{
  "description": null,
  "_filename": "DwMedication.StructureDefinition.json",
  "package_name": "telus.dw.emr.extract",
  "date": "2024-05-03T22:11:40.4165223+00:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "DwMedication",
  "abstract": false,
  "type": "Medication",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "d8c40749-f89c-47d4-b3b8-932906cf1c38",
  "kind": "resource",
  "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwMedication",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Medication.id",
      "min": 1,
      "path": "Medication.id",
      "mustSupport": true
    }, {
      "id": "Medication.meta",
      "path": "Medication.meta"
    }, {
      "id": "Medication.meta.lastUpdated",
      "path": "Medication.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "Medication.meta.source",
      "path": "Medication.meta.source",
      "mustSupport": true
    }, {
      "id": "Medication.text",
      "min": 1,
      "path": "Medication.text",
      "mustSupport": true
    }, {
      "id": "Medication.identifier",
      "max": "1",
      "min": 1,
      "path": "Medication.identifier",
      "mustSupport": true
    }, {
      "id": "Medication.identifier.system",
      "min": 1,
      "path": "Medication.identifier.system",
      "comment": "urn:telus:emr:*:*: medication\r\n\r\nIdentifier.system is always case sensitive."
    }, {
      "id": "Medication.identifier.value",
      "min": 1,
      "path": "Medication.identifier.value",
      "comment": "Primary key in the database table \r\n\r\nIf the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe."
    }, {
      "id": "Medication.code",
      "min": 1,
      "path": "Medication.code",
      "comment": "AHFS class ATC TBD \r\nDepending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding",
      "path": "Medication.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.code.coding:CCDD",
      "path": "Medication.code.coding",
      "sliceName": "CCDD",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:CCDD.system",
      "path": "Medication.code.coding.system",
      "fixedUri": "https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset"
    }, {
      "id": "Medication.code.coding:CCDD.display.extension:translation",
      "max": "1",
      "path": "Medication.code.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.code.coding:CCDD.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.code.coding.display.extension.extension"
    }, {
      "id": "Medication.code.coding:NPN",
      "path": "Medication.code.coding",
      "sliceName": "NPN",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:NPN.system",
      "path": "Medication.code.coding.system",
      "fixedUri": "http://hl7.org/fhir/NamingSystem/ca-hc-npn"
    }, {
      "id": "Medication.code.coding:NPN.display.extension:translation",
      "max": "1",
      "path": "Medication.code.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.code.coding:NPN.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.code.coding.display.extension.extension"
    }, {
      "id": "Medication.code.coding:DIN",
      "path": "Medication.code.coding",
      "sliceName": "DIN",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:DIN.system",
      "path": "Medication.code.coding.system",
      "fixedUri": "http://hl7.org/fhir/NamingSystem/ca-hc-din"
    }, {
      "id": "Medication.code.coding:DIN.display.extension:translation",
      "max": "1",
      "path": "Medication.code.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.code.coding:DIN.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.code.coding.display.extension.extension"
    }, {
      "id": "Medication.code.coding:AHFSClass",
      "path": "Medication.code.coding",
      "sliceName": "AHFSClass",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:AHFSClass.display.extension:translation",
      "max": "1",
      "path": "Medication.code.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.code.coding:AHFSClass.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.code.coding.display.extension.extension"
    }, {
      "id": "Medication.code.coding:ATCClass",
      "path": "Medication.code.coding",
      "sliceName": "ATCClass",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:ATCClass.display.extension:translation",
      "max": "1",
      "path": "Medication.code.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.code.coding:ATCClass.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.code.coding.display.extension.extension"
    }, {
      "id": "Medication.code.text",
      "min": 1,
      "path": "Medication.code.text"
    }, {
      "id": "Medication.status",
      "path": "Medication.status",
      "mustSupport": true
    }, {
      "id": "Medication.manufacturer",
      "path": "Medication.manufacturer",
      "mustSupport": true
    }, {
      "id": "Medication.form",
      "path": "Medication.form",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding",
      "path": "Medication.form.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Medication.form.coding:formEDQM",
      "path": "Medication.form.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode"
      },
      "sliceName": "formEDQM",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formEDQM.system",
      "path": "Medication.form.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formEDQM.code",
      "path": "Medication.form.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formEDQM.display",
      "path": "Medication.form.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formEDQM.display.extension:translation",
      "max": "1",
      "path": "Medication.form.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.form.coding:formEDQM.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.form.coding.display.extension.extension"
    }, {
      "id": "Medication.form.coding:formSCTCA",
      "path": "Medication.form.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode"
      },
      "sliceName": "formSCTCA",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formSCTCA.system",
      "path": "Medication.form.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formSCTCA.code",
      "path": "Medication.form.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formSCTCA.display",
      "path": "Medication.form.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formSCTCA.display.extension:translation",
      "max": "1",
      "path": "Medication.form.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.form.coding:formSCTCA.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.form.coding.display.extension.extension"
    }, {
      "id": "Medication.form.coding:formOrdereableDrugFormV3PrescribeIT",
      "path": "Medication.form.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondrugform"
      },
      "sliceName": "formOrdereableDrugFormV3PrescribeIT",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:formOrdereableDrugFormV3PrescribeIT.display.extension:translation",
      "max": "1",
      "path": "Medication.form.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.form.coding:formOrdereableDrugFormV3PrescribeIT.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.form.coding.display.extension.extension"
    }, {
      "id": "Medication.form.text",
      "min": 1,
      "path": "Medication.form.text"
    }, {
      "id": "Medication.ingredient",
      "path": "Medication.ingredient",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]",
      "path": "Medication.ingredient.item[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemReference",
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "Reference"
      } ],
      "sliceName": "itemReference",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept",
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "https://tgateway.infoway-inforoute.ca/vs/drugormedicamentsubstancecode"
      },
      "sliceName": "itemCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
      "path": "Medication.ingredient.item[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ingredientSCTCA",
      "path": "Medication.ingredient.item[x].coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/drugormedicamentsubstancecode"
      },
      "sliceName": "ingredientSCTCA"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ingredientSCTCA.system",
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ingredientSCTCA.code",
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ingredientSCTCA.display",
      "path": "Medication.ingredient.item[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ingredientSCTCA.display.extension:translation",
      "max": "1",
      "path": "Medication.ingredient.item[x].coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ]
      } ],
      "sliceName": "translation",
      "isModifier": false
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ingredientSCTCA.display.extension:translation.extension",
      "min": 2,
      "path": "Medication.ingredient.item[x].coding.display.extension.extension",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
      "path": "Medication.ingredient.item[x].text",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength",
      "path": "Medication.ingredient.strength",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator",
      "path": "Medication.ingredient.strength.numerator",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator",
      "path": "Medication.ingredient.strength.denominator",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication"
}