CA Core+
cibuild 
1.2.0-DFT - The specification is version 1.2.0-DFT of CA Core+ For a full list of available versions, see the Directory of published versions
Medication (CA-Core)
Many ValueSet and CodeSystem bindings in this guide link to resources hosted on the Canada Health Infoway Terminology Service (Ontoserver). If you are redirected to a login page: This is expected and you are being directed to Infoway’s secure environment. To access these resources: You’ll need an InfoCentral Account.
Links
Profile
Derived from
http://hl7.org/fhir/StructureDefinition/Medication
Examples
example-medication-ca-core, example-Medication-ca-core2
Description
This profile applies constraints to the Medication resource for CA Core+ to support representation of medication products in the pan-Canadian context.
References to this resource
MedicationRequestCACore, MedicationStatementCACore
CFMM: 2
Resource Content
| MedicationCACore (Medication) | C | Medication | |
| id | Σ | 0..1 | id |
| meta | Σ | 0..1 | Meta |
| implicitRules | Σ ?! | 0..1 | uri |
| language | 0..1 | codeBinding | |
| text | 0..1 | Narrative | |
| contained | 0..* | Resource | |
| extension | C | 0..* | Extension |
| strength | O C | 0..1 | Extension(string) |
| modifierExtension | ?! C | 0..* | Extension |
| identifier | Σ | 0..* | Identifier |
| code | O Σ | 1..1 | CodeableConceptCACoreBinding |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| coding | Σ | 0..* | CodingCACore |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| system | Σ | 0..1 | uri |
| version | Σ | 0..1 | string |
| code | Σ | 0..1 | code |
| display | Σ | 0..1 | string |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| translation | C | 0..* | Extension(Complex) |
| value | 0..1 | System.String | |
| userSelected | Σ | 0..1 | boolean |
| text | Σ | 0..1 | string |
| status | Σ ?! | 0..1 | codeBinding |
| manufacturer | Σ C | 0..1 | Reference(Organization) |
| form | 0..1 | CodeableConceptCACoreBinding | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| coding | Σ | 0..* | CodingCACore |
| text | SO Σ | 0..1 | string |
| amount | Σ C | 0..1 | Ratio |
| ingredient | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| item[x] | 1..1 | ||
| itemReference | Reference(Medication | Substance) | ||
| itemCodeableConcept | 0..1 | CodeableConceptCACoreBinding | |
| isActive | 0..1 | boolean | |
| strength | C | 0..1 | Ratio |
| batch | 0..1 | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| lotNumber | 0..1 | string | |
| expirationDate | 0..1 | dateTime |
| MedicationCACore (Medication) | Medication | ||
| extension | |||
| strength | O | 0..1 | Extension(string) |
| code | O | 1.. | CodeableConceptCACoreBinding |
| coding | |||
| system | |||
| display | |||
| form | CodeableConceptCACoreBinding | ||
| text | SO | ||
| ingredient | |||
| item[x] | |||
| itemCodeableConcept | 0..1 | CodeableConceptCACoreBinding |
</extension>
</telecom>
</telecom>
</contact>
<description value="This profile applies constraints to the Medication resource for CA Core+ to support representation of medication products in the pan-Canadian context." />
</jurisdiction>
<copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." />
<comment value="Mapping for MedicationCACore to Canadian Core Data for Interoperability (CACDI)." />
</mapping>
</discriminator>
</slicing>
</element>
</extension>
</extension>
</extension>
</extension>
</extension>
</extension>
<profile value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description" />
</type>
</element>
</extension>
</extension>
</extension>
</extension>
</extension>
</extension>
<comment value="The preferred binding on this element may continue to change as pCHDCF undergoes further refinement. The point-in-time materials provided by pCHDCF to create the profiles in this release recommends the use of the PrescriptionMedicinalProduct valueSet which uses a codeSystem canonical url that is heavily implemented in production but is not the preferred codeSystem (HC-CCDD) expressed in THO. This will be addressed through pCHDCF and is expected to resolve any current differences in other pan-Canadian specifications (e.g., PS-CA) that currently utilize the HC-CCDD valueSet." />
<profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
</type>
</extension>
</extension>
</extension>
</extension>
</extension>
</extension>
<valueMarkdown value="per pCHDCF: Can be used for the international use case where a medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets. ATC is the recommended supporting classification for reporting and analysis" />
</extension>
</extension>
</extension>
<valueCanonical value="https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductandsubstancecode" />
</extension>
<valueMarkdown value="per PCHDCF: The alternate value set can be used for the international use case where the medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets" />
</extension>
</extension>
</extension>
</extension>
<valueMarkdown value="ValueSet for DIN. A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada." />
</extension>
</extension>
</binding>
</mapping>
</element>
</mapping>
</element>
</mapping>
</mapping>
</element>
<profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
</type>
</extension>
</extension>
</extension>
</extension>
</binding>
</element>
</extension>
</extension>
</extension>
</extension>
</extension>
</extension>
</extension>
</element>
</discriminator>
</slicing>
</element>
<profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
</type>
</binding>
</element>
</differential>
</StructureDefinition>
{
],
{
{
},
{
}
]
}
],
"description": "This profile applies constraints to the Medication resource for CA Core+ to support representation of medication products in the pan-Canadian context.",
],
"copyright": "Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
{
}
],
{
}
},
{
{
{
},
{
}
],
},
{
{
},
{
}
],
}
],
{
"http://prescribeit.ca/fhir/StructureDefinition/ext-medication-strength-description"
]
}
]
},
{
{
{
},
{
}
],
},
{
{
},
{
}
],
}
],
"comment": "The preferred binding on this element may continue to change as pCHDCF undergoes further refinement. The point-in-time materials provided by pCHDCF to create the profiles in this release recommends the use of the PrescriptionMedicinalProduct valueSet which uses a codeSystem canonical url that is heavily implemented in production but is not the preferred codeSystem (HC-CCDD) expressed in THO. This will be addressed through pCHDCF and is expected to resolve any current differences in other pan-Canadian specifications (e.g., PS-CA) that currently utilize the HC-CCDD valueSet.",
{
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
]
}
],
{
{
},
{
},
{
}
],
},
{
{
},
{
},
{
"valueMarkdown": "per pCHDCF: Can be used for the international use case where a medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets. ATC is the recommended supporting classification for reporting and analysis"
}
],
},
{
{
},
{
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductandsubstancecode"
},
{
"valueMarkdown": "per PCHDCF: The alternate value set can be used for the international use case where the medication is not available in Canada and therefore does not appear in the recommended pan-Canadian value sets"
}
],
},
{
{
},
{
},
{
"valueMarkdown": "ValueSet for DIN. A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada."
}
],
}
],
},
]
},
{
]
},
{
{
},
{
}
]
},
{
{
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
]
}
],
{
{
},
{
},
{
}
],
}
],
}
},
{
{
},
{
{
},
{
}
],
},
{
{
},
{
}
],
}
],
},
{
}
},
{
{
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
]
}
],
}
}
]
}
}
Terminology bindings
| Path | Conformance | ValueSet |
|---|---|---|
| Medication.code | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
| Medication.form | preferred | https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode |
| Medication.ingredient.item[x]:itemCodeableConcept | preferred | https://fhir.infoway-inforoute.ca/ValueSet/drugormedicamentsubstancecode |
Additional Terminology Bindings
These bindings may be used in lieu of the primary bindings in the table above.
| Path | Conformance | AdditionalValueSet |
|---|---|---|
| Medication.code | candidate | https://fhir.infoway-inforoute.ca/ValueSet/LicensedNaturalHealthProducts |
| Medication.form | candidate | https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondrugform |
Mappings to CACDI
The following tables list how the data elements from CA Core+ map to CACDI. For more information visit Mapping Logic.
| FHIR Profile Element | CACDI Element(s) |
|---|---|
| Medication.code | Medication |
| Medication.code.coding.system | Drug Code System URI |
| Medication.code.coding.display | Drug English Description, Drug French Description |
Constraints
The following table lists constraints (from differential).