Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
medicationRequestDate		1..1	dateTime	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
medicationMonetaryValue		0..1	(Complex)	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
programaSaude		0..1	(Complex)	Programa Saúde URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
value[x]		1..1	code	Value of extension Required Pattern: ESP
identifier		0..0
partOf		0..0
statusReason[x]		0..0
category		1..1	CodeableConcept	Modalidade da Dispensação Binding: Modalidade Financeira (required): Modalidade Financeira
Slices for medication[x]		1..1		Medicamento dispensado Slice: Unordered, Open by type:$this
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	What medication was supplied Binding: Terminologia dos medicamentos (required)
subject		1..1	Reference(Indivíduo)	Identificação do indivíduo
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
display		0..0
context		0..0
supportingInformation		0..0
performer		1..*	BackboneElement	Estabelecimento de Saúde e Profissional
id		0..0
function		0..0
actor		1..1	Reference(Profissional | Estabelecimento de Saúde)	Individual who was performing
id		0..0
Slices for extension				Content/Rules for all slices
conselhoProfissional		0..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
id		0..0
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
location		0..0
authorizingPrescription		0..1	Reference(Prescrição de Medicamento)	Identificação do registro de prescrição eletrônica
id		0..0
type		0..0
type		0..0
quantity		1..1	SimpleQuantity	Quantidade dispensada no atendimento
id		0..0
daysSupply		0..1	SimpleQuantity	Quantidade de dias de fornecimento
whenPrepared		0..0
whenHandedOver	C	1..1	dateTime	Data e hora da dispensação DataComPrecisaoDeMes: Data deve ter a precisão de mês
destination		0..0
receiver		0..1	Reference(Indivíduo)	Quem retirou o medicamento
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
note		0..1	Annotation	Orientação de uso do produto
dosageInstruction		0..0
substitution		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.category	required	Modalidade Financeira http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeFinanceira
MedicationDispense.medication[x]:medicationCodeableConcept	required	Terminologia dos medicamentos http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento

Constraints

Id	Grade	Path(s)	Details	Requirements
DataComPrecisaoDeMes	error	MedicationDispense.whenHandedOver	Data deve ter a precisão de mês : $this.toString().length() = 7

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
medicationRequestDate		1..1	dateTime	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
medicationMonetaryValue		0..1	(Complex)	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
programaSaude		0..1	(Complex)	Programa Saúde URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
extension		0..0
url		1..1	uri	"https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude"
value[x]		1..1	code	Value of extension Binding: Programa saúde (required) Required Pattern: ESP
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
category		1..1	CodeableConcept	Modalidade da Dispensação Binding: Modalidade Financeira (required): Modalidade Financeira
Slices for medication[x]	Σ	1..1		Medicamento dispensado Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What medication was supplied Binding: Terminologia dos medicamentos (required)
subject	Σ	1..1	Reference(Indivíduo)	Identificação do indivíduo
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer		1..*	BackboneElement	Estabelecimento de Saúde e Profissional
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Profissional | Estabelecimento de Saúde)	Individual who was performing
Slices for extension				Content/Rules for all slices
conselhoProfissional		0..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
authorizingPrescription		0..1	Reference(Prescrição de Medicamento)	Identificação do registro de prescrição eletrônica
quantity		1..1	SimpleQuantity	Quantidade dispensada no atendimento
daysSupply		0..1	SimpleQuantity	Quantidade de dias de fornecimento
whenHandedOver	C	1..1	dateTime	Data e hora da dispensação DataComPrecisaoDeMes: Data deve ter a precisão de mês
receiver		0..1	Reference(Indivíduo)	Quem retirou o medicamento
note		0..1	Annotation	Orientação de uso do produto
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.extension:programaSaude.value[x]	required	Pattern: ESP https://fhir.saude.go.gov.br/r4/core/ValueSet/programa-saude from this IG
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.category	required	Modalidade Financeira http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeFinanceira
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept	required	Terminologia dos medicamentos http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
MedicationDispense.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
DataComPrecisaoDeMes	error	MedicationDispense.whenHandedOver	Data deve ter a precisão de mês : $this.toString().length() = 7
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
medicationRequestDate		1..1	dateTime	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
medicationMonetaryValue		0..1	(Complex)	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
programaSaude		0..1	(Complex)	Programa Saúde URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude"
value[x]		1..1	code	Value of extension Binding: Programa saúde (required) Required Pattern: ESP
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
category		1..1	CodeableConcept	Modalidade da Dispensação Binding: Modalidade Financeira (required): Modalidade Financeira
Slices for medication[x]	Σ	1..1		Medicamento dispensado Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What medication was supplied Binding: Terminologia dos medicamentos (required)
subject	Σ	1..1	Reference(Indivíduo)	Identificação do indivíduo
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
performer		1..*	BackboneElement	Estabelecimento de Saúde e Profissional
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Profissional | Estabelecimento de Saúde)	Individual who was performing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
conselhoProfissional		0..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
display	Σ	0..1	string	Text alternative for the resource
authorizingPrescription		0..1	Reference(Prescrição de Medicamento)	Identificação do registro de prescrição eletrônica
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
quantity		1..1	SimpleQuantity	Quantidade dispensada no atendimento
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
daysSupply		0..1	SimpleQuantity	Quantidade de dias de fornecimento
whenHandedOver	C	1..1	dateTime	Data e hora da dispensação DataComPrecisaoDeMes: Data deve ter a precisão de mês
receiver		0..1	Reference(Indivíduo)	Quem retirou o medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
note		0..1	Annotation	Orientação de uso do produto
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.extension:programaSaude.value[x]	required	Pattern: ESP https://fhir.saude.go.gov.br/r4/core/ValueSet/programa-saude from this IG
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.category	required	Modalidade Financeira http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeFinanceira
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept	required	Terminologia dos medicamentos http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
MedicationDispense.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.receiver.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.receiver.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
DataComPrecisaoDeMes	error	MedicationDispense.whenHandedOver	Data deve ter a precisão de mês : $this.toString().length() = 7
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Summary

Mandatory: 13 elements(2 nested mandatory elements)
Prohibited: 31 elements

Structures

This structure refers to these other structures:

• Medicamento (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/Medicamento)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Prescrição de Medicamento (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/prescricao-medicamento)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
• https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
• https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
medicationRequestDate		1..1	dateTime	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
medicationMonetaryValue		0..1	(Complex)	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
programaSaude		0..1	(Complex)	Programa Saúde URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
value[x]		1..1	code	Value of extension Required Pattern: ESP
identifier		0..0
partOf		0..0
statusReason[x]		0..0
category		1..1	CodeableConcept	Modalidade da Dispensação Binding: Modalidade Financeira (required): Modalidade Financeira
Slices for medication[x]		1..1		Medicamento dispensado Slice: Unordered, Open by type:$this
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	What medication was supplied Binding: Terminologia dos medicamentos (required)
subject		1..1	Reference(Indivíduo)	Identificação do indivíduo
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
display		0..0
context		0..0
supportingInformation		0..0
performer		1..*	BackboneElement	Estabelecimento de Saúde e Profissional
id		0..0
function		0..0
actor		1..1	Reference(Profissional | Estabelecimento de Saúde)	Individual who was performing
id		0..0
Slices for extension				Content/Rules for all slices
conselhoProfissional		0..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
id		0..0
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
location		0..0
authorizingPrescription		0..1	Reference(Prescrição de Medicamento)	Identificação do registro de prescrição eletrônica
id		0..0
type		0..0
type		0..0
quantity		1..1	SimpleQuantity	Quantidade dispensada no atendimento
id		0..0
daysSupply		0..1	SimpleQuantity	Quantidade de dias de fornecimento
whenPrepared		0..0
whenHandedOver	C	1..1	dateTime	Data e hora da dispensação DataComPrecisaoDeMes: Data deve ter a precisão de mês
destination		0..0
receiver		0..1	Reference(Indivíduo)	Quem retirou o medicamento
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
note		0..1	Annotation	Orientação de uso do produto
dosageInstruction		0..0
substitution		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.category	required	Modalidade Financeira http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeFinanceira
MedicationDispense.medication[x]:medicationCodeableConcept	required	Terminologia dos medicamentos http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento

Constraints

Id	Grade	Path(s)	Details	Requirements
DataComPrecisaoDeMes	error	MedicationDispense.whenHandedOver	Data deve ter a precisão de mês : $this.toString().length() = 7

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
medicationRequestDate		1..1	dateTime	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
medicationMonetaryValue		0..1	(Complex)	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
programaSaude		0..1	(Complex)	Programa Saúde URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
extension		0..0
url		1..1	uri	"https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude"
value[x]		1..1	code	Value of extension Binding: Programa saúde (required) Required Pattern: ESP
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
category		1..1	CodeableConcept	Modalidade da Dispensação Binding: Modalidade Financeira (required): Modalidade Financeira
Slices for medication[x]	Σ	1..1		Medicamento dispensado Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What medication was supplied Binding: Terminologia dos medicamentos (required)
subject	Σ	1..1	Reference(Indivíduo)	Identificação do indivíduo
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer		1..*	BackboneElement	Estabelecimento de Saúde e Profissional
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Profissional | Estabelecimento de Saúde)	Individual who was performing
Slices for extension				Content/Rules for all slices
conselhoProfissional		0..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
authorizingPrescription		0..1	Reference(Prescrição de Medicamento)	Identificação do registro de prescrição eletrônica
quantity		1..1	SimpleQuantity	Quantidade dispensada no atendimento
daysSupply		0..1	SimpleQuantity	Quantidade de dias de fornecimento
whenHandedOver	C	1..1	dateTime	Data e hora da dispensação DataComPrecisaoDeMes: Data deve ter a precisão de mês
receiver		0..1	Reference(Indivíduo)	Quem retirou o medicamento
note		0..1	Annotation	Orientação de uso do produto
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.extension:programaSaude.value[x]	required	Pattern: ESP https://fhir.saude.go.gov.br/r4/core/ValueSet/programa-saude from this IG
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.category	required	Modalidade Financeira http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeFinanceira
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept	required	Terminologia dos medicamentos http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
MedicationDispense.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
DataComPrecisaoDeMes	error	MedicationDispense.whenHandedOver	Data deve ter a precisão de mês : $this.toString().length() = 7
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
medicationRequestDate		1..1	dateTime	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
medicationMonetaryValue		0..1	(Complex)	Extension URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
programaSaude		0..1	(Complex)	Programa Saúde URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude"
value[x]		1..1	code	Value of extension Binding: Programa saúde (required) Required Pattern: ESP
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
category		1..1	CodeableConcept	Modalidade da Dispensação Binding: Modalidade Financeira (required): Modalidade Financeira
Slices for medication[x]	Σ	1..1		Medicamento dispensado Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What medication was supplied Binding: Terminologia dos medicamentos (required)
subject	Σ	1..1	Reference(Indivíduo)	Identificação do indivíduo
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
performer		1..*	BackboneElement	Estabelecimento de Saúde e Profissional
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Profissional | Estabelecimento de Saúde)	Individual who was performing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
conselhoProfissional		0..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
display	Σ	0..1	string	Text alternative for the resource
authorizingPrescription		0..1	Reference(Prescrição de Medicamento)	Identificação do registro de prescrição eletrônica
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
quantity		1..1	SimpleQuantity	Quantidade dispensada no atendimento
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
daysSupply		0..1	SimpleQuantity	Quantidade de dias de fornecimento
whenHandedOver	C	1..1	dateTime	Data e hora da dispensação DataComPrecisaoDeMes: Data deve ter a precisão de mês
receiver		0..1	Reference(Indivíduo)	Quem retirou o medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
note		0..1	Annotation	Orientação de uso do produto
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.extension:programaSaude.value[x]	required	Pattern: ESP https://fhir.saude.go.gov.br/r4/core/ValueSet/programa-saude from this IG
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.category	required	Modalidade Financeira http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeFinanceira
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationDispense.medication[x]:medicationCodeableConcept	required	Terminologia dos medicamentos http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
MedicationDispense.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.receiver.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationDispense.receiver.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.receiver.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
DataComPrecisaoDeMes	error	MedicationDispense.whenHandedOver	Data deve ter a precisão de mês : $this.toString().length() = 7
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Summary

Mandatory: 13 elements(2 nested mandatory elements)
Prohibited: 31 elements

Structures

This structure refers to these other structures:

• Medicamento (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/Medicamento)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Prescrição de Medicamento (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/prescricao-medicamento)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDataPrescricao
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRValorMedicamento
• https://fhir.saude.go.gov.br/r4/core/StructureDefinition/programa-saude
• https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional

Slices

This structure defines the following Slices:

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