description: Indicates that a medication is to be or has been dispensed for a named patient
package_name: ca.on.oh-dhdr
derivation: constraint
name: MedicationDispense
type: MedicationDispense
elements:
  category:
    binding: {strength: required, valueSet: 'http://ehealthontario.ca/fhir/ValueSet/dhdr-dispense-category'}
    mustSupport: true
    index: 15
    elements:
      coding:
        mustSupport: true
        index: 16
        elements:
          system:
            pattern: {type: Uri, value: 'http://ehealthontario.ca/fhir/CodeSystem/dispense-category'}
            mustSupport: true
            index: 17
          code: {mustSupport: true, index: 18}
          display: {mustSupport: true, index: 19}
        required: [display, system, code]
    required: [coding]
  whenHandedOver: {mustSupport: true, index: 39}
  whenPrepared: {mustSupport: true, index: 38}
  meta:
    mustSupport: true
    index: 1
    elements:
      source: {mustSupport: true, index: 2}
      profile: {mustSupport: true, index: 3}
    required: [profile]
  medication[x]:
    elements:
      reference: {mustSupport: true, index: 23}
    required: [reference]
  extension:
    mustSupport: true
    index: 4
    slicing:
      slices:
        DispenseRemainingRefills:
          match: {}
          schema:
            type: Extension
            isModifier: false
            url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining
            index: 5
            elements:
              url:
                pattern: {type: Uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining'}
                index: 6
        DispenseRemainingQuantity:
          match: {}
          schema:
            type: Extension
            isModifier: false
            url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining
            index: 7
            elements:
              url:
                pattern: {type: Uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining'}
                index: 8
        DrugServiceCoverage:
          match: {}
          schema:
            type: Extension
            isModifier: false
            url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage
            index: 9
            elements:
              url:
                pattern: {type: Uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage'}
                index: 10
  status: {mustSupport: true, index: 14}
  id: {mustSupport: true, index: 0}
  dosageInstruction:
    mustSupport: true
    index: 40
    elements:
      site:
        mustSupport: true
        index: 78
        elements:
          coding:
            mustSupport: true
            index: 79
            elements:
              system: {mustSupport: true, index: 80}
              code: {mustSupport: true, index: 81}
              display: {mustSupport: true, index: 82}
            required: [display, system, code]
          text: {mustSupport: true, index: 83}
      asNeeded:
        mustSupport: true
        choices: [asNeededBoolean]
        index: 76
      method:
        mustSupport: true
        index: 89
        elements:
          coding:
            mustSupport: true
            index: 90
            elements:
              system: {mustSupport: true, index: 91}
              code: {mustSupport: true, index: 92}
              display: {mustSupport: true, index: 93}
            required: [display, system, code]
          text: {mustSupport: true, index: 94}
      patientInstruction: {mustSupport: true, index: 49}
      maxDosePerLifetime:
        mustSupport: true
        index: 129
        elements:
          value: {mustSupport: true, index: 130}
          unit: {mustSupport: true, index: 131}
          system: {mustSupport: true, index: 132}
          code: {mustSupport: true, index: 133}
      maxDosePerAdministration:
        mustSupport: true
        index: 124
        elements:
          value: {mustSupport: true, index: 125}
          unit: {mustSupport: true, index: 126}
          system: {mustSupport: true, index: 127}
          code: {mustSupport: true, index: 128}
      route:
        mustSupport: true
        index: 84
        elements:
          coding:
            binding: {strength: required, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration'}
            mustSupport: true
            index: 85
            elements:
              system:
                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                mustSupport: true
                index: 86
              code: {mustSupport: true, index: 87}
              display: {mustSupport: true, index: 88}
            required: [display, system, code]
        required: [coding]
      asNeededBoolean: {type: boolean, mustSupport: true, choiceOf: asNeeded, index: 77}
      timing:
        mustSupport: true
        index: 50
        elements:
          event: {mustSupport: true, index: 51}
          repeat:
            mustSupport: true
            index: 52
            elements:
              frequencyMax: {mustSupport: true, index: 61}
              when: {mustSupport: true, index: 67}
              offset: {mustSupport: true, index: 68}
              periodUnit:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/units-of-time|4.0.0'}
                mustSupport: true
                index: 64
              frequency: {mustSupport: true, index: 60}
              durationMax: {mustSupport: true, index: 58}
              duration: {mustSupport: true, index: 57}
              bounds:
                mustSupport: true
                choices: []
                index: 54
              durationUnit: {mustSupport: true, index: 59}
              dayOfWeek: {mustSupport: true, index: 65}
              count: {mustSupport: true, index: 55}
              periodMax: {mustSupport: true, index: 63}
              period: {mustSupport: true, index: 62}
              countMax: {mustSupport: true, index: 56}
              timeOfDay: {mustSupport: true, index: 66}
          code:
            binding: {strength: extensible, valueSet: 'http://ehealthontario.ca/fhir/ValueSet/dhdr-medication-repeat-pattern'}
            mustSupport: true
            index: 69
            elements:
              coding:
                mustSupport: true
                index: 70
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    mustSupport: true
                    index: 71
                  code: {mustSupport: true, index: 72}
                  display: {mustSupport: true, index: 73}
                required: [display, system, code]
              text: {mustSupport: true, index: 74}
      additionalInstruction:
        mustSupport: true
        index: 43
        elements:
          coding:
            mustSupport: true
            index: 44
            elements:
              system: {mustSupport: true, index: 45}
              code: {mustSupport: true, index: 46}
              display: {mustSupport: true, index: 47}
            required: [display, system, code]
          text: {mustSupport: true, index: 48}
      sequence: {mustSupport: true, index: 41}
      maxDosePerPeriod:
        mustSupport: true
        index: 111
        elements:
          numerator:
            mustSupport: true
            index: 112
            elements:
              value: {mustSupport: true, index: 113}
              comparator: {mustSupport: true, index: 114}
              unit: {mustSupport: true, index: 115}
              system: {mustSupport: true, index: 116}
              code: {mustSupport: true, index: 117}
          denominator:
            mustSupport: true
            index: 118
            elements:
              value: {mustSupport: true, index: 119}
              comparator: {mustSupport: true, index: 120}
              unit: {mustSupport: true, index: 121}
              system: {mustSupport: true, index: 122}
              code: {mustSupport: true, index: 123}
      doseAndRate:
        mustSupport: true
        index: 95
        elements:
          type:
            mustSupport: true
            index: 96
            elements:
              coding:
                mustSupport: true
                index: 97
                elements:
                  system: {mustSupport: true, index: 98}
                  code: {mustSupport: true, index: 99}
                  display: {mustSupport: true, index: 100}
                required: [display, system, code]
              text: {mustSupport: true, index: 101}
          dose:
            mustSupport: true
            choices: [doseRange, doseQuantity]
            index: 103
          doseRange: {type: Range, mustSupport: true, choiceOf: dose, index: 104}
          doseQuantity: {type: Quantity, mustSupport: true, choiceOf: dose, index: 105}
          rate:
            mustSupport: true
            choices: [rateRatio, rateRange, rateQuantity]
            index: 107
          rateRatio: {type: Ratio, mustSupport: true, choiceOf: rate, index: 108}
          rateRange: {type: Range, mustSupport: true, choiceOf: rate, index: 109}
          rateQuantity: {type: Quantity, mustSupport: true, choiceOf: rate, index: 110}
      text: {mustSupport: true, index: 42}
    required: [text]
  daysSupply:
    mustSupport: true
    index: 36
    elements:
      value: {index: 37}
    required: [value]
  identifier:
    mustSupport: true
    array: true
    min: 1
    max: 2
    index: 11
    elements:
      system:
        constraint:
          RX-system-id: {human: 'Original Rx Number value should be original Rx Number assigned by the pharmacy system on the first fill and should be the following formats:  [id-system-local-base]/ca-on-pharmacy-[Pharmacy ID]-original-rx-number or [id-system-local-base]/ca-on-pharmacy-[Pharmacy ID]-current-rx-number', severity: error, expression: '$this.matches(''http://ehealthontario.ca/fhir/NamingSystem/ca-on-pharmacy-[0-9]{1,9}(?:-original-rx-number|-current-rx-number)'')'}
        mustSupport: true
        index: 12
      value: {mustSupport: true, index: 13}
    required: [value, system]
  medicationReference: {type: Reference, mustSupport: true, choiceOf: medication, index: 22}
  quantity:
    binding: {strength: extensible, valueSet: 'https://tgateway.infoway-inforoute.ca/vs/prescribedquantityunit'}
    mustSupport: true
    index: 31
    elements:
      value: {mustSupport: true, index: 32}
      unit: {mustSupport: true, index: 33}
      system: {mustSupport: true, index: 34}
      code: {mustSupport: true, index: 35}
    required: [value]
  authorizingPrescription:
    type: Reference
    mustSupport: true
    refers: ['http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationRequest']
    index: 29
    elements:
      reference: {mustSupport: true, index: 30}
    required: [reference]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Patient']
    index: 24
    elements:
      reference: {mustSupport: true, index: 25}
    required: [reference]
  performer:
    mustSupport: true
    index: 26
    elements:
      actor:
        type: Reference
        mustSupport: true
        refers: ['http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-PractitionerRole']
        index: 27
        elements:
          reference: {mustSupport: true, index: 28}
        required: [reference]
  medication:
    mustSupport: true
    choices: [medicationReference]
    index: 21
package_version: 4.0.2-alpha1.0.1
extensions:
  DispenseRemainingRefills:
    url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining
    type: Extension
    isModifier: false
    index: 5
    elements:
      url:
        pattern: {type: Uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining'}
        index: 6
  DispenseRemainingQuantity:
    url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining
    type: Extension
    isModifier: false
    index: 7
    elements:
      url:
        pattern: {type: Uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining'}
        index: 8
  DrugServiceCoverage:
    url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage
    type: Extension
    isModifier: false
    index: 9
    elements:
      url:
        pattern: {type: Uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage'}
        index: 10
class: profile
kind: resource
url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationDispense
base: http://hl7.org/fhir/StructureDefinition/MedicationDispense
version: 4.0.1
required: [whenPrepared, identifier, subject, meta]