{
"description": "Indicates that a medication is to be or has been dispensed for a named patient",
"_filename": "MedicationDispense.json",
"package_name": "ca-on-dhdr-r4.v1",
"date": "2021-12-02T19:29:17.3938077Z",
"derivation": "constraint",
"meta": {
"lastUpdated": "2021-12-06T20:16:12.024+00:00"
},
"publisher": null,
"fhirVersion": "4.0.1",
"name": "MedicationDispense",
"abstract": false,
"type": "MedicationDispense",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.0.0",
"status": "active",
"id": "149bb5d5-b91b-433f-965b-2204462339a0",
"kind": "resource",
"url": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationDispense",
"version": "3.0.0",
"differential": {
"element": [ {
"id": "MedicationDispense",
"path": "MedicationDispense",
"mustSupport": true
}, {
"id": "MedicationDispense.id",
"path": "MedicationDispense.id",
"mustSupport": true
}, {
"id": "MedicationDispense.meta",
"path": "MedicationDispense.meta",
"mustSupport": true
}, {
"id": "MedicationDispense.meta.lastUpdated",
"path": "MedicationDispense.meta.lastUpdated",
"mustSupport": true
}, {
"id": "MedicationDispense.meta.source",
"path": "MedicationDispense.meta.source",
"definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.\r\n\r\nDHDR Note: \r\nHNS: http://ehealthontario.ca/hns\r\nNMS: http://ehealthontario.ca/nms\r\nPharmacy: http://ehealthontario.ca/pharmacy",
"mustSupport": true
}, {
"id": "MedicationDispense.extension",
"min": 0,
"path": "MedicationDispense.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "MedicationDispense.extension:DispenseRemainingQuantity",
"max": "1",
"min": 0,
"path": "MedicationDispense.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining" ]
} ],
"sliceName": "DispenseRemainingQuantity",
"mustSupport": true
}, {
"id": "MedicationDispense.extension:DispenseRemainingRefills",
"max": "1",
"min": 0,
"path": "MedicationDispense.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining" ]
} ],
"sliceName": "DispenseRemainingRefills",
"mustSupport": true
}, {
"id": "MedicationDispense.identifier",
"max": "1",
"min": 1,
"path": "MedicationDispense.identifier",
"comment": "This is a business identifier, not a resource identifier.\r\n\r\nDHDR: Current Rx Number.",
"mustSupport": true
}, {
"id": "MedicationDispense.identifier.system",
"path": "MedicationDispense.identifier.system",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\n\r\nDHDR: The namespace for the identifier value. This might be unknown for some dispenses that get loaded to DHDR from non-pharmacy feeds, e.g. ODB or NMS.\r\n\r\ne.g. \"[id-system-local-base]/ca-on-pharmacy-[Pharmacy ID]-rx-number\"",
"mustSupport": true
}, {
"id": "MedicationDispense.identifier.value",
"min": 1,
"path": "MedicationDispense.identifier.value",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.\r\n\r\nDHDR: Current Rx Number (assigned by a pharmacy). The unique identifier of the data source record.",
"mustSupport": true
}, {
"id": "MedicationDispense.status",
"path": "MedicationDispense.status",
"mustSupport": true
}, {
"id": "MedicationDispense.category",
"path": "MedicationDispense.category",
"mustSupport": true
}, {
"id": "MedicationDispense.category.coding",
"max": "1",
"min": 1,
"path": "MedicationDispense.category.coding",
"binding": {
"strength": "required",
"valueSet": "https://tgateway.infoway-inforoute.ca/vs/medicationdispensecategory",
"description": "Dispense type, e.g. drug, device or pharmacy service"
},
"mustSupport": true
}, {
"id": "MedicationDispense.category.coding.system",
"min": 1,
"path": "MedicationDispense.category.coding.system",
"fixedUri": "http://ehealthontario.ca/fhir/NamingSystem/ca-on-medication-dispense-category",
"mustSupport": true
}, {
"id": "MedicationDispense.category.coding.code",
"min": 1,
"path": "MedicationDispense.category.coding.code",
"mustSupport": true
}, {
"id": "MedicationDispense.category.coding.display",
"min": 1,
"path": "MedicationDispense.category.coding.display",
"mustSupport": true
}, {
"id": "MedicationDispense.medication[x]",
"path": "MedicationDispense.medication[x]",
"mustSupport": true
}, {
"id": "MedicationDispense.subject",
"min": 1,
"path": "MedicationDispense.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Patient-dispense" ]
} ],
"mustSupport": true
}, {
"id": "MedicationDispense.subject.reference",
"min": 1,
"path": "MedicationDispense.subject.reference",
"mustSupport": true
}, {
"id": "MedicationDispense.performer",
"max": "2",
"path": "MedicationDispense.performer",
"mustSupport": true
}, {
"id": "MedicationDispense.performer.actor",
"path": "MedicationDispense.performer.actor",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "reference",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "MedicationDispense.performer.actor:performerOrganization",
"path": "MedicationDispense.performer.actor",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Organization-dispenser" ]
} ],
"sliceName": "performerOrganization",
"definition": "The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.\r\n\r\nDHDR: Dispensing Pharmacy",
"mustSupport": true
}, {
"id": "MedicationDispense.performer.actor:performerOrganization.reference",
"min": 1,
"path": "MedicationDispense.performer.actor.reference",
"fixedString": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Organization-dispenser",
"mustSupport": true
}, {
"id": "MedicationDispense.performer.actor:performerPractitioner",
"path": "MedicationDispense.performer.actor",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Practitioner-dispenser" ]
} ],
"sliceName": "performerPractitioner",
"definition": "The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.\r\n\r\nDHDR: Dispenser (Dispensing Pharmacist)",
"mustSupport": true
}, {
"id": "MedicationDispense.performer.actor:performerPractitioner.reference",
"min": 1,
"path": "MedicationDispense.performer.actor.reference",
"fixedString": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Practitioner-dispenser"
}, {
"id": "MedicationDispense.authorizingPrescription",
"max": "1",
"path": "MedicationDispense.authorizingPrescription",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationRequest" ]
} ],
"mustSupport": true
}, {
"id": "MedicationDispense.authorizingPrescription.reference",
"min": 1,
"path": "MedicationDispense.authorizingPrescription.reference",
"mustSupport": true
}, {
"id": "MedicationDispense.quantity",
"min": 1,
"path": "MedicationDispense.quantity",
"mustSupport": true
}, {
"id": "MedicationDispense.quantity.value",
"min": 1,
"path": "MedicationDispense.quantity.value",
"mustSupport": true
}, {
"id": "MedicationDispense.quantity.unit",
"path": "MedicationDispense.quantity.unit",
"mustSupport": true
}, {
"id": "MedicationDispense.quantity.system",
"path": "MedicationDispense.quantity.system",
"mustSupport": true
}, {
"id": "MedicationDispense.quantity.code",
"path": "MedicationDispense.quantity.code",
"binding": {
"strength": "required",
"valueSet": "https://tgateway.infoway-inforoute.ca/vs/prescribedquantityunit"
},
"mustSupport": true
}, {
"id": "MedicationDispense.daysSupply",
"path": "MedicationDispense.daysSupply",
"definition": "The amount of medication expressed as a timing amount.\r\n\r\nDHDR: Estimated number of days of treatment based on the directions for use on the prescription and the pharmacists judgment on usage",
"mustSupport": true
}, {
"id": "MedicationDispense.daysSupply.value",
"min": 1,
"path": "MedicationDispense.daysSupply.value"
}, {
"id": "MedicationDispense.whenPrepared",
"min": 1,
"path": "MedicationDispense.whenPrepared",
"mustSupport": true
}, {
"id": "MedicationDispense.whenHandedOver",
"path": "MedicationDispense.whenHandedOver",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction",
"max": "1",
"path": "MedicationDispense.dosageInstruction",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.text",
"path": "MedicationDispense.dosageInstruction.text",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.patientInstruction",
"path": "MedicationDispense.dosageInstruction.patientInstruction",
"definition": "Instructions in terms that are understood by the patient or consumer.\r\n\r\nDHDR: The instructions to the patient on how to take the medication (e.g. with food)",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.timing",
"path": "MedicationDispense.dosageInstruction.timing",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.timing.repeat",
"min": 1,
"path": "MedicationDispense.dosageInstruction.timing.repeat",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.timing.repeat.frequency",
"min": 1,
"path": "MedicationDispense.dosageInstruction.timing.repeat.frequency",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.timing.repeat.period",
"min": 1,
"path": "MedicationDispense.dosageInstruction.timing.repeat.period",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.timing.repeat.periodMax",
"path": "MedicationDispense.dosageInstruction.timing.repeat.periodMax",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.timing.repeat.periodUnit",
"min": 1,
"path": "MedicationDispense.dosageInstruction.timing.repeat.periodUnit",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/units-of-time|4.0.0"
},
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.asNeeded[x]",
"path": "MedicationDispense.dosageInstruction.asNeeded[x]",
"type": [ {
"code": "boolean"
} ],
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.route",
"path": "MedicationDispense.dosageInstruction.route",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.route.coding",
"max": "1",
"min": 1,
"path": "MedicationDispense.dosageInstruction.route.coding",
"binding": {
"strength": "required",
"valueSet": "https://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"
},
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.route.coding.system",
"min": 1,
"path": "MedicationDispense.dosageInstruction.route.coding.system",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.route.coding.code",
"min": 1,
"path": "MedicationDispense.dosageInstruction.route.coding.code",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.route.text",
"path": "MedicationDispense.dosageInstruction.route.text",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.doseAndRate",
"max": "1",
"path": "MedicationDispense.dosageInstruction.doseAndRate",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.doseAndRate.dose[x]",
"path": "MedicationDispense.dosageInstruction.doseAndRate.dose[x]",
"type": [ {
"code": "Quantity"
} ],
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].value",
"min": 1,
"path": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].value",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].unit",
"path": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].unit",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].system",
"path": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].system",
"mustSupport": true
}, {
"id": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].code",
"path": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].code",
"binding": {
"strength": "required",
"valueSet": "https://tgateway.infoway-inforoute.ca/vs/prescriptiondosequantityunit"
},
"mustSupport": true
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense"
}