{
  "description": "Indicates that a medication is to be or has been dispensed for a named patient",
  "_filename": "MedicationDispenseEHR.json",
  "package_name": "ca.on.ehr.r4",
  "date": null,
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2024-04-23T13:45:49.41889+00:00"
  },
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "MedicationDispenseEHR",
  "abstract": false,
  "type": "MedicationDispense",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MedicationDispense EHR",
  "package_version": "1.0.0",
  "status": "active",
  "id": "c0f2a7ae-1d3f-4478-bbcb-30c6a4ecab40",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationDispense",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "MedicationDispense.extension",
      "path": "MedicationDispense.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "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",
      "isModifier": false
    }, {
      "id": "MedicationDispense.extension:DispenseRemainingRefills.url",
      "path": "MedicationDispense.extension.url",
      "fixedUri": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining"
    }, {
      "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",
      "isModifier": false
    }, {
      "id": "MedicationDispense.extension:DispenseRemainingQuantity.url",
      "path": "MedicationDispense.extension.url",
      "fixedUri": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining"
    }, {
      "id": "MedicationDispense.extension:DrugServiceCoverage",
      "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.extension:DrugServiceCoverage.url",
      "path": "MedicationDispense.extension.url",
      "fixedUri": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage"
    }, {
      "id": "MedicationDispense.identifier",
      "max": "2",
      "min": 1,
      "path": "MedicationDispense.identifier",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier.system",
      "min": 1,
      "path": "MedicationDispense.identifier.system",
      "constraint": [ {
        "key": "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",
        "xpath": "Medication.Dispense.identifier[*].system",
        "source": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationDispense",
        "severity": "error",
        "expression": "$this.matches('http://ehealthontario.ca/fhir/NamingSystem/ca-on-pharmacy-[0-9]{1,9}(?:-original-rx-number|-current-rx-number)')"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.identifier.value",
      "min": 1,
      "path": "MedicationDispense.identifier.value",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.status",
      "path": "MedicationDispense.status",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.category",
      "path": "MedicationDispense.category",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://ehealthontario.ca/fhir/ValueSet/dhdr-dispense-category",
        "description": "Dispense type, e.g. drug, device or pharmacy service"
      },
      "mustSupport": true
    }, {
      "id": "MedicationDispense.category.coding",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.category.coding"
    }, {
      "id": "MedicationDispense.category.coding.system",
      "min": 1,
      "path": "MedicationDispense.category.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.medication[x]",
      "path": "MedicationDispense.medication[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationDispense.medication[x]:medicationReference",
      "max": "1",
      "min": 0,
      "path": "MedicationDispense.medication[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medication" ]
      } ],
      "sliceName": "medicationReference",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.medication[x]:medicationCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "MedicationDispense.medication[x]",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "sliceName": "medicationCodeableConcept"
    }, {
      "id": "MedicationDispense.subject",
      "min": 1,
      "path": "MedicationDispense.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.subject.reference",
      "min": 1,
      "path": "MedicationDispense.subject.reference",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.performer",
      "max": "1",
      "path": "MedicationDispense.performer",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.performer.actor",
      "path": "MedicationDispense.performer.actor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole" ]
      } ],
      "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://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationRequest" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.authorizingPrescription.reference",
      "min": 1,
      "path": "MedicationDispense.authorizingPrescription.reference",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.quantity",
      "path": "MedicationDispense.quantity",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://tgateway.infoway-inforoute.ca/vs/prescribedquantityunit"
      },
      "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",
      "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",
      "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",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction.coding",
      "max": "1",
      "path": "MedicationDispense.dosageInstruction.additionalInstruction.coding"
    }, {
      "id": "MedicationDispense.dosageInstruction.additionalInstruction.coding.system",
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      "path": "MedicationDispense.dosageInstruction.additionalInstruction.coding.system"
    }, {
      "id": "MedicationDispense.dosageInstruction.patientInstruction",
      "path": "MedicationDispense.dosageInstruction.patientInstruction",
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    }, {
      "id": "MedicationDispense.dosageInstruction.timing",
      "path": "MedicationDispense.dosageInstruction.timing",
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      "id": "MedicationDispense.dosageInstruction.timing.event",
      "path": "MedicationDispense.dosageInstruction.timing.event",
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      "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]",
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      "id": "MedicationDispense.dosageInstruction.timing.repeat.count",
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      "path": "MedicationDispense.dosageInstruction.timing.repeat.countMax",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.duration",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.duration",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.timing.repeat.durationMax",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.durationMax",
      "mustSupport": true
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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",
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      "id": "MedicationDispense.dosageInstruction.timing.repeat.period",
      "path": "MedicationDispense.dosageInstruction.timing.repeat.period",
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        "valueSet": "http://hl7.org/fhir/ValueSet/units-of-time|4.0.0"
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      "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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        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ehealthontario.ca/fhir/ValueSet/dhdr-medication-repeat-pattern"
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      "id": "MedicationDispense.dosageInstruction.timing.code.coding",
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      "path": "MedicationDispense.dosageInstruction.timing.code.coding"
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      "id": "MedicationDispense.dosageInstruction.timing.code.coding.system",
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      "path": "MedicationDispense.dosageInstruction.timing.code.coding.system"
    }, {
      "id": "MedicationDispense.dosageInstruction.asNeeded[x]",
      "path": "MedicationDispense.dosageInstruction.asNeeded[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.site",
      "path": "MedicationDispense.dosageInstruction.site",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
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      "mustSupport": true
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      "id": "MedicationDispense.dosageInstruction.site.coding",
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      "path": "MedicationDispense.dosageInstruction.site.coding.system"
    }, {
      "id": "MedicationDispense.dosageInstruction.route",
      "path": "MedicationDispense.dosageInstruction.route",
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        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
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      "mustSupport": true
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      "id": "MedicationDispense.dosageInstruction.route.coding",
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        "strength": "extensible",
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      "mustSupport": true
    }, {
      "id": "MedicationDispense.dosageInstruction.route.coding.system",
      "min": 1,
      "path": "MedicationDispense.dosageInstruction.route.coding.system"
    }, {
      "id": "MedicationDispense.dosageInstruction.method",
      "path": "MedicationDispense.dosageInstruction.method",
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        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "mustSupport": true
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      "id": "MedicationDispense.dosageInstruction.method.coding",
      "max": "1",
      "path": "MedicationDispense.dosageInstruction.method.coding"
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      "id": "MedicationDispense.dosageInstruction.doseAndRate",
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