{
  "description": "Indicates that a medication is to be or has been dispensed for a named patient",
  "_filename": "MedicationDispenseSubmission.json",
  "package_name": "ca.on.dhdr.r4.v4",
  "date": null,
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2023-10-27T20:53:39.7472212+00:00"
  },
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "MedicationDispense",
  "abstract": false,
  "type": "MedicationDispense",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MedicationDispense (Submission)",
  "package_version": "0.0.7-beta",
  "status": "active",
  "id": "25a62e65-4cea-43cd-a93e-df5d63ca6ab8",
  "kind": "resource",
  "url": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationDispense-submission",
  "version": "4.0.1",
  "differential": {
    "element": [ {
      "id": "MedicationDispense",
      "path": "MedicationDispense",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.id",
      "path": "MedicationDispense.id",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.meta",
      "min": 1,
      "path": "MedicationDispense.meta",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.meta.source",
      "min": 1,
      "path": "MedicationDispense.meta.source",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.meta.profile",
      "min": 1,
      "path": "MedicationDispense.meta.profile",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.contained",
      "path": "MedicationDispense.contained",
      "short": "Roles/organizations the practitioner is associated with",
      "mapping": [ {
        "map": "PRD (as one example)",
        "identity": "v2"
      }, {
        "map": "Role",
        "identity": "rim"
      }, {
        "map": "ServiceSiteProvider",
        "identity": "servd"
      } ],
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "xpath": "not(parent::f:contained and f:contained)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-3",
        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
        "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
      }, {
        "key": "dom-6",
        "human": "A resource should have narrative for robust management",
        "xpath": "exists(f:text/h:div)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "warning",
        "expression": "text.`div`.exists()"
      }, {
        "key": "dom-5",
        "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
        "xpath": "not(exists(f:contained/*/f:meta/f:security))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.security.empty()"
      } ],
      "definition": "A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time."
    }, {
      "id": "MedicationDispense.contained.meta",
      "path": "MedicationDispense.contained.meta"
    }, {
      "id": "MedicationDispense.contained.meta.lastUpdated",
      "path": "MedicationDispense.contained.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.contained.meta.source",
      "path": "MedicationDispense.contained.meta.source",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.extension",
      "min": 1,
      "path": "MedicationDispense.extension",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.extension:DispenseRemainingRefills",
      "max": "1",
      "path": "MedicationDispense.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining" ]
      } ],
      "sliceName": "DispenseRemainingRefills"
    }, {
      "id": "MedicationDispense.extension:DispenseRemainingQuantity",
      "max": "1",
      "path": "MedicationDispense.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining" ]
      } ],
      "sliceName": "DispenseRemainingQuantity"
    }, {
      "id": "MedicationDispense.extension:DrugServiceCoverage",
      "min": 1,
      "path": "MedicationDispense.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage" ]
      } ],
      "sliceName": "DrugServiceCoverage",
      "isModifier": false
    }, {
      "id": "MedicationDispense.identifier",
      "max": "2",
      "min": 1,
      "path": "MedicationDispense.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier:currentRxNo",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.identifier",
      "sliceName": "currentRxNo",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier:currentRxNo.system",
      "min": 1,
      "path": "MedicationDispense.identifier.system",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier:currentRxNo.value",
      "min": 1,
      "path": "MedicationDispense.identifier.value",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier:originalRxNo",
      "max": "1",
      "path": "MedicationDispense.identifier",
      "sliceName": "originalRxNo",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier:originalRxNo.system",
      "min": 1,
      "path": "MedicationDispense.identifier.system",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier:originalRxNo.value",
      "min": 1,
      "path": "MedicationDispense.identifier.value",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.status",
      "path": "MedicationDispense.status",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.category",
      "min": 1,
      "path": "MedicationDispense.category",
      "binding": {
        "strength": "required",
        "valueSet": "http://ehealthontario.ca/fhir/ValueSet/dhdr-dispense-category",
        "description": "Dispense type, e.g. drug, device or pharmacy service"
      },
      "mustSupport": true
    }, {
      "id": "MedicationDispense.category.coding",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.category.coding",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.category.coding.system",
      "min": 1,
      "path": "MedicationDispense.category.coding.system",
      "fixedUri": "http://ehealthontario.ca/fhir/CodeSystem/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]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Medication-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.medication[x].reference",
      "min": 1,
      "path": "MedicationDispense.medication[x].reference",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.subject",
      "min": 1,
      "path": "MedicationDispense.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Patient-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.subject.reference",
      "min": 1,
      "path": "MedicationDispense.subject.reference",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.performer",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.performer",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.performer.actor",
      "path": "MedicationDispense.performer.actor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-PractitionerRole-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.performer.actor.reference",
      "min": 1,
      "path": "MedicationDispense.performer.actor.reference",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.authorizingPrescription",
      "max": "1",
      "path": "MedicationDispense.authorizingPrescription",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationRequest-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.authorizingPrescription.reference",
      "min": 1,
      "path": "MedicationDispense.authorizingPrescription.reference",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.quantity",
      "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": "extensible",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescribedquantityunit"
      },
      "mustSupport": true
    }, {
      "id": "MedicationDispense.daysSupply",
      "path": "MedicationDispense.daysSupply",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.daysSupply.value",
      "min": 1,
      "path": "MedicationDispense.daysSupply.value",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.whenPrepared",
      "min": 1,
      "path": "MedicationDispense.whenPrepared",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.whenHandedOver",
      "path": "MedicationDispense.whenHandedOver",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction",
      "min": 1,
      "path": "MedicationDispense.dosageInstruction",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.sequence",
      "path": "MedicationDispense.dosageInstruction.sequence",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.text",
      "min": 1,
      "path": "MedicationDispense.dosageInstruction.text",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction",
      "path": "MedicationDispense.dosageInstruction.additionalInstruction",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction.coding",
      "max": "1",
      "path": "MedicationDispense.dosageInstruction.additionalInstruction.coding",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction.coding.system",
      "min": 1,
      "path": "MedicationDispense.dosageInstruction.additionalInstruction.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction.coding.code",
      "min": 1,
      "path": "MedicationDispense.dosageInstruction.additionalInstruction.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction.coding.display",
      "min": 1,
      "path": "MedicationDispense.dosageInstruction.additionalInstruction.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction.text",
      "path": "MedicationDispense.dosageInstruction.additionalInstruction.text",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.patientInstruction",
      "path": "MedicationDispense.dosageInstruction.patientInstruction",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing",
      "path": "MedicationDispense.dosageInstruction.timing",
      "mustSupport": true
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      "id": "MedicationDispense.dosageInstruction.timing.event",
      "path": "MedicationDispense.dosageInstruction.timing.event",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat",
      "path": "MedicationDispense.dosageInstruction.timing.repeat",
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    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.bounds[x]",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.bounds[x]",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.count",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.count",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.countMax",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.countMax",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.duration",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.duration",
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    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.durationMax",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.durationMax",
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      "id": "MedicationDispense.dosageInstruction.timing.repeat.durationUnit",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.durationUnit",
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      "id": "MedicationDispense.dosageInstruction.timing.repeat.frequency",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.frequency",
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      "path": "MedicationDispense.dosageInstruction.timing.repeat.frequencyMax",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.period",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.period",
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      "path": "MedicationDispense.dosageInstruction.timing.repeat.periodMax",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.periodUnit",
      "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.timing.repeat.dayOfWeek",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek",
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      "id": "MedicationDispense.dosageInstruction.timing.repeat.timeOfDay",
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      "id": "MedicationDispense.dosageInstruction.timing.code",
      "path": "MedicationDispense.dosageInstruction.timing.code",
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        "strength": "extensible",
        "valueSet": "http://ehealthontario.ca/fhir/ValueSet/dhdr-medication-repeat-pattern"
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      "mustSupport": true
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      "path": "MedicationDispense.dosageInstruction.timing.code.coding.system",
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      "id": "MedicationDispense.dosageInstruction.timing.code.coding.code",
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      "path": "MedicationDispense.dosageInstruction.timing.code.coding.code",
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        "code": "boolean"
      } ],
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      "id": "MedicationDispense.dosageInstruction.route.coding.system",
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      "id": "MedicationDispense.dosageInstruction.method",
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