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 / Snapshot
The full effective definition: base MedicationDispense with this profile's constraints applied.
| 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 |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for medicationdispense i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)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 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) i Invariants: ele-1 |
|
| partOf | 0..* | Reference(Procedure) | Event that dispense is part of 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 |
| statusReason[x] | 0..1 | CodeableConcept, Reference(DetectedIssue) | Why a dispense was not performed Binding: medicationdispense-status-reason ( example)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 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| coding | 0..* | Coding | Code defined by a terminology system i Slicing: value:system (open) Invariants: ele-1 |
|
| coding:din | S | 0..* | Coding | The Health Canada Drug Identification Number for the marketed product i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://hl7.org/fhir/NamingSystem/ca-hc-dinInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| coding:ccdd | S | 0..* | Coding | CCDD — what the drug IS (preferred ingredient-level code) i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/hc-CCDDInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| coding:atc | S | 0..* | Coding | ATC classification — coarser ingredient-level grouping i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://www.whocc.no/atcInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| coding:aign | S | 0..* | Coding | The active-ingredient group identifying the drug's ingredient and strength i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/v3-hc-aignInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i 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 |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event Invariants: ele-1 |
|
| supportingInformation | 0..* | Reference(Resource) | Information that supports the dispensing of the medication Invariants: ele-1 |
|
| performer | S | 0..* | BackboneElement | Who performed the dispense i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| function | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: medicationdispense-performer-function ( example)Invariants: ele-1 |
|
| actor | S | 1..1 | Reference(PractitionerRole Profile | Practitioner Profile | Organization Profile) | Individual or organization who performed dispense Invariants: ele-1 |
| location | 0..1 | Reference(Location) | Where the dispense occurred 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 |
| quantity | 0..1 | Quantity(SimpleQuantity) | Amount dispensed i Invariants: ele-1 |
|
| daysSupply | 0..1 | Quantity(SimpleQuantity) | Amount of medication for period of time i Invariants: ele-1 |
|
| whenPrepared | 0..1 | dateTime | When product was prepared i Invariants: ele-1 |
|
| whenHandedOver | S | 1..1 | dateTime | When product was given - Maps to CII N2 Medication_Dispensed_Date i Invariants: ele-1 |
| destination | 0..1 | Reference(Location) | Where the medication was sent Invariants: ele-1 |
|
| receiver | 0..* | Reference(Patient | Practitioner) | Who collected the medication Invariants: ele-1 |
|
| note | 0..* | Annotation | Additional information about dispense i Invariants: ele-1 |
|
| dosageInstruction | 0..* | Dosage | How medication should be taken i Invariants: ele-1 |
|
| substitution | 0..1 | BackboneElement | Whether a substitution was performed on the dispense Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense Invariants: ele-1 |
|
| type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: v3-ActSubstanceAdminSubstitutionCode ( example)Invariants: ele-1 |
|
| reason | 0..* | CodeableConcept | Why was substitution made Binding: v3-SubstanceAdminSubstitutionReason ( example)Invariants: ele-1 |
|
| responsibleParty | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution Invariants: ele-1 |
|
| detectedIssue | 0..* | Reference(DetectedIssue) | Clinical issue with action i Invariants: ele-1 |
|
| eventHistory | 0..* | Reference(Provenance) | A list of relevant lifecycle events i Invariants: ele-1 |