Name Flags Card. Type Description & Constraints doco
. . MedicationDispense 0 .. * MedicationDispense MedicationDispense Profile
. . . Slices for extension 0 .. * Extension Extension
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 S 1 .. 1 code preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
. . . medication[x] S 1 .. 1 What 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"}]}
. . . . medicationCodeableConcept CodeableConcept
. . . . medicationReference Reference(Medication Profile)
. . . subject S 1..1 Reference(Patient Profile) Who the dispense is for
. . . context 0 .. 1 Reference(Encounter Profile | EpisodeOfCare) Encounter / Episode associated with event
. . . performer
. . . . actor S 1 .. 1 Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile | Patient Profile | Device Profile (Implantable) | RelatedPerson) Individual who was performing
. . . location 0 .. 1 Reference(Location Profile) Where the dispense occurred
. . . authorizingPrescription 0 .. * Reference(MedicationRequest Profile) Medication order that authorizes the dispense
. . . quantity S 0 .. 1 SimpleQuantity Amount dispensed
. . . whenPrepared S 0 .. 1 dateTime When product was packaged and reviewed
. . . destination 0 .. 1 Reference(Location Profile) Where the medication was sent
. . . receiver 0 .. * Reference(Patient Profile | Practitioner Profile (General)) Who collected the medication
. . . dosageInstruction S 0 .. * Dosage How the medication is to be used by the patient or administered by the caregiver
. . . . Slices for extension 0 .. * Extension Extension
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 S 0 .. 1 string Free 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
<status value="draft" /> <date value="2024-01-25T16:01:49.4590637+00:00" /> <publisher value="HL7 Canada - FHIR Implementation Work Group" /> <contact> <telecom> <system value="url" /> <value value="https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations" /> </telecom> </contact> <description value="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 value="urn:iso:std:iso:3166" /> <code value="CA" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <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="MedicationDispense Profile" /> <definition value="The Canadian Baseline MedicationDispense Profile is based upon the core FHIR MedicationDispense Resource" /> </element> <element id="MedicationDispense.extension"> <path value="MedicationDispense.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationDispense.extension:renderedDosageInstruction"> <path value="MedicationDispense.extension" /> <sliceName value="renderedDosageInstruction" /> <short value="Socialized Optional Extension: PrescribeIT renderedDosageInstruction" /> <definition value="Provides a complete text rendering of dosageInstruction lines for an order or dispense (separate from the rendering of the overall resource instance)" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage" /> </type> </element> <element id="MedicationDispense.extension:quantityRemaining"> <path value="MedicationDispense.extension" /> <sliceName value="quantityRemaining" /> <short value="Socialized Optional Extension: PrescribeIT quantityRemaining" /> <definition value="The total authorized quantity outstanding after the fill issued as part of this dispense record" /> <comment value="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 value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-dispense-quantity-remaining" /> </type> </element> <element id="MedicationDispense.partOf"> <path value="MedicationDispense.partOf" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-procedure" /> </type> </element> <element id="MedicationDispense.status"> <path value="MedicationDispense.status" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.medication[x]"> <path value="MedicationDispense.medication[x]" /> <type> <code value="CodeableConcept" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medication" /> </type> <example> <label value="DIN" /> <valueCodeableConcept> <coding> <system value="https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-DIN" /> </coding> </valueCodeableConcept> </example> <example> <label value="NPN" /> <valueCodeableConcept> <coding> <system value="https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-NPN" /> </coding> </valueCodeableConcept> </example> <example> <label value="CCDD" /> <valueCodeableConcept> <coding> <system value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" /> </coding> </valueCodeableConcept> </example> <example> <label value="SNOMED CT (Medications) - IPS" /> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-uv-ips" /> </coding> </valueCodeableConcept> </example> <example> <label value="WHO ATC IPS" /> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips" /> </coding> </valueCodeableConcept> </example> <mustSupport value="true" /> <binding> <strength value="preferred" /> <description value="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 value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" /> </binding> </element> <element id="MedicationDispense.subject"> <path value="MedicationDispense.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> </type> <mustSupport value="true" /> </element> <element id="MedicationDispense.context"> <path value="MedicationDispense.context" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" /> </type> </element> <element id="MedicationDispense.performer.actor"> <path value="MedicationDispense.performer.actor" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> <mustSupport value="true" /> </element> <element id="MedicationDispense.location"> <path value="MedicationDispense.location" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location" /> </type> </element> <element id="MedicationDispense.authorizingPrescription"> <path value="MedicationDispense.authorizingPrescription" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest" /> </type> </element> <element id="MedicationDispense.quantity"> <path value="MedicationDispense.quantity" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.whenPrepared"> <path value="MedicationDispense.whenPrepared" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.destination"> <path value="MedicationDispense.destination" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location" /> </type> </element> <element id="MedicationDispense.receiver"> <path value="MedicationDispense.receiver" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" /> </type> </element> <element id="MedicationDispense.dosageInstruction"> <path value="MedicationDispense.dosageInstruction" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.dosageInstruction.extension"> <path value="MedicationDispense.dosageInstruction.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationDispense.dosageInstruction.extension:instructionRelationship"> <path value="MedicationDispense.dosageInstruction.extension" /> <sliceName value="instructionRelationship" /> <short value="Socialized Optional Extension: PrescribeIT dosageInstruction Relationship" /> <definition value="Indicates how the timing of this dosage instruction relates to the preceding dosage instruction. Specifically, is it concurrent (AND) or sequential (THEN)." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship" /> </type> </element> <element id="MedicationDispense.dosageInstruction.text"> <path value="MedicationDispense.dosageInstruction.text" /> <mustSupport value="true" /> </element> <element id="MedicationDispense.substitution.responsibleParty"> <path value="MedicationDispense.substitution.responsibleParty" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" /> </type> </element> </differential> </StructureDefinition>