{
"description": "This profile represents the constraints applied to the Medication resource by the CA Core+ project to represent the minimum expectations for the Medication resource when used to promote capacity building for functionality found across Canadian FHIR implementations. It is informed by the constraints of shared across CIHI pCHDCF data sets and has also undergone analysis to assert alignment with the [Canadian Baseline Medication Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-medication.html)",
"_filename": "structuredefinition-medication-ca-core.json",
"package_name": "ca.infoway.io.core",
"date": null,
"derivation": "constraint",
"publisher": null,
"fhirVersion": "4.0.1",
"name": "MedicationCACore",
"mapping": [ {
"name": "Pan-Canadian Health Data Content Framework",
"identity": "pCHDCF"
} ],
"abstract": false,
"copyright": "Copyright © 2024+ 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).",
"type": "Medication",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "Medication (CA-Core)",
"package_version": "0.2.0-dft",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
"valueCanonical": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medication"
} ],
"status": "draft",
"id": "4af3e96d-993e-4c9f-b21a-83654875a019",
"kind": "resource",
"url": "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/medication-ca-core",
"version": null,
"differential": {
"element": [ {
"id": "Medication.code",
"path": "Medication.code",
"binding": {
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ValueSet/LicensedNaturalHealthProducts"
}, {
"url": "documentation",
"valueMarkdown": "All Natural Product Number (NPN) and Homepathic Medicine Number (DIN-HM) codes that are licensed by Health Canada and present in the Licensed Natural Health Products Database. These are recommended for use when referring to a medication that is a licensed natural product."
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips"
}, {
"url": "documentation",
"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"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/manufacturedproductmp"
}, {
"url": "documentation",
"valueMarkdown": "ValueSet used to convey Medication Brand Name for Manufactured Products"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/non-proprietarytherapeuticproductntp"
}, {
"url": "documentation",
"valueMarkdown": "ValueSet used to convey Medication Generic Name for Non-Proprietary Therapeutic Products"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/devicenon-proprietarytherapeuticproductdevicentp"
}, {
"url": "documentation",
"valueMarkdown": "ValueSet used to convey Medication Generic Name for Device Non-Proprietary Therapeutic Products"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductcode"
}, {
"url": "documentation",
"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"
} ]
} ]
},
"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.",
"mapping": [ {
"map": "Medication Code or Description",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.manufacturer",
"path": "Medication.manufacturer",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/organization-ca-core", "http://hl7.org/fhir/StructureDefinition/Organization" ]
} ],
"mapping": [ {
"map": "Medication Manufacturer",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.form",
"path": "Medication.form",
"binding": {
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondrugform",
"description": "The form in which a compounded drug or active ingredient can be dispensed to the patient."
},
"mapping": [ {
"map": "Medication Form",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.ingredient.item[x]",
"path": "Medication.ingredient.item[x]",
"mapping": [ {
"map": "Medication Ingredient*",
"comment": "*pCHDCF concept as currently defined is expected to map to the CodeableConcept data type",
"identity": "pCHDCF"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Medication.ingredient.item[x]:itemCodeableConcept",
"path": "Medication.ingredient.item[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/therapeuticmoietytm",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/drugormedicamentsubstancecode"
}, {
"url": "documentation",
"valueMarkdown": "per pCHDCF: The alternate value set can be used for the international use case where the medication or substance is not available in Canada and therefore does not appear in the recommended pan-Canadian value set."
} ]
} ],
"description": "The representation of the functional and clinically significant part of the active ingredient substance(s) present in a medicinal product, and as such the TM class is an abstract representation of a medicinal product without reference to strength and dose form, focusing only on active ingredient substance(s)."
},
"mapping": [ {
"map": "Medication Ingredient",
"identity": "pCHDCF"
} ],
"sliceName": "itemCodeableConcept"
}, {
"id": "Medication.ingredient.isActive",
"path": "Medication.ingredient.isActive",
"mapping": [ {
"map": "Medication Active Ingredient Flag",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.ingredient.strength",
"path": "Medication.ingredient.strength",
"comment": "Some medication ingredient strengths are provided with both a numerator and denominator"
}, {
"id": "Medication.ingredient.strength.numerator",
"path": "Medication.ingredient.strength.numerator",
"type": [ {
"code": "Quantity",
"profile": [ "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/drug-quantity-ca-core" ]
} ]
}, {
"id": "Medication.ingredient.strength.numerator.value",
"path": "Medication.ingredient.strength.numerator.value",
"mapping": [ {
"map": "Medication Ingredient Strength Value",
"comment": "Some medication ingredient strengths are provided with both a numerator and denominator",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.ingredient.strength.numerator.system",
"path": "Medication.ingredient.strength.numerator.system",
"mapping": [ {
"map": "Medication Ingredient Strength Unit of Measure",
"comment": "To fully provide meaning to unit of measure under this definition, the system and code sub-elements must be used together",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.ingredient.strength.numerator.code",
"path": "Medication.ingredient.strength.numerator.code",
"binding": {
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/x_drugunitsofmeasure"
},
"mapping": [ {
"map": "Medication Ingredient Strength Unit of Measure",
"comment": "To fully provide meaning to unit of measure under this definition, the system and code sub-elements must be used together",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.ingredient.strength.denominator",
"path": "Medication.ingredient.strength.denominator",
"type": [ {
"code": "Quantity",
"profile": [ "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/drug-quantity-ca-core" ]
} ]
}, {
"id": "Medication.ingredient.strength.denominator.value",
"path": "Medication.ingredient.strength.denominator.value",
"mapping": [ {
"map": "Medication Ingredient Strength Value",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.ingredient.strength.denominator.code",
"path": "Medication.ingredient.strength.denominator.code",
"binding": {
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/x_drugunitsofmeasure"
},
"mapping": [ {
"map": "Medication Ingredient Strength Unit of Measure",
"comment": "To fully provide meaning to unit of measure under this definition, the system and code sub-elements must be used together",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.batch.lotNumber",
"path": "Medication.batch.lotNumber",
"mapping": [ {
"map": "Medication Lot Number",
"identity": "pCHDCF"
} ]
}, {
"id": "Medication.batch.expirationDate",
"path": "Medication.batch.expirationDate",
"mapping": [ {
"map": "Medication Expiry Date",
"identity": "pCHDCF"
} ]
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication"
}