{
  "description": "This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.",
  "_filename": "StructureDefinition-Medication.json",
  "package_name": "ca.on.ehr.r4",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "Medication",
  "abstract": false,
  "type": "Medication",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Medication",
  "package_version": "0.9.0",
  "status": "draft",
  "id": "b6080147-de32-41ea-8184-ecc6a36473dc",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-Medication",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Medication.extension",
      "path": "Medication.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.extension:monitoredDrugIndicator",
      "max": "1",
      "min": 0,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-monitored-drug-indicator" ]
      } ],
      "sliceName": "monitoredDrugIndicator",
      "mustSupport": true
    }, {
      "id": "Medication.extension:compoundIndicator",
      "max": "1",
      "min": 0,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-compound-indicator" ]
      } ],
      "sliceName": "compoundIndicator",
      "mustSupport": true
    }, {
      "id": "Medication.extension:strength",
      "max": "1",
      "min": 0,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-medication-strength" ]
      } ],
      "sliceName": "strength",
      "mustSupport": true
    }, {
      "id": "Medication.code",
      "min": 1,
      "path": "Medication.code",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://ehealthontario.ca/fhir/ValueSet/canadianclinicaldrugdataset-CCDD",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-uv-ips"
          }, {
            "url": "documentation",
            "valueMarkdown": "SNOMED CT medications (Pharmaceutical / biologic product)"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database-3"
          }, {
            "url": "documentation",
            "valueMarkdown": "A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada."
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/LicensedNaturalHealthProducts"
          }, {
            "url": "documentation",
            "valueMarkdown": "All Natural Product Number (NPN) and Homeopathic Medicine Number (DIN-HM) codes that are licensed by Health Canada and present in the Licensed Natural Health Products Database."
          } ]
        } ]
      },
      "comment": "Generic medications will have a fixed value of https://ehealthontario.ca/fhir/NamingSystem/ca-drug-gen-name on coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form",
      "path": "Medication.form",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://hl7.org/fhir/ca/baseline/ValueSet/prescriptiondrugform"
          }, {
            "url": "documentation",
            "valueMarkdown": "The form in which a compounded drug or active ingredient can be dispensed to the patient"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
          }, {
            "url": "documentation",
            "valueMarkdown": "EDQM Medicine dose forms."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient",
      "path": "Medication.ingredient",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]",
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/drugormedicamentsubstancecode",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ehealthontario.ca/fhir/ValueSet/canadianclinicaldrugdataset-CCDD"
          }, {
            "url": "documentation",
            "valueMarkdown": "The Canadian Clinical Drug Data Set provides codes for identification and a consistent approach to naming of medications and medical devices in Canada. It has been designed and developed to reflect current clinical practice and safety advice and is freely available for use in digital health solutions and design applications..Further information about this Code System can be found at https://tgateway.infoway-inforoute.ca/ccdd.html"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/LicensedNaturalHealthProducts"
          }, {
            "url": "documentation",
            "valueMarkdown": "All Natural Product Number (NPN) and Homeopathic Medicine Number (DIN-HM) codes that are licensed by Health Canada and present in the Licensed Natural Health Products Database."
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database-3"
          }, {
            "url": "documentation",
            "valueMarkdown": "A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada."
          } ]
        } ]
      },
      "comment": "Generic medications will have a fixed value of https://ehealthontario.ca/fhir/NamingSystem/ca-drug-gen-name on coding.system",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication"
}