Name Flags Card. Type Description & Constraints doco
. . MedicationDispense ACCESS MedicationDispense (Patient) Profile
. . . identifier Identifier External Identifier
. . . status S code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationDispense Status Codes (required)
Example General': active
. . . medication[x] S CodeableConcept, Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication) What medication was supplied
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred)
. . . subject S Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient) Who the dispense is for
. . . location S Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-location) Where the dispense occurred
. . . authorizingPrescription Reference(http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationRequest-pat) Medication order that authorizes the dispense
. . . type CodeableConcept EM | SO | FF | FFC | FFCS | FFP | FFPS | TF | TFS | FS | MS | RF | DF | RFC | RFCS | RFF | RFFS | RFP | RFPS | RFS | TB | TBS | UD | UDE
Binding: ActPharmacySupplyType (extensible)
. . . quantity S Quantity Amount dispensed
. . . daysSupply S Quantity Amount of medication expressed as a timing amount
. . . dosageInstruction S Dosage How the medication is to be used by the patient or administered by the caregiver
. . . . sequence integer The order of the dosage instructions
. . . . text S 1..1 string Free text dosage instructions e.g. SIG
. . . . patientInstruction string Patient, citizen, or consumer oriented instructions
. . . substitution BackboneElement Whether a substitution was performed on the dispense
. . . . wasSubstituted boolean Whether a substitution was or was not performed on the dispense
. . . . type CodeableConcept Code signifying whether a different drug was dispensed from what was prescribed
Binding: V3 Value SetActSubstanceAdminSubstitutionCode (preferred)
. . . . reason CodeableConcept Why was substitution made
Binding: V3 Value SetSubstanceAdminSubstitutionReason (preferred)
. . . detectedIssue Reference(DetectedIssue) Clinical issue with action

doco Documentation for this format
<status value="draft" /> <experimental value="false" /> <date value="2019-03-21T00:00:00-04:00" /> <publisher value="Canada Health Infoway" /> <contact> <telecom> <system value="url" /> <value value="http://infoway-inforoute.ca" /> </telecom> </contact> <description value="Constraints on the MedicationDispense resource to reflect source data mappings for the ACCESS Health project. Focus of this profile is on display of medication dispense information to citizen/patient viewers." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="prince-edward-island-cerx" /> <uri value="http://unknown.org/Prince Edward Island CeRX" /> <name value="Prince Edward Island CeRX" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <uri value="http://unknown.org/Newfoundland CeRX" /> <name value="Newfoundland CeRX" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <uri value="http://unknown.org/New Brunswick CeRX" /> <name value="New Brunswick CeRX" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <uri value="http://unknown.org/Nova Scotia CeRX" /> <name value="Nova Scotia CeRX" /> </mapping> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="rx-dispense-rmim" /> <uri value="http://www.hl7.org/v3/PORX_RM020070UV" /> <name value="V3 Pharmacy Dispense RMIM" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationDispense" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationDispense" /> <derivation value="constraint" /> <differential> <element id="MedicationDispense"> <path value="MedicationDispense" /> <short value="ACCESS MedicationDispense (Patient) Profile" /> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense" /> </mapping> </element> <element id="MedicationDispense.identifier"> <path value="MedicationDispense.identifier" /> <short value="External Identifier" /> <type> <code value="Identifier" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/id" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/id" /> </mapping> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status" /> <short value="preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown" /> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Atlantic Implementors need to be aware that the Act Status Codes recommended by CeRX only partially match the codes to the MedicationDispense status (required) value set." /> <type> <code value="code" /> </type> <example> <label value="General" /> <valueCode value="active" /> </example> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="required" /> <description value="MedicationDispense Status Codes" /> <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/statusCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/statusCode" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="No CeRX semantic equivilant available" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/statusCode" /> </mapping> </element> <element id="MedicationDispense.medication[x]"> <path value="MedicationDispense.medication[x]" /> <short value="What medication was supplied" /> <comment value="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 or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.Medication Reference is maintained in this profile to support medication compounds that can not otherwise be identified under codeable concepts. Implementors need to be aware that the medication codes utilized by the source DIS will likely come from the Clinical Drug CeRX value set (https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/vocabulary.html?type=vs&id=ClinicalDrug) which draws in codes from various other code systems (HC-DIN, HC-NPN, HC-AIGC, etc.). There is currently no equivilant FHIR value set that supports this superset to recommend when binding." /> <type> <code value="CodeableConcept" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="Canadian Clinical Drug Data (CCDD) Medicinal Products" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/product/COCT_MT220210CA/medication/player" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/product/COCT_MT220210CA/medication/player" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/product/COCT_MT220200CA/medication/player" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/product/COCT_MT220210CA/medication/player" /> </mapping> </element> <element id="MedicationDispense.subject"> <path value="MedicationDispense.subject" /> <short value="Who the dispense is for" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/QUQI_MT120000CA/controlActEvent/queryByParameter/parameterList/patientID/value" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/QUQI_MT120000CA/controlActEvent/queryByParameter/parameterList/patientID/value" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/subject/COCT_MT050203CA/patient/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/QUQI_MT120000CA/controlActEvent/queryByParameter/parameterList/patientID/value" /> </mapping> </element> <element id="MedicationDispense.location"> <path value="MedicationDispense.location" /> <short value="Where the dispense occurred" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-location" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/Location/COCT_MT240003CA/serviceDeliveryLocation/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/Location/COCT_MT240003CA/serviceDeliveryLocation/id" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/destination/serviceDeliveryLocation/" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/Location/COCT_MT240003CA/serviceDeliveryLocation/id" /> </mapping> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription" /> <short value="Medication order that authorizes the dispense" /> <type> <code value="Reference" /> <targetProfile value="http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationRequest-pat" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/id" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/id" /> </mapping> </element> <element id="MedicationDispense.type"> <path value="MedicationDispense.type" /> <short value="EM | SO | FF | FFC | FFCS | FFP | FFPS | TF | TFS | FS | MS | RF | DF | RFC | RFCS | RFF | RFFS | RFP | RFPS | RFS | TB | TBS | UD | UDE" /> <comment value="Note: The CeRX valueset (https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/vocabulary.html?type=vs&id=ActPharmacySupplyType) used by DIS for this element has additional codes beyond the bound FHIR V3 value set." /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="extensible" /> <description value="Act Pharmacy Supply Type" /> <valueSet value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/code" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/code" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/code" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/code" /> </mapping> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity" /> <short value="Amount dispensed" /> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/quantity" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/quantity" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/quantity" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/quantity" /> </mapping> </element> <element id="MedicationDispense.daysSupply"> <path value="MedicationDispense.daysSupply" /> <short value="Amount of medication expressed as a timing amount" /> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/expectedUseTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/expectedUseTime" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/expectedUseTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component3/supplyEvent/expectedUseTime" /> </mapping> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction" /> <short value="How the medication is to be used by the patient or administered by the caregiver" /> <comment value="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. Desired if available, because v3 CeRX specifications do not differentiate patient specific instructions from dosage instructions, dosage instructions are considered must support for this profile." /> <type> <code value="Dosage" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction" /> </mapping> </element> <element id="MedicationDispense.dosageInstruction.sequence"> <path value="MedicationDispense.dosageInstruction.sequence" /> <short value="The order of the dosage instructions" /> <type> <code value="integer" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" /> </mapping> </element> <element id="MedicationDispense.dosageInstruction.text"> <path value="MedicationDispense.dosageInstruction.text" /> <short value="Free text dosage instructions e.g. SIG" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/text" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/text" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/text" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/text" /> </mapping> </element> <element id="MedicationDispense.dosageInstruction.patientInstruction"> <path value="MedicationDispense.dosageInstruction.patientInstruction" /> <short value="Patient, citizen, or consumer oriented instructions" /> <comment value="CeRX specifications do not differentiate patient specific instructions from dosage instructions, dosage instructions are considered must support for this profile." /> <type> <code value="string" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component1/supplementalInstruction/text" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component1/supplementalInstruction/text" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/text PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component1/supplementalInstruction/text" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component1/supplementalInstruction/text" /> </mapping> </element> <element id="MedicationDispense.substitution"> <path value="MedicationDispense.substitution" /> <short value="Whether a substitution was performed on the dispense" /> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component1/substitutionMade" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/" /> </mapping> </element> <element id="MedicationDispense.substitution.wasSubstituted"> <path value="MedicationDispense.substitution.wasSubstituted" /> <short value="Whether a substitution was or was not performed on the dispense" /> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="No CeRX semantic equivilant available, may be inferred based on type" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="No CeRX semantic equivilant available, may be inferred based on type" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="No CeRX semantic equivilant available, may be inferred based on type" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="No CeRX semantic equivilant available, may be inferred based on type" /> </mapping> </element> <element id="MedicationDispense.substitution.type"> <path value="MedicationDispense.substitution.type" /> <short value="Code signifying whether a different drug was dispensed from what was prescribed" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="v3 Act Substance Admin Substitution Code" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/code" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/code" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component1/substitutionMade/code" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/code" /> </mapping> </element> <element id="MedicationDispense.substitution.reason"> <path value="MedicationDispense.substitution.reason" /> <short value="Why was substitution made" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="Substance Admin Substitution Reason" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/reasonCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/reasonCode" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component1/substitutionMade/reasonCode" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/reasonCode" /> </mapping> </element> <element id="MedicationDispense.detectedIssue"> <path value="MedicationDispense.detectedIssue" /> <short value="Clinical issue with action" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/subjectOf2/PORX_MT980030CA/detectedIssueEvent" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/subjectOf2/PORX_MT980030CA/detectedIssueEvent" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/subjectOf2/PORX_MT980030CA/detectedIssueEvent" /> </mapping> </element> </differential> </StructureDefinition>