{ "resourceType": "StructureDefinition", "id": "9a80ab26-e372-400c-81f4-4c746e32c352", "meta": { "lastUpdated": "2022-05-10T14:37:50.616558+00:00" }, "url": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-MedicationDispense", "name": "MedicationDispense", "status": "draft", "date": "2019-05-06T16:44:55.5566289+00:00", "fhirVersion": "3.0.2", "kind": "resource", "abstract": false, "type": "MedicationDispense", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationDispense.identifier", "path": "MedicationDispense.identifier", "definition": "Unique Dispense Identifier assigned by the source system (HNS, NMS, etc.) - this is an identifier assigned outside FHIR.", "min": 1, "max": "1", "mustSupport": true }, { "id": "MedicationDispense.identifier.system", "path": "MedicationDispense.identifier.system", "short": "Data Source", "definition": "Data Source. The source of data on the dispensed drug profile (or immunizations in the future) e.g. HNS, PMS, NMS, Panorama, etc.\r\nFor HNS https://ehealthontario.ca/API/FHIR/NamingSystem/ca-on-drug-hnsDispenseId\r\nFor NMS https://ehealthontario.ca/API/FHIR/NamingSystem/ca-on-drug-nmsDispenseId", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.identifier.value", "path": "MedicationDispense.identifier.value", "short": "Data Source Record ID", "definition": "Data Source Record ID. The unique identifier of the data source record.", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.status", "path": "MedicationDispense.status", "mustSupport": true, "binding": { "strength": "required", "valueSetUri": "http://ehealthontario.ca/fhir/ValueSet/dhdr-medication-dispense-status" } }, { "id": "MedicationDispense.category", "path": "MedicationDispense.category", "comment": "TBD: might be used to distinguish between drugs, devices, and professionals", "mustSupport": true, "binding": { "strength": "preferred", "valueSetReference": { "reference": "http://ehealthontario.ca/fhir/ValueSet/dhdr-ca-on-medication-dispense-category" } } }, { "id": "MedicationDispense.category.coding", "path": "MedicationDispense.category.coding", "min": 1, "max": "1", "mustSupport": true }, { "id": "MedicationDispense.category.coding.system", "path": "MedicationDispense.category.coding.system", "min": 1, "mustSupport": true, "binding": { "strength": "preferred", "description": "Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).", "valueSetUri": "http://ehealthontario.ca/fhir/ValueSet/dhdr-ca-on-medication-dispense-category" } }, { "id": "MedicationDispense.category.coding.code", "path": "MedicationDispense.category.coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.category.coding.display", "path": "MedicationDispense.category.coding.display", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.medication[x]:medicationReference", "path": "MedicationDispense.medicationReference", "sliceName": "medicationReference", "type": [ { "code": "Reference", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-Medication" } ], "mustSupport": true }, { "id": "MedicationDispense.medication[x]:medicationReference.reference", "path": "MedicationDispense.medicationReference.reference", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.subject", "path": "MedicationDispense.subject", "min": 1, "type": [ { "code": "Reference", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-Patient-dispense" } ], "mustSupport": true }, { "id": "MedicationDispense.subject.reference", "path": "MedicationDispense.subject.reference", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.performer", "path": "MedicationDispense.performer", "slicing": { "discriminator": [ { "type": "value", "path": "actor.reference" } ], "rules": "open" }, "max": "2", "mustSupport": true }, { "id": "MedicationDispense.performer:performerOrganization", "path": "MedicationDispense.performer", "sliceName": "performerOrganization", "max": "1", "mustSupport": true }, { "id": "MedicationDispense.performer:performerOrganization.actor", "path": "MedicationDispense.performer.actor", "type": [ { "code": "Reference", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-Organization-dispenser" } ], "mustSupport": true }, { "id": "MedicationDispense.performer:performerOrganization.actor.reference", "path": "MedicationDispense.performer.actor.reference", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.performer:performerPractitioner", "path": "MedicationDispense.performer", "sliceName": "performerPractitioner", "max": "1", "mustSupport": true }, { "id": "MedicationDispense.performer:performerPractitioner.actor", "path": "MedicationDispense.performer.actor", "type": [ { "code": "Reference", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-Practitioner-dispenser" } ], "mustSupport": true }, { "id": "MedicationDispense.performer:performerPractitioner.actor.reference", "path": "MedicationDispense.performer.actor.reference", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.authorizingPrescription", "path": "MedicationDispense.authorizingPrescription", "max": "1", "type": [ { "code": "Reference", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-MedicationRequest" } ], "mustSupport": true }, { "id": "MedicationDispense.authorizingPrescription.reference", "path": "MedicationDispense.authorizingPrescription.reference", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.authorizingPrescription.identifier", "path": "MedicationDispense.authorizingPrescription.identifier", "max": "0" }, { "id": "MedicationDispense.authorizingPrescription.display", "path": "MedicationDispense.authorizingPrescription.display", "max": "0" }, { "id": "MedicationDispense.quantity", "path": "MedicationDispense.quantity", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.quantity.value", "path": "MedicationDispense.quantity.value", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.quantity.unit", "path": "MedicationDispense.quantity.unit", "comment": "Not used in current release", "mustSupport": true }, { "id": "MedicationDispense.daysSupply", "path": "MedicationDispense.daysSupply", "mustSupport": true }, { "id": "MedicationDispense.daysSupply.value", "path": "MedicationDispense.daysSupply.value", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.whenPrepared", "path": "MedicationDispense.whenPrepared", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.whenHandedOver", "path": "MedicationDispense.whenHandedOver", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction", "path": "MedicationDispense.dosageInstruction", "max": "1", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.text", "path": "MedicationDispense.dosageInstruction.text", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.patientInstruction", "path": "MedicationDispense.dosageInstruction.patientInstruction", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.timing", "path": "MedicationDispense.dosageInstruction.timing", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.timing.repeat", "path": "MedicationDispense.dosageInstruction.timing.repeat", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.timing.repeat.frequency", "path": "MedicationDispense.dosageInstruction.timing.repeat.frequency", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.timing.repeat.period", "path": "MedicationDispense.dosageInstruction.timing.repeat.period", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.timing.repeat.periodMax", "path": "MedicationDispense.dosageInstruction.timing.repeat.periodMax", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.timing.repeat.periodUnit", "path": "MedicationDispense.dosageInstruction.timing.repeat.periodUnit", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.route", "path": "MedicationDispense.dosageInstruction.route", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.route.coding", "path": "MedicationDispense.dosageInstruction.route.coding", "min": 1, "max": "1", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.route.coding.system", "path": "MedicationDispense.dosageInstruction.route.coding.system", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.route.coding.code", "path": "MedicationDispense.dosageInstruction.route.coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.route.text", "path": "MedicationDispense.dosageInstruction.route.text", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction.dose[x]", "path": "MedicationDispense.dosageInstruction.dose[x]", "mustSupport": true }, { "id": "MedicationDispense.detectedIssue", "path": "MedicationDispense.detectedIssue", "definition": "DUR. Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.", "comment": "DUR responses, interventions & text messages as recorded at the time of the dispense.\r\nContained ca-on-medications-profile-DetectedIssue-[type] (DetectedIssue) resource where [type] might be “response”, “intervention”, “message-hns” and “message-nms”", "type": [ { "code": "Reference", "profile": "DetectedIssue (DURIntervention)", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-DetectedIssue-dur-intervention" }, { "code": "Reference", "profile": "DetectedIssue (DURResponse)", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-DetectedIssue-dur-response" }, { "code": "Reference", "profile": "DetectedIssue (DURTextMessageHNSODB)", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-DetectedIssue-dur-message-hns" }, { "code": "Reference", "profile": "DetectedIssue (DURTextMessageNMS)", "targetProfile": "https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-medications-profile-DetectedIssue-dur-message-nms" } ], "mustSupport": true } ] } }