description: Indicates that a medication is to be or has been dispensed for a named patient
package_name: rs/ca.on.ehr.r4
derivation: constraint
name: MedicationDispenseEHR
type: MedicationDispense
elements:
  category:
    type: CodeableConcept
    binding: {strength: required, valueSet: 'http://ehealthontario.ca/fhir/ValueSet/dhdr-dispense-category'}
    mustSupport: true
    index: 11
    elements:
      coding:
        index: 12
        elements:
          system: {mustSupport: true, index: 13}
        required: [system]
    required: [coding]
  whenHandedOver: {mustSupport: true, index: 37}
  whenPrepared: {mustSupport: true, index: 36}
  medicationCodeableConcept:
    type: CodeableConcept
    choiceOf: medication
    index: 21
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, choiceOf: medication, index: 21}
          min: 0
          max: 1
  extension:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        DispenseRemainingRefills:
          match: {url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining'}
          schema:
            type: Extension
            isModifier: false
            url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining
            index: 1
            elements:
              url:
                pattern: {type: uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining'}
                type: uri
                index: 2
        DispenseRemainingQuantity:
          match: {url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining'}
          schema:
            type: Extension
            isModifier: false
            url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining
            index: 3
            elements:
              url:
                pattern: {type: uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining'}
                type: uri
                index: 4
        DrugServiceCoverage:
          match: {url: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage'}
          schema:
            type: Extension
            isModifier: false
            url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage
            index: 5
            elements:
              url:
                pattern: {type: uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage'}
                type: uri
                index: 6
  status: {mustSupport: true, index: 10}
  dosageInstruction:
    mustSupport: true
    index: 38
    elements:
      site:
        type: CodeableConcept
        mustSupport: true
        index: 70
        elements:
          coding:
            index: 71
            elements:
              system: {index: 72}
            required: [system]
      asNeeded:
        mustSupport: true
        choices: [asNeededBoolean]
        index: 68
      method:
        type: CodeableConcept
        mustSupport: true
        index: 76
        elements:
          coding: {index: 77}
      patientInstruction: {mustSupport: true, index: 44}
      maxDosePerLifetime:
        mustSupport: true
        index: 157
        elements:
          value: {mustSupport: true, index: 158}
          unit: {mustSupport: true, index: 159}
          system: {mustSupport: true, index: 160}
          code: {mustSupport: true, index: 161}
      maxDosePerAdministration:
        mustSupport: true
        index: 152
        elements:
          value: {mustSupport: true, index: 153}
          unit: {mustSupport: true, index: 154}
          system: {mustSupport: true, index: 155}
          code: {mustSupport: true, index: 156}
      route:
        type: CodeableConcept
        mustSupport: true
        index: 73
        elements:
          coding:
            binding: {strength: extensible, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration'}
            mustSupport: true
            index: 74
            elements:
              system: {index: 75}
            required: [system]
        required: [coding]
      asNeededBoolean: {type: boolean, mustSupport: true, choiceOf: asNeeded, index: 69}
      timing:
        mustSupport: true
        index: 45
        elements:
          event: {mustSupport: true, index: 46}
          repeat:
            mustSupport: true
            index: 47
            elements:
              frequencyMax: {mustSupport: true, index: 56}
              when: {mustSupport: true, index: 62}
              offset: {mustSupport: true, index: 63}
              periodUnit:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/units-of-time|4.0.0'}
                mustSupport: true
                index: 59
              frequency: {mustSupport: true, index: 55}
              durationMax: {mustSupport: true, index: 53}
              duration: {mustSupport: true, index: 52}
              bounds:
                mustSupport: true
                choices: []
                index: 49
              durationUnit: {mustSupport: true, index: 54}
              dayOfWeek: {mustSupport: true, index: 60}
              count: {mustSupport: true, index: 50}
              periodMax: {mustSupport: true, index: 58}
              period: {mustSupport: true, index: 57}
              countMax: {mustSupport: true, index: 51}
              timeOfDay: {mustSupport: true, index: 61}
          code:
            type: CodeableConcept
            binding: {strength: extensible, valueSet: 'http://ehealthontario.ca/fhir/ValueSet/dhdr-medication-repeat-pattern'}
            mustSupport: true
            index: 64
            elements:
              coding:
                index: 65
                elements:
                  system: {index: 66}
                required: [system]
      additionalInstruction:
        type: CodeableConcept
        mustSupport: true
        index: 41
        elements:
          coding:
            index: 42
            elements:
              system: {index: 43}
            required: [system]
      sequence: {mustSupport: true, index: 39}
      maxDosePerPeriod:
        mustSupport: true
        index: 139
        elements:
          numerator:
            mustSupport: true
            index: 140
            elements:
              value: {mustSupport: true, index: 141}
              comparator: {mustSupport: true, index: 142}
              unit: {mustSupport: true, index: 143}
              system: {mustSupport: true, index: 144}
              code: {mustSupport: true, index: 145}
          denominator:
            mustSupport: true
            index: 146
            elements:
              value: {mustSupport: true, index: 147}
              comparator: {mustSupport: true, index: 148}
              unit: {mustSupport: true, index: 149}
              system: {mustSupport: true, index: 150}
              code: {mustSupport: true, index: 151}
      doseAndRate:
        mustSupport: true
        index: 78
        elements:
          dose[x]:
            elements:
              value: {mustSupport: true, index: 100}
              unit: {mustSupport: true, index: 101}
              system: {mustSupport: true, index: 102}
              code: {mustSupport: true, index: 103}
          rate[x]:
            elements:
              value: {mustSupport: true, index: 135}
              unit: {mustSupport: true, index: 136}
              system: {mustSupport: true, index: 137}
              code: {mustSupport: true, index: 138}
          doseRange:
            type: Range
            mustSupport: true
            choiceOf: dose
            index: 86
            slicing:
              slices:
                doseRange:
                  match: {}
                  schema: {type: Range, mustSupport: true, choiceOf: dose, index: 86}
                  min: 0
                  max: 1
          rateRange:
            type: Range
            mustSupport: true
            choiceOf: rate
            index: 121
            slicing:
              slices:
                rateRange:
                  match: {}
                  schema: {type: Range, mustSupport: true, choiceOf: rate, index: 121}
                  min: 0
                  max: 1
          doseQuantity:
            type: Quantity
            mustSupport: true
            choiceOf: dose
            index: 99
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema: {type: Quantity, mustSupport: true, choiceOf: dose, index: 99}
                  min: 0
                  max: 1
          dose:
            mustSupport: true
            choices: [doseQuantity]
            index: 98
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema:
                    mustSupport: true
                    choices: [doseQuantity]
                    index: 98
                  min: 0
                  max: 1
          type:
            type: CodeableConcept
            mustSupport: true
            index: 79
            elements:
              coding:
                index: 80
                elements:
                  system: {index: 81}
                required: [system]
          rate:
            mustSupport: true
            choices: [rateQuantity]
            index: 133
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema:
                    mustSupport: true
                    choices: [rateQuantity]
                    index: 133
                  min: 0
                  max: 1
          rateRatio:
            type: Ratio
            mustSupport: true
            choiceOf: rate
            index: 108
            slicing:
              slices:
                rateRatio:
                  match: {}
                  schema: {type: Ratio, mustSupport: true, choiceOf: rate, index: 108}
                  min: 0
                  max: 1
          rateQuantity:
            type: Quantity
            mustSupport: true
            choiceOf: rate
            index: 134
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema: {type: Quantity, mustSupport: true, choiceOf: rate, index: 134}
                  min: 0
                  max: 1
      text: {mustSupport: true, index: 40}
    required: [text]
  daysSupply:
    mustSupport: true
    index: 34
    elements:
      value: {mustSupport: true, index: 35}
    required: [value]
  identifier:
    mustSupport: true
    array: true
    min: 1
    max: 2
    index: 7
    elements:
      system:
        constraint:
          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', 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
        index: 8
      value: {mustSupport: true, index: 9}
    required: [system, value]
  medicationReference:
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medication']
    type: Reference
    mustSupport: true
    choiceOf: medication
    index: 18
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medication']
            type: Reference
            mustSupport: true
            choiceOf: medication
            index: 18
          min: 0
          max: 1
  quantity:
    binding: {strength: extensible, valueSet: 'https://tgateway.infoway-inforoute.ca/vs/prescribedquantityunit'}
    mustSupport: true
    index: 29
    elements:
      value: {mustSupport: true, index: 30}
      unit: {mustSupport: true, index: 31}
      system: {mustSupport: true, index: 32}
      code: {mustSupport: true, index: 33}
    required: [value]
  authorizingPrescription:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationRequest']
    index: 27
    elements:
      reference: {mustSupport: true, index: 28}
    required: [reference]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient']
    index: 22
    elements:
      reference: {mustSupport: true, index: 23}
    required: [reference]
  performer:
    mustSupport: true
    index: 24
    elements:
      actor:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole']
        index: 25
        elements:
          reference: {mustSupport: true, index: 26}
        required: [reference]
  medication:
    choices: [medicationCodeableConcept]
    index: 20
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema:
            choices: [medicationCodeableConcept]
            index: 20
          min: 0
          max: 1
package_version: 1.0.0
extensions:
  DispenseRemainingRefills:
    url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining
    type: Extension
    isModifier: false
    index: 1
    elements:
      url:
        pattern: {type: uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-refills-remaining'}
        type: uri
        index: 2
  DispenseRemainingQuantity:
    url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining
    type: Extension
    isModifier: false
    index: 3
    elements:
      url:
        pattern: {type: uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-quantity-remaining'}
        type: uri
        index: 4
  DrugServiceCoverage:
    url: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage
    type: Extension
    isModifier: false
    index: 5
    elements:
      url:
        pattern: {type: uri, value: 'http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-ext-drug-service-coverage'}
        type: uri
        index: 6
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationDispense
base: http://hl7.org/fhir/StructureDefinition/MedicationDispense
version: 1.0.0
required: [identifier, subject, whenPrepared]