<status value="active" /> <experimental value="false" /> <date value="2025-03-06" /> <publisher value="Canada Health Infoway" /> <contact> <name value="National Standards Release Centre" /> <telecom> <system value="url" /> <value value="http://www.infoway-inforoute.ca" /> </telecom> <telecom> <system value="email" /> <value value="standards@infoway-inforoute.ca" /> </telecom> </contact> <description value="This profile applies constraints to the Medication resource for CA Core+ to support representation of medication products in the pan-Canadian context." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> </coding> </jurisdiction> <copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="CACDI" /> <name value="Canadian Core Data for Interoperability (CACDI)" /> <comment value="Mapping for MedicationCACore to Canadian Core Data for Interoperability (CACDI)." /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Medication" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Medication" /> <derivation value="constraint" /> <differential> <element id="Medication.extension"> <path value="Medication.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Medication.extension:strength"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="Medication.extension" /> <sliceName value="strength" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description" /> </type> </element> <element id="Medication.code"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="Medication.code" /> <comment value="The preferred binding on this element may continue to change as pCHDCF undergoes further refinement. The point-in-time materials provided by pCHDCF to create the profiles in this release recommends the use of the PrescriptionMedicinalProduct valueSet which uses a codeSystem canonical url that is heavily implemented in production but is not the preferred codeSystem (HC-CCDD) expressed in THO. This will be addressed through pCHDCF and is expected to resolve any current differences in other pan-Canadian specifications (e.g., PS-CA) that currently utilize the HC-CCDD valueSet." /> <min value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" /> </type> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="https://fhir.infoway-inforoute.ca/ValueSet/LicensedNaturalHealthProducts" /> </extension> <extension url="documentation"> <valueMarkdown value="ValueSet for licensed natural health products" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips" /> </extension> <extension url="documentation"> <valueMarkdown value="per pCHDCF: Can be used for the international use case where a medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets. ATC is the recommended supporting classification for reporting and analysis" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductandsubstancecode" /> </extension> <extension url="documentation"> <valueMarkdown value="per PCHDCF: The alternate value set can be used for the international use case where the medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="https://fhir.infoway-inforoute.ca/ValueSet/DIN" /> </extension> <extension url="documentation"> <valueMarkdown value="ValueSet for DIN. A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada." /> </extension> </extension> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" /> </binding> <mapping> <identity value="CACDI" /> <map value="Medication" /> </mapping> </element> <element id="Medication.code.coding.system"> <path value="Medication.code.coding.system" /> <mapping> <identity value="CACDI" /> <map value="Drug Code System URI" /> </mapping> </element> <element id="Medication.code.coding.display"> <path value="Medication.code.coding.display" /> <mapping> <identity value="CACDI" /> <map value="Drug English Description" /> </mapping> <mapping> <identity value="CACDI" /> <map value="Drug French Description" /> </mapping> </element> <element id="Medication.form"> <path value="Medication.form" /> <type> <code value="CodeableConcept" /> <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" /> </type> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondrugform" /> </extension> <extension url="documentation"> <valueMarkdown value="ValueSet for the prescription's drug form" /> </extension> </extension> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode" /> </binding> </element> <element id="Medication.form.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="Medication.form.text" /> <mustSupport value="true" /> </element> <element id="Medication.ingredient.item[x]"> <path value="Medication.ingredient.item[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept"> <path value="Medication.ingredient.item[x]" /> <sliceName value="itemCodeableConcept" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" /> </type> <binding> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/drugormedicamentsubstancecode" /> </binding> </element> </differential> </StructureDefinition>