.display","","","",0,0,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.location","MedicationDispense.location","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Where the dispense occurred","The principal physical location where the dispense was performed.","","","","","","","","","",,,,,"",,,,"MedicationDispense.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=LOC].role"
"MedicationDispense.authorizingPrescription","MedicationDispense.authorizingPrescription","","","",0,*,"","","","Reference {[]} {[CanonicalType[https://fhir.ipes.tech/fhir/StructureDefinition/MedicationRequestBRIPES]]}
","Medication order that authorizes the dispense","Indicates the medication order that is being dispensed against.","Maps to basedOn in Event logical model.","","","","","","","","",,,,,"",,,,"MedicationDispense.authorizingPrescription",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.basedOn",".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]","CombinedMedicationDispense.inFulfillmentOf","ORC-2 Placer Order Number"
"MedicationDispense.authorizingPrescription.id","MedicationDispense.authorizingPrescription.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.authorizingPrescription.extension","MedicationDispense.authorizingPrescription.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.authorizingPrescription.reference","MedicationDispense.authorizingPrescription.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.authorizingPrescription.type","MedicationDispense.authorizingPrescription.type","","","",0,0,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.authorizingPrescription.identifier","MedicationDispense.authorizingPrescription.identifier","","","",0,0,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".identifier"
"MedicationDispense.authorizingPrescription.display","MedicationDispense.authorizingPrescription.display","","","",0,0,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","N/A"
"MedicationDispense.type","MedicationDispense.type","","","",0,0,"","","","CodeableConcept {[]} {[]}
","Trial fill, partial fill, emergency fill, etc.","Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.","","","","","","","","","",,"example","Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.","http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType","",,,,"MedicationDispense.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".code","CombinedMedicationDispense.SupplyEvent.code","RXD-33-Dispense Type"
"MedicationDispense.quantity","MedicationDispense.quantity","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Amount dispensed","The amount of medication that has been dispensed. Includes unit of measure.","","","","","","","","","",,,,,"",,,,"MedicationDispense.quantity",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".quantity","CombinedMedicationDispense.SupplyEvent.quantity","RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
"MedicationDispense.daysSupply","MedicationDispense.daysSupply","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Amount of medication expressed as a timing amount","The amount of medication expressed as a timing amount.","","","","","","","","","",,,,,"",,,,"MedicationDispense.daysSupply",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","effectiveUseTime","TQ1.6 Timing/Quantity Segment Service Duration.
Prior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component.  This is a formatted string, first character for the time unit (e.g., D=days), followed by the value.  For example, “D14” represents “14 days supply”
From v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration.  This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^
For backwards compatibility, ORC.7 was permitted through v2.6.  Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"
"MedicationDispense.whenPrepared","MedicationDispense.whenPrepared","","","",0,0,"","","Y","dateTime {[]} {[]}
","When product was packaged and reviewed","The time when the dispensed product was packaged and reviewed.","","","","","","","","","",,,,,"",,,,"MedicationDispense.whenPrepared",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".effectiveTime[xmi:type=IVL_TS].low","CombinedMedicationDispense.SupplyEvent.effectiveTime","RXD-3-Date/Time Dispensed"
"MedicationDispense.whenHandedOver","MedicationDispense.whenHandedOver","","","",1,1,"","","","dateTime {[]} {[]}
","When product was given out","The time the dispensed product was provided to the patient or their representative.","","","","","","","","","",,,,,"",,,,"MedicationDispense.whenHandedOver",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.occurrence[x]",".effectiveTime[xmi:type=IVL_TS].high","CombinedMedicationDispense.SupplyEvent.effectiveTime","RXD-3-Date/Time Dispensed"
"MedicationDispense.destination","MedicationDispense.destination","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Where the medication was sent","Identification of the facility/location where the medication was shipped to, as part of the dispense event.","","","","","","","","","",,,,,"",,,,"MedicationDispense.destination",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=DST].role","CombinedMedicationDispense.SupplyEvent.destination","RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"
"MedicationDispense.receiver","MedicationDispense.receiver","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner]]}
","Who collected the medication","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.","","","","","","","","","",,,,,"",,,,"MedicationDispense.receiver",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=RCV].role","CombinedMedicationDispense.SupplyEvent.receiver"
"MedicationDispense.note","MedicationDispense.note","","","",0,*,"","","","Annotation {[]} {[]}
","Information about the dispense","Extra information about the dispense that could not be conveyed in the other attributes.","","","","","","","","","",,,,,"",,,,"MedicationDispense.note",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.note",".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]","RXD-9 Dispense Notes"
"MedicationDispense.dosageInstruction","MedicationDispense.dosageInstruction","","","",0,0,"","","","Dosage {[]} {[]}
","How the medication is to be used by the patient or administered by the caregiver","Indicates how the medication is to be used by the patient.","When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.
The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.","","","","","","","","",,,,,"",,,,"MedicationDispense.dosageInstruction",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"
"MedicationDispense.substitution","MedicationDispense.substitution","","","",0,0,"","","","BackboneElement {[]} {[]}
","Whether a substitution was performed on the dispense","Indicates whether or not substitution was made as part of the dispense.  In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.  If nothing is specified, substitution was not done.","","","","","","","","","",,,,,"",,,,"MedicationDispense.substitution",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]","CombinedMedicationDispense.substitutionMade"
"MedicationDispense.substitution.id","MedicationDispense.substitution.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"MedicationDispense.substitution.extension","MedicationDispense.substitution.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"MedicationDispense.substitution.modifierExtension","MedicationDispense.substitution.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"MedicationDispense.substitution.wasSubstituted","MedicationDispense.substitution.wasSubstituted","","","",1,1,"","","","boolean {[]} {[]}
","Whether a substitution was or was not performed on the dispense","True if the dispenser dispensed a different drug or product from what was prescribed.","","","","","","","","","",,,,,"",,,,"MedicationDispense.substitution.wasSubstituted",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".actionNegationInd"
"MedicationDispense.substitution.type","MedicationDispense.substitution.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Code signifying whether a different drug was dispensed from what was prescribed","A code signifying whether a different drug was dispensed from what was prescribed.","","","","","","","","","",,"example","A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.","http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode","",,,,"MedicationDispense.substitution.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".code","CombinedMedicationDispense.substitutionMade.code","RXO-9-Allow Substitutions / RXE-9-Substitution Status"
"MedicationDispense.substitution.reason","MedicationDispense.substitution.reason","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Why was substitution made","Indicates the reason for the substitution (or lack of substitution) from what was prescribed.","","","","","","","","","",,"example","A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.","http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason","",,,,"MedicationDispense.substitution.reason",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".reasonCode","CombinedMedicationDispense.substitutionMade.reasonCode"
"MedicationDispense.substitution.responsibleParty","MedicationDispense.substitution.responsibleParty","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole]]}
","Who is responsible for the substitution","The person or organization that has primary responsibility for the substitution.","","","","","","","","","",,,,,"",,,,"MedicationDispense.substitution.responsibleParty",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=PFM].role[classCode=ASSIGN]","CombinedMedicationDispense.substitutionMade.ResponsibleParty"
"MedicationDispense.detectedIssue","MedicationDispense.detectedIssue","","Contraindication
Drug Utilization Review (DUR)Alert","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/DetectedIssue]]}
","Clinical issue with action","Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.","This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.","","","","","","","","",,,,,"",,,,"MedicationDispense.detectedIssue",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
"MedicationDispense.eventHistory","MedicationDispense.eventHistory","","","",0,0,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Provenance]]}
","A list of relevant lifecycle events","A summary of the events of interest that have occurred, such as when the dispense was verified.","This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).","","","","","","","","",,,,,"",,,,"MedicationDispense.eventHistory",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"