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<StructureDefinition xmlns="http://hl7.org/fhir">
 <id value="access-medicationdispense-clin" />
 <text>
 <status value="generated" />
 <div xmlns="http://www.w3.org/1999/xhtml">
 <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
 <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a>
 </th>
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a>
 </th>
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
 </th>
 <th style="width: 100px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a>
 </th>
 <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
 
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format">
 <img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit" />
 </a>
 
 </th>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense">MedicationDispense</a>
 <a name="MedicationDispense"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">ACCESS MedicationDispense (Clinician) Profile</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.identifier">identifier</a>
 <a name="MedicationDispense.identifier"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">External Identifier</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.status">status</a>
 <a name="MedicationDispense.status"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown Binding: <a href="http://hl7.org/fhir/R4/valueset-medicationdispense-status.html">MedicationDispense Status Codes</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>) Example General': active</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_choice.gif" alt="." style="background-color: white; background-color: inherit" title="Choice of Types" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.medication[x]">medication[x]</a>
 <a name="MedicationDispense.medication_x_"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a>, <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication)</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">What medication was supplied Binding: <a href="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct">https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.subject">subject</a>
 <a name="MedicationDispense.subject"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient)</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who the dispense is for</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.performer">performer</a>
 <a name="MedicationDispense.performer"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who performed event</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.performer.function">function</a>
 <a name="MedicationDispense.performer.function"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who performed the dispense and what they did</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.performer.actor">actor</a>
 <a name="MedicationDispense.performer.actor"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner)</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Individual who was performing</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.location">location</a>
 <a name="MedicationDispense.location"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://hl7.org/fhir/ca/core/StructureDefinition/profile-location)</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Where the dispense occurred</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.authorizingPrescription">authorizingPrescription</a>
 <a name="MedicationDispense.authorizingPrescription"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationRequest-clin)</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Medication order that authorizes the dispense</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.type">type</a>
 <a name="MedicationDispense.type"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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: <a href="http://hl7.org/fhir/R4/v3/ActPharmacySupplyType/vs.html">ActPharmacySupplyType</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.quantity">quantity</a>
 <a name="MedicationDispense.quantity"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Amount dispensed</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.daysSupply">daysSupply</a>
 <a name="MedicationDispense.daysSupply"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Amount of medication expressed as a timing amount</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.whenPrepared">whenPrepared</a>
 <a name="MedicationDispense.whenPrepared"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The time when the dispensed product was packaged and reviewed</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction">dosageInstruction</a>
 <a name="MedicationDispense.dosageInstruction"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#Dosage">Dosage</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How the medication is to be used by the patient or administered by the caregiver</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.sequence">sequence</a>
 <a name="MedicationDispense.dosageInstruction.sequence"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The order of the dosage instructions</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.text">text</a>
 <a name="MedicationDispense.dosageInstruction.text"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 S
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Free text dosage instructions e.g. SIG</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.timing">timing</a>
 <a name="MedicationDispense.dosageInstruction.timing"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#Timing">Timing</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When medication should be administered</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.site">site</a>
 <a name="MedicationDispense.dosageInstruction.site"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Body site to administer to Binding: <a href="http://hl7.org/fhir/R4/v3/ActSite/vs.html">v3 Code System ActSite</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.route">route</a>
 <a name="MedicationDispense.dosageInstruction.route"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How drug should enter body Binding: <a href="http://hl7.org/fhir/R4/v3/RouteOfAdministration/vs.html">v3 Code System RouteOfAdministration</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">example</a>)</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.doseAndRate">doseAndRate</a>
 <a name="MedicationDispense.dosageInstruction.doseAndRate"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Amount of medication administered</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.doseAndRate.doseRange">doseRange</a>
 <a name="MedicationDispense.dosageInstruction.doseAndRate.doseRange"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Amount of medication per dose</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.doseAndRate.rateRatio">rateRatio</a>
 <a name="MedicationDispense.dosageInstruction.doseAndRate.rateRatio"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#Ratio">Ratio</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Amount of medication per unit of time</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.dosageInstruction.maxDosePerPeriod">maxDosePerPeriod</a>
 <a name="MedicationDispense.dosageInstruction.maxDosePerPeriod"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#Ratio">Ratio</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Upper limit on medication per unit of time</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.substitution">substitution</a>
 <a name="MedicationDispense.substitution"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Whether a substitution was performed on the dispense</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.substitution.wasSubstituted">wasSubstituted</a>
 <a name="MedicationDispense.substitution.wasSubstituted"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Whether a substitution was or was not performed on the dispense</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.substitution.type">type</a>
 <a name="MedicationDispense.substitution.type"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Code signifying whether a different drug was dispensed from what was prescribed Binding: <a href="http://hl7.org/fhir/R4/v3/ActSubstanceAdminSubstitutionCode/vs.html">V3 Value SetActSubstanceAdminSubstitutionCode</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.substitution.reason">reason</a>
 <a name="MedicationDispense.substitution.reason"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Why was substitution made Binding: <a href="http://hl7.org/fhir/R4/v3/SubstanceAdminSubstitutionReason/vs.html">V3 Value SetSubstanceAdminSubstitutionReason</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.substitution.responsibleParty">responsibleParty</a>
 <a name="MedicationDispense.substitution.responsibleParty"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner)</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who is responsible for the substitution</td>
 </tr>
 <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy">
 <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
 <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
 <a href="{{[id]}}-definitions.html#MedicationDispense.detectedIssue">detectedIssue</a>
 <a name="MedicationDispense.detectedIssue"></a>
 </td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
 <a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/detectedissue.html">DetectedIssue</a>)</td>
 <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Clinical issue with action</td>
 </tr>
 <tr>
 <td colspan="5" class="hierarchy">
 
 <a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format">
 <img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit" /> Documentation for this format</a>
 </td>
 </tr>
 </table>
 </div>
 </text>
 <url value="http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationdispense-clin" />
 <version value="0.1.0" />
 <name value="AccessMedicationDispense-Clin" />
 <title value="ACCESS MedicationDispense (Clinician) Profile" />
 <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 clinician 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 (Clinician) 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. &#xA;&#xA;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. &#xA;&#xA;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&amp;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.performer">
 <path value="MedicationDispense.performer" />
 <short value="Who performed event" />
 <type>
 <code value="BackboneElement" />
 </type>
 <mustSupport value="false" />
 <isModifier value="false" />
 <mapping>
 <identity value="prince-edward-island-cerx" />
 <map value="No CeRX semantic equivilant available" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="No CeRX semantic equivilant available" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/responsibleParty/COCT_MT090107CA/assignedPerson/id" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="No CeRX semantic equivilant available" />
 </mapping>
 </element>
 <element id="MedicationDispense.performer.function">
 <path value="MedicationDispense.performer.function" />
 <short value="Who performed the dispense and what they did" />
 <type>
 <code value="CodeableConcept" />
 </type>
 <mustSupport value="false" />
 <isModifier value="false" />
 </element>
 <element id="MedicationDispense.performer.actor">
 <path value="MedicationDispense.performer.actor" />
 <short value="Individual who was performing" />
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner" />
 </type>
 <mustSupport value="false" />
 <isModifier value="false" />
 <mapping>
 <identity value="prince-edward-island-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/Performer/COCT_MT090107CA/assignedPerson/id" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/Performer/COCT_MT090107CA/assignedPerson/id" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/responsibleParty/COCT_MT090107CA/assignedPerson/id" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/Performer/COCT_MT090107CA/assignedPerson/id" />
 </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-clin" />
 </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&amp;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" />
 <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" />
 <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.whenPrepared">
 <path value="MedicationDispense.whenPrepared" />
 <short value="The time when the dispensed product was packaged and reviewed" />
 <comment value="SME Note: there are likely variances in whether jurisdictional DIS are populating whenPrepared. In cases where a jurisdictional DIS does support whenPrepared &amp; whenHanded over, they are likely to only record whenPrepared due to existing workflow issues." />
 <type>
 <code value="dateTime" />
 </type>
 <mustSupport value="false" />
 <isModifier value="false" />
 </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.timing">
 <path value="MedicationDispense.dosageInstruction.timing" />
 <short value="When medication should be administered" />
 <type>
 <code value="Timing" />
 </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/effectiveTime" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/effectiveTime" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" />
 </mapping>
 </element>
 <element id="MedicationDispense.dosageInstruction.site">
 <path value="MedicationDispense.dosageInstruction.site" />
 <short value="Body site to administer to" />
 <type>
 <code value="CodeableConcept" />
 </type>
 <mustSupport value="false" />
 <isModifier value="false" />
 <binding>
 <strength value="preferred" />
 <description value="v3 Code System ActSite" />
 <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSite" />
 </binding>
 <mapping>
 <identity value="prince-edward-island-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/approachSiteCode" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" />
 </mapping>
 </element>
 <element id="MedicationDispense.dosageInstruction.route">
 <path value="MedicationDispense.dosageInstruction.route" />
 <short value="How drug should enter body" />
 <type>
 <code value="CodeableConcept" />
 </type>
 <mustSupport value="false" />
 <isModifier value="false" />
 <binding>
 <strength value="example" />
 <description value="v3 Route of Administration" />
 <valueSet value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration" />
 </binding>
 <mapping>
 <identity value="prince-edward-island-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/routeCode" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/routeCode" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/routeCode" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/routeCode" />
 </mapping>
 </element>
 <element id="MedicationDispense.dosageInstruction.doseAndRate">
 <path value="MedicationDispense.dosageInstruction.doseAndRate" />
 <short value="Amount of medication administered" />
 <mustSupport value="false" />
 <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/component2/dosageLine" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction" />
 </mapping>
 </element>
 <element id="MedicationDispense.dosageInstruction.doseAndRate.doseRange">
 <path value="MedicationDispense.dosageInstruction.doseAndRate.doseRange" />
 <short value="Amount of medication per dose" />
 <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/dosageLine/doseQuantity" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" />
 </mapping>
 </element>
 <element id="MedicationDispense.dosageInstruction.doseAndRate.rateRatio">
 <path value="MedicationDispense.dosageInstruction.doseAndRate.rateRatio" />
 <short value="Amount of medication per unit of time" />
 <type>
 <code value="Ratio" />
 </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/dosageLine/rateQuantity" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" />
 </mapping>
 </element>
 <element id="MedicationDispense.dosageInstruction.maxDosePerPeriod">
 <path value="MedicationDispense.dosageInstruction.maxDosePerPeriod" />
 <short value="Upper limit on medication per unit of time" />
 <type>
 <code value="Ratio" />
 </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/maxDoseQuantity" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" />
 </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.substitution.responsibleParty">
 <path value="MedicationDispense.substitution.responsibleParty" />
 <short value="Who is responsible for the substitution" />
 <type>
 <code value="Reference" />
 <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner" />
 </type>
 <mustSupport value="false" />
 <isModifier value="false" />
 <mapping>
 <identity value="prince-edward-island-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/responsibleParty/agent/id" />
 </mapping>
 <mapping>
 <identity value="newfoundland-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/responsibleParty/agent/id" />
 </mapping>
 <mapping>
 <identity value="new-brunswick-cerx" />
 <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component1/substitutionMade/responsibleParty/agent" />
 </mapping>
 <mapping>
 <identity value="nova-scotia-cerx" />
 <map value="PORX_IN060220CA/PORX_MT060090CA/medicationDispense/component2/substitutionMade/responsibleParty/agent/id" />
 </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>

name : AccessMedicationDispense-Clin

{

}