NP Core MedicationDispense

Sets minimum expectations for representing the dispensing of a medication to a patient in Nepal.

Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationdispense
Resource / type: MedicationDispense
Based on: http://hl7.org/fhir/StructureDefinition/MedicationDispense
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`MedicationDispense.status` preparation \| in-progress \| cancelled \| on-hold \| completed \| entered-in-error \| stopped \| declined \| unknown	1..1	Always
`MedicationDispense.medication[x]` What medication was supplied	1..1	Always
`MedicationDispense.performer.actor` Individual who was performing	1..1	If parent present
`MedicationDispense.substitution.wasSubstituted` Whether a substitution was or was not performed on the dispense	1..1	If parent present

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

MedicationDispense.status
MedicationDispense.medication[x]
MedicationDispense.medication[x]:medicationReference
MedicationDispense.medication[x]:medicationCodeableConcept
MedicationDispense.subject
MedicationDispense.performer
MedicationDispense.quantity
MedicationDispense.whenHandedOver

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`MedicationDispense.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`MedicationDispense.status`	required	http://hl7.org/fhir/ValueSet/medicationdispense-status
`MedicationDispense.statusReason[x]`	example	http://hl7.org/fhir/ValueSet/medicationdispense-status-reason
`MedicationDispense.category`	preferred	http://hl7.org/fhir/ValueSet/medicationdispense-category
`MedicationDispense.medication[x]`	example	http://hl7.org/fhir/ValueSet/medication-codes
`MedicationDispense.medication[x]:medicationCodeableConcept`	preferred	Nepal Drug Value Set http://fhir.digitalhealth.gov.np/core/ValueSet/nepal-drug-vs
`MedicationDispense.performer.function`	example	http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
`MedicationDispense.type`	example	http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType
`MedicationDispense.substitution.type`	example	http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
`MedicationDispense.substitution.reason`	example	http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Official examples

MedicationDispense/ExampleNPCoreMedicationDispense

View in IG ↗

{
  "resourceType": "MedicationDispense",
  "id": "ExampleNPCoreMedicationDispense",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationdispense"
    ]
  },
  "status": "completed",
  "medicationReference": {
    "reference": "Medication/ExampleNPCoreMedication"
  },
  "subject": {
    "reference": "Patient/ExampleNPCorePatient"
  },
  "context": {
    "reference": "Encounter/ExampleNPCoreEncounter"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/ExampleNPCorePractitioner"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/ExampleNPCoreMedicationRequest"
    }
  ],
  "quantity": {
    "value": 30,
    "unit": "tablet",
    "system": "http://snomed.info/sct",
    "code": "385055001"
  },
  "daysSupply": {
    "value": 30,
    "unit": "days",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenHandedOver": "2026-05-10T14:00:00+05:45",
  "receiver": [
    {
      "reference": "Patient/ExampleNPCorePatient"
    }
  ]
}

Narrative (text) removed for readability.