Medication Dispense Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-medicationdispense |
|---|---|
| Status | draft · 1.26.0 |
| Base | MedicationDispense (constraint) |
| Source | FSH · JSON |
Nexus EMR profile for MedicationDispense resources, primarily for recording dispense events. Aligns with CII N1/N2 requirements and Nexus EMR standards.
Elements / Differential
What this profile constrains beyond MedicationDispense. Anything not listed is unchanged from the base; muted type/cardinality values are the base's, shown for context.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationDispense | Nexus EMR Medication Dispense Core Invariants: nexus-note-extension-not-where-native |
|||
| meta | 0..1 | Meta | ||
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i |
| text | S | 0..1 | Narrative | Narrative i |
| identifier | S | 0..* | Identifier | Business identifier(s) for medicationdispense i |
| system | 1..1 | uri | i | |
| value | 1..1 | string | i | |
| status | S | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped i Binding: medicationdispense-status ( required) |
| category | S | 0..1 | CodeableConcept | Dispense category with raw code support i |
| medication[x] | S | 1..1 | CodeableConcept | Medication with raw code support i |
| coding | 0..* | Coding | i Slicing: value:system (open) |
|
| coding:din | S | 0..* | Coding | The Health Canada Drug Identification Number for the marketed product i |
| system | 1..1 | uri | i Fixed: http://hl7.org/fhir/NamingSystem/ca-hc-din |
|
| code | 1..1 | code | ||
| coding:ccdd | S | 0..* | Coding | CCDD — what the drug IS (preferred ingredient-level code) i |
| system | 1..1 | uri | i Fixed: http://terminology.hl7.org/CodeSystem/hc-CCDD |
|
| code | 1..1 | code | ||
| coding:atc | S | 0..* | Coding | ATC classification — coarser ingredient-level grouping i |
| system | 1..1 | uri | i Fixed: http://www.whocc.no/atc |
|
| code | 1..1 | code | ||
| coding:aign | S | 0..* | Coding | The active-ingredient group identifying the drug's ingredient and strength i |
| system | 1..1 | uri | i Fixed: http://terminology.hl7.org/CodeSystem/v3-hc-aign |
|
| code | 1..1 | code | ||
| text | S | 1..1 | string | The medication as written, in human-readable form i |
| subject | S | 1..1 | Reference(Patient Profile) | i |
| performer | S | 0..* | BackboneElement | Who performed the dispense i |
| actor | S | 1..1 | Reference(PractitionerRole Profile | Practitioner Profile | Organization Profile) | Individual or organization who performed dispense |
| authorizingPrescription | S | 0..* | Reference(MedicationRequest Profile) | Prescription that authorized this dispense i |
| type | S | 0..1 | CodeableConcept | Dispense type with raw code support |
| quantity | 0..1 | Quantity(SimpleQuantity) | i | |
| daysSupply | 0..1 | Quantity(SimpleQuantity) | Amount of medication for period of time i | |
| whenPrepared | 0..1 | dateTime | When product was prepared i | |
| whenHandedOver | S | 1..1 | dateTime | When product was given - Maps to CII N2 Medication_Dispensed_Date i |
| note | 0..* | Annotation | Additional information about dispense i | |
| dosageInstruction | 0..* | Dosage | How medication should be taken i |