{ "resourceType": "StructureDefinition", "id": "profile-medicationdispense", "text": { "status": "extensions", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" MedicationDispense 0..*MedicationDispenseMedicationDispense Profile
\".\"\".\"\".\" Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\" extension:renderedDosageInstruction 0..1?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage]]Socialized Optional Extension: PrescribeIT renderedDosageInstruction
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage
\".\"\".\"\".\" extension:quantityRemaining 0..1?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining]]Socialized Optional Extension: PrescribeIT quantityRemaining
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining
\".\"\".\"\".\" partOf 0..*Reference(Procedure Profile)Event that dispense is part of
\".\"\".\"\".\" status S1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
\".\"\".\"\".\" medication[x] S1..1What medication was supplied
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.


Example DIN: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-DIN"}]}
Example NPN: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-NPN"}]}
Example CCDD: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"}]}
Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-uv-ips"}]}
Example WHO ATC IPS: {"coding":[{"system":"http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips"}]}
\".\"\".\"\".\"\".\" medicationCodeableConceptCodeableConcept
\".\"\".\"\".\"\".\" medicationReferenceReference(Medication Profile)
\".\"\".\"\".\" subject S1..1Reference(Patient Profile)Who the dispense is for
\".\"\".\"\".\" context 0..1Reference(Encounter Profile | EpisodeOfCare)Encounter / Episode associated with event
\".\"\".\"\".\" performer
\".\"\".\"\".\"\".\" actor S1..1Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile | Patient Profile | Device Profile (Implantable) | RelatedPerson)Individual who was performing
\".\"\".\"\".\" location 0..1Reference(Location Profile)Where the dispense occurred
\".\"\".\"\".\" authorizingPrescription 0..*Reference(MedicationRequest Profile)Medication order that authorizes the dispense
\".\"\".\"\".\" quantity S0..1SimpleQuantityAmount dispensed
\".\"\".\"\".\" whenPrepared S0..1dateTimeWhen product was packaged and reviewed
\".\"\".\"\".\" destination 0..1Reference(Location Profile)Where the medication was sent
\".\"\".\"\".\" receiver 0..*Reference(Patient Profile | Practitioner Profile (General))Who collected the medication
\".\"\".\"\".\" dosageInstruction S0..*DosageHow the medication is to be used by the patient or administered by the caregiver
\".\"\".\"\".\"\".\" Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\"\".\" extension:instructionRelationship 0..1?gen-e1? [CanonicalType[http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship]]Socialized Optional Extension: PrescribeIT dosageInstruction Relationship
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship
\".\"\".\"\".\"\".\" text S0..1stringFree text dosage instructions e.g. SIG
\".\"\".\"\".\" substitution
\".\"\".\"\".\"\".\" responsibleParty 0..*Reference(Practitioner Profile (General) | PractitionerRole Profile (General))Who is responsible for the substitution

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationdispense", "version": "1.0.0", "name": "MedicationDispenseProfile", "title": "MedicationDispense Profile", "status": "draft", "date": "2024-01-25T16:01:49.4590637+00:00", "publisher": "HL7 Canada - FHIR Implementation Work Group", "contact": [ { "telecom": [ { "system": "url", "value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations" } ] } ], "description": "Proposed constraints and extensions on the MedicationDispense resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "CA" } ] } ], "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "rx-dispense-rmim", "uri": "http://www.hl7.org/v3/PORX_RM020070UV", "name": "V3 Pharmacy Dispense RMIM" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "MedicationDispense", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationDispense", "path": "MedicationDispense", "short": "MedicationDispense Profile", "definition": "The Canadian Baseline MedicationDispense Profile is based upon the core FHIR MedicationDispense Resource" }, { "id": "MedicationDispense.extension", "path": "MedicationDispense.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "MedicationDispense.extension:renderedDosageInstruction", "path": "MedicationDispense.extension", "sliceName": "renderedDosageInstruction", "short": "Socialized Optional Extension: PrescribeIT renderedDosageInstruction", "definition": "Provides a complete text rendering of dosageInstruction lines for an order or dispense (separate from the rendering of the overall resource instance)", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage" ] } ] }, { "id": "MedicationDispense.extension:quantityRemaining", "path": "MedicationDispense.extension", "sliceName": "quantityRemaining", "short": "Socialized Optional Extension: PrescribeIT quantityRemaining", "definition": "The total authorized quantity outstanding after the fill issued as part of this dispense record", "comment": "In R5, an equivalent extension is put forth in the base FHIR specification - R5 implementors are encouraged to review: http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining" ] } ] }, { "id": "MedicationDispense.partOf", "path": "MedicationDispense.partOf", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-procedure" ] } ] }, { "id": "MedicationDispense.status", "path": "MedicationDispense.status", "mustSupport": true }, { "id": "MedicationDispense.medication[x]", "path": "MedicationDispense.medication[x]", "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medication" ] } ], "example": [ { "label": "DIN", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-DIN" } ] } }, { "label": "NPN", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-NPN" } ] } }, { "label": "CCDD", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" } ] } }, { "label": "SNOMED CT (Medications) - IPS", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-uv-ips" } ] } }, { "label": "WHO ATC IPS", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips" } ] } } ], "mustSupport": true, "binding": { "strength": "preferred", "description": "TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" } }, { "id": "MedicationDispense.subject", "path": "MedicationDispense.subject", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" ] } ], "mustSupport": true }, { "id": "MedicationDispense.context", "path": "MedicationDispense.context", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter", "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ] } ] }, { "id": "MedicationDispense.performer.actor", "path": "MedicationDispense.performer.actor", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "mustSupport": true }, { "id": "MedicationDispense.location", "path": "MedicationDispense.location", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location" ] } ] }, { "id": "MedicationDispense.authorizingPrescription", "path": "MedicationDispense.authorizingPrescription", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest" ] } ] }, { "id": "MedicationDispense.quantity", "path": "MedicationDispense.quantity", "mustSupport": true }, { "id": "MedicationDispense.whenPrepared", "path": "MedicationDispense.whenPrepared", "mustSupport": true }, { "id": "MedicationDispense.destination", "path": "MedicationDispense.destination", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location" ] } ] }, { "id": "MedicationDispense.receiver", "path": "MedicationDispense.receiver", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" ] } ] }, { "id": "MedicationDispense.dosageInstruction", "path": "MedicationDispense.dosageInstruction", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.extension", "path": "MedicationDispense.dosageInstruction.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "MedicationDispense.dosageInstruction.extension:instructionRelationship", "path": "MedicationDispense.dosageInstruction.extension", "sliceName": "instructionRelationship", "short": "Socialized Optional Extension: PrescribeIT dosageInstruction Relationship", "definition": "Indicates how the timing of this dosage instruction relates to the preceding dosage instruction. Specifically, is it concurrent (AND) or sequential (THEN).", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship" ] } ] }, { "id": "MedicationDispense.dosageInstruction.text", "path": "MedicationDispense.dosageInstruction.text", "mustSupport": true }, { "id": "MedicationDispense.substitution.responsibleParty", "path": "MedicationDispense.substitution.responsibleParty", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" ] } ] } ] } }