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 / Key elements
The working view: must-support, required, modifier and sliced elements from the effective (snapshot) definition.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationDispense | 0..* | Nexus EMR Medication Dispense Core Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, mdd-1, nexus-note-extension-not-where-native |
||
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for medicationdispense i Invariants: ele-1 |
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| status | S ?! | 1..1 | code | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped i Binding: medicationdispense-status ( required)Invariants: ele-1 |
| category | S | 0..1 | CodeableConcept | Dispense category with raw code support i Binding: medicationdispense-category ( preferred)Invariants: ele-1 |
| medication[x] | S | 1..1 | CodeableConcept | Medication with raw code support i Binding: medication-codes ( example)Invariants: ele-1 |
| coding:din | S | 0..* | Coding | The Health Canada Drug Identification Number for the marketed product i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://hl7.org/fhir/NamingSystem/ca-hc-dinInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| coding:ccdd | S | 0..* | Coding | CCDD — what the drug IS (preferred ingredient-level code) i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/hc-CCDDInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| coding:atc | S | 0..* | Coding | ATC classification — coarser ingredient-level grouping i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://www.whocc.no/atcInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| coding:aign | S | 0..* | Coding | The active-ingredient group identifying the drug's ingredient and strength i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/v3-hc-aignInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| text | S | 1..1 | string | The medication as written, in human-readable form i Invariants: ele-1 |
| subject | S | 1..1 | Reference(Patient Profile) | Who the dispense is for i Invariants: ele-1 |
| performer | S | 0..* | BackboneElement | Who performed the dispense i Invariants: ele-1 |
| actor | S | 1..1 | Reference(PractitionerRole Profile | Practitioner Profile | Organization Profile) | Individual or organization who performed dispense Invariants: ele-1 |
| authorizingPrescription | S | 0..* | Reference(MedicationRequest Profile) | Prescription that authorized this dispense i Invariants: ele-1 |
| type | S | 0..1 | CodeableConcept | Dispense type with raw code support Binding: v3-ActPharmacySupplyType ( example)Invariants: ele-1 |
| whenHandedOver | S | 1..1 | dateTime | When product was given - Maps to CII N2 Medication_Dispensed_Date i Invariants: ele-1 |
| substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense Invariants: ele-1 |
|
| wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense Invariants: ele-1 |