description: Indicates that a medication is to be or has been dispensed for a named patient
package_name: rs/ca.on.dhdr.r4.v4
derivation: constraint
name: MedicationDispense
type: MedicationDispense
elements:
  category:
    binding: {strength: required, valueSet: 'http://ehealthontario.ca/fhir/ValueSet/dhdr-dispense-category'}
    mustSupport: true
    index: 16
    elements:
      coding:
        mustSupport: true
        index: 17
        elements:
          system:
            pattern: {type: uri, value: 'http://ehealthontario.ca/fhir/CodeSystem/dispense-category'}
            mustSupport: true
            type: uri
            index: 18
          code: {mustSupport: true, index: 19}
          display: {mustSupport: true, index: 20}
        required: [code, display, system]
    required: [coding]
  whenHandedOver: {mustSupport: true, index: 40}
  whenPrepared: {mustSupport: true, index: 39}
  meta:
    mustSupport: true
    index: 1
    elements:
      source: {mustSupport: true, index: 2}
      profile: {mustSupport: true, index: 3}
    required: [profile, source]
  medication[x]:
    elements:
      reference: {mustSupport: true, index: 24}
    required: [reference]
  extension:
    mustSupport: true
    index: 8
    slicing:
      slices:
        DispenseRemainingRefills:
          match: {}
          schema: {type: Extension, url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining', index: 9}
          max: 1
        DispenseRemainingQuantity:
          match: {}
          schema: {type: Extension, url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining', index: 10}
          max: 1
        DrugServiceCoverage:
          match: {}
          schema: {type: Extension, isModifier: false, url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage', index: 11}
          min: 1
  contained:
    short: Roles/organizations the practitioner is associated with
    constraint:
      dom-2: {human: 'If the resource is contained in another resource, it SHALL NOT contain nested Resources', source: 'http://hl7.org/fhir/StructureDefinition/DomainResource', severity: error, expression: contained.contained.empty()}
      dom-4: {human: 'If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated', source: 'http://hl7.org/fhir/StructureDefinition/DomainResource', severity: error, expression: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}
      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', 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()'}
      dom-6: {human: A resource should have narrative for robust management, source: 'http://hl7.org/fhir/StructureDefinition/DomainResource', severity: warning, expression: text.`div`.exists()}
      dom-5: {human: 'If a resource is contained in another resource, it SHALL NOT have a security label', source: 'http://hl7.org/fhir/StructureDefinition/DomainResource', severity: error, expression: contained.meta.security.empty()}
    index: 4
    elements:
      meta:
        index: 5
        elements:
          lastUpdated: {mustSupport: true, index: 6}
          source: {mustSupport: true, index: 7}
  status: {mustSupport: true, index: 15}
  id: {mustSupport: true, index: 0}
  dosageInstruction:
    mustSupport: true
    index: 41
    elements:
      site:
        mustSupport: true
        index: 79
        elements:
          coding:
            mustSupport: true
            index: 80
            elements:
              system: {mustSupport: true, index: 81}
              code: {mustSupport: true, index: 82}
              display: {mustSupport: true, index: 83}
            required: [code, display, system]
          text: {mustSupport: true, index: 84}
      asNeeded:
        mustSupport: true
        choices: [asNeededBoolean]
        index: 77
      method:
        mustSupport: true
        index: 90
        elements:
          coding:
            mustSupport: true
            index: 91
            elements:
              system: {mustSupport: true, index: 92}
              code: {mustSupport: true, index: 93}
              display: {mustSupport: true, index: 94}
            required: [code, display, system]
          text: {mustSupport: true, index: 95}
      patientInstruction: {mustSupport: true, index: 50}
      maxDosePerLifetime:
        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}
        required: [code, system, unit, value]
      maxDosePerAdministration:
        mustSupport: true
        index: 119
        elements:
          value: {mustSupport: true, index: 120}
          unit: {mustSupport: true, index: 121}
          system: {mustSupport: true, index: 122}
          code: {mustSupport: true, index: 123}
        required: [code, system, unit, value]
      route:
        mustSupport: true
        index: 85
        elements:
          coding:
            binding: {strength: required, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration'}
            mustSupport: true
            index: 86
            elements:
              system:
                pattern: {type: uri, value: 'http://snomed.info/sct'}
                mustSupport: true
                type: uri
                index: 87
              code: {mustSupport: true, index: 88}
              display: {mustSupport: true, index: 89}
            required: [code, display, system]
        required: [coding]
      asNeededBoolean: {type: boolean, mustSupport: true, choiceOf: asNeeded, index: 78}
      timing:
        mustSupport: true
        index: 51
        elements:
          event: {mustSupport: true, index: 52}
          repeat:
            mustSupport: true
            index: 53
            elements:
              frequencyMax: {mustSupport: true, index: 62}
              when: {mustSupport: true, index: 68}
              offset: {mustSupport: true, index: 69}
              periodUnit:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/units-of-time|4.0.0'}
                mustSupport: true
                index: 65
              frequency: {mustSupport: true, index: 61}
              durationMax: {mustSupport: true, index: 59}
              duration: {mustSupport: true, index: 58}
              bounds:
                mustSupport: true
                choices: []
                index: 55
              durationUnit: {mustSupport: true, index: 60}
              dayOfWeek: {mustSupport: true, index: 66}
              count: {mustSupport: true, index: 56}
              periodMax: {mustSupport: true, index: 64}
              period: {mustSupport: true, index: 63}
              countMax: {mustSupport: true, index: 57}
              timeOfDay: {mustSupport: true, index: 67}
          code:
            binding: {strength: extensible, valueSet: 'http://ehealthontario.ca/fhir/ValueSet/dhdr-medication-repeat-pattern'}
            mustSupport: true
            index: 70
            elements:
              coding:
                mustSupport: true
                index: 71
                elements:
                  system:
                    pattern: {type: uri, value: 'http://snomed.info/sct'}
                    mustSupport: true
                    type: uri
                    index: 72
                  code: {mustSupport: true, index: 73}
                  display: {mustSupport: true, index: 74}
                required: [code, display, system]
              text: {mustSupport: true, index: 75}
      additionalInstruction:
        mustSupport: true
        index: 44
        elements:
          coding:
            mustSupport: true
            index: 45
            elements:
              system: {mustSupport: true, index: 46}
              code: {mustSupport: true, index: 47}
              display: {mustSupport: true, index: 48}
            required: [code, display, system]
          text: {mustSupport: true, index: 49}
      sequence: {mustSupport: true, index: 42}
      maxDosePerPeriod:
        mustSupport: true
        index: 106
        elements:
          numerator:
            mustSupport: true
            index: 107
            elements:
              value: {mustSupport: true, index: 108}
              comparator: {mustSupport: true, index: 109}
              unit: {mustSupport: true, index: 110}
              system: {mustSupport: true, index: 111}
              code: {mustSupport: true, index: 112}
            required: [code, system, unit, value]
          denominator:
            mustSupport: true
            index: 113
            elements:
              value: {mustSupport: true, index: 114}
              comparator: {mustSupport: true, index: 115}
              unit: {mustSupport: true, index: 116}
              system: {mustSupport: true, index: 117}
              code: {mustSupport: true, index: 118}
            required: [code, system, unit, value]
      doseAndRate:
        mustSupport: true
        index: 96
        elements:
          type:
            elements:
              coding:
                mustSupport: true
                index: 97
                elements:
                  system: {mustSupport: true, index: 98}
                  code: {mustSupport: true, index: 99}
                  display: {mustSupport: true, index: 100}
                required: [code, display, system]
              text: {mustSupport: true, index: 101}
          dose:
            mustSupport: true
            choices: []
            index: 103
          rate:
            mustSupport: true
            choices: []
            index: 105
      text: {mustSupport: true, index: 43}
    required: [text]
  daysSupply:
    mustSupport: true
    index: 37
    elements:
      value: {mustSupport: true, index: 38}
    required: [value]
  identifier:
    mustSupport: true
    array: true
    min: 1
    max: 2
    index: 12
    elements:
      system: {mustSupport: true, index: 13}
      value: {mustSupport: true, index: 14}
    required: [system, value]
  medicationReference:
    type: Reference
    mustSupport: true
    choiceOf: medication
    refers: ['http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Medication-submission']
    index: 23
  quantity:
    mustSupport: true
    index: 32
    elements:
      value: {mustSupport: true, index: 33}
      unit: {mustSupport: true, index: 34}
      system: {mustSupport: true, index: 35}
      code:
        binding: {strength: extensible, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/prescribedquantityunit'}
        mustSupport: true
        index: 36
    required: [value]
  authorizingPrescription:
    type: Reference
    mustSupport: true
    refers: ['http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationRequest-submission']
    index: 30
    elements:
      reference: {mustSupport: true, index: 31}
    required: [reference]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Patient-submission']
    index: 25
    elements:
      reference: {mustSupport: true, index: 26}
    required: [reference]
  performer:
    mustSupport: true
    index: 27
    elements:
      actor:
        type: Reference
        mustSupport: true
        refers: ['http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-PractitionerRole-submission']
        index: 28
        elements:
          reference: {mustSupport: true, index: 29}
        required: [reference]
  medication:
    mustSupport: true
    choices: [medicationReference]
    index: 22
package_version: 0.0.9-beta
extensions:
  DispenseRemainingRefills: {url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining', max: 1, type: Extension, index: 9}
  DispenseRemainingQuantity: {url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining', max: 1, type: Extension, index: 10}
  DrugServiceCoverage: {url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage', min: 1, type: Extension, isModifier: false, index: 11}
class: profile
kind: resource
url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-MedicationDispense-submission
base: http://hl7.org/fhir/StructureDefinition/MedicationDispense
version: 4.0.1
required: [category, dosageInstruction, extension, identifier, meta, performer, subject, whenPrepared]